Price Checker / CPT 23920

How much does Disarticulation Shoulder cost?

CPT 23920 · Based on 2026 Medicare rates and hospital-published pricing

Fair price

The average hospital charge is in line with what this normally costs. No need to dispute.

Fair price

$2,050–$2,400

What this should cost

With insurance

~$3,850

Typical out-of-pocket

Overcharged if over

$3,000

Push back above this

What hospitals charge for Disarticulation Shoulder

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Elmhurst Hospital Center

Elmhurst, NY

-100%

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About Disarticulation Shoulder

CPT code 23920 refers to disarticulation shoulder (billing description: "Disarticulation shoulder"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,034 in a facility (hospital or surgery center) and $1,034 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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