Price Checker / CPT 23472
How much does Reconstruct Shoulder Joint cost?
CPT 23472 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 18x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,950–$3,900
What this should cost
With insurance
~$7,300
Typical out-of-pocket
Overcharged if over
$4,900
Push back above this
The average hospital charge of $52,692 is $49,742 over the fair price (about 18x 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 |
|---|---|---|---|
| Mat-Su Regional Medical Center Palmer, AK | $367,666 | — | 27044% |
| Poplar Bluff Regional Medical Center Poplar Bluff, MO | $327,241 | — | 22550% |
| Medical Center Enterprise Enterprise, AL | $205,980 | — | 14157% |
| Moberly Regional Medical Center Moberly, MO | $221,282 | — | 13684% |
| Northeast Regional Medical Center Kirksville, MO | $196,299 | — | 12732% |
| Franciscan Health Rensselaer , IN | $141,382 | — | 10773% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $130,694 | — | 9951% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $130,694 | — | 9951% |
| Eastern New Mexico Medical Center Roswell, NM | $137,139 | — | 9919% |
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 9450% |
| PeaceHealth St. John Medical Center LONGVIEW, WA | $34,801 | — | 9298% |
| Northwest Healthcare Sahuarita Sahuarita, AZ | $158,926 | — | 8558% |
| Lincoln Health Damariscotta, ME | — | — | 8359% |
| HARBOUR VIEW MEDICAL CENTER , VA | $122,882 | — | 8254% |
| MARYVIEW HOSPITAL Portsmouth, VA | $122,882 | — | 8254% |
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 23472 refers to reconstruct shoulder joint (billing description: "Reconstruct shoulder joint"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,300 in a facility (hospital or surgery center) and $1,300 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.