Price Checker / CPT 23474
CPT 23474 — Revis reconst shoulder joint
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,552
What Medicare pays in a hospital/ASC setting
$1,552
What Medicare pays in a physician's office
$61,736
Based on 28 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 23474
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 | $342,550 | — | 21087% |
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 9541% |
| Northern Light Mercy Hospital Portland, ME | $134,111 | — | 7244% |
| Northern Light AR Gould Hospital Presque Isla, ME | $91,097 | — | 4898% |
| Tallahassee Memorial Hospital , FL | $71,993 | — | 4538% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $73,984 | — | 4333% |
| Southern Tennessee Regional Health System - Lawrenceburg , TN | $58,303 | — | 3656% |
| Astera Health Wadena, MN | $56,510 | — | 3177% |
| Clark Regional Medical Center , KY | $47,723 | — | 2975% |
| War Memorial Hospital, Inc. , WV | $39,908 | — | 2471% |
| MCDOWELL HOSPITAL Marion, NC | — | — | 2302% |
| Middle Park Health Granby , CO | $36,400 | $29,120 | 2245% |
| Middle Park Health Kremmling , CO | $36,400 | $36,400 | 2245% |
| ST CHARLES HOSPITAL , OH | $167,371 | — | 2237% |
| Middle Park Health Granby Granby, CO | $36,400 | — | 2128% |
Were you billed for this procedure?
Upload your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free, 60 seconds.
About CPT 23474
CPT code 23474 refers to “Revis reconst shoulder joint”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,552 in a facility (hospital or ambulatory surgery center) and $1,552in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.