Price Checker / CPT 23470
How much does Reconstruct Shoulder Joint cost?
CPT 23470 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 13x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,650–$3,250
What this should cost
With insurance
~$6,150
Typical out-of-pocket
Overcharged if over
$4,050
Push back above this
The average hospital charge of $31,498 is $29,048 over the fair price (about 13x the fair rate).
What hospitals charge for Reconstruct Shoulder Joint
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Haywood Regional Medical Center CLYDE, NC | $84,127 | — | 7633% |
| Northern Light AR Gould Hospital Presque Isla, ME | $79,472 | — | 6121% |
| Raleigh General Hospital BECKLEY, WV | $63,297 | — | 5923% |
| Waldo County General Hospital Belfast, ME | — | — | 5711% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $61,716 | $37,030 | 5573% |
| Jackson Purchase Medical Center MAYFIELD, KY | $61,164 | — | 5522% |
| Prairie Lakes Healthcare System Inc Watertown, SD | $93,929 | — | 4908% |
| Memorial Medical Center PORT LAVACA, NM | $54,329 | — | 4894% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 3598% |
| University Health Lakewood Medical Center KANSAS CITY, MO | $39,324 | — | 3515% |
| MCDOWELL HOSPITAL Marion, NC | — | — | 3328% |
| Troy Regional Medical Center TROY, AL | $34,000 | $15,005 | 3025% |
| UPMC Kane Kane, PA | $2,258 | — | 2811% |
| Ascension Saint Thomas Midtown , TN | — | — | 2631% |
| Ascension Saint Thomas Rutherford , TN | — | — | 2631% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Reconstruct Shoulder Joint
CPT code 23470 refers to reconstruct shoulder joint (billing description: "Reconstruct shoulder joint"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,088 in a facility (hospital or surgery center) and $1,088 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.