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Shoulder Tumor Removal With Bone Graft

Montana rates for HCPCS 23156

This removes a tumor from the upper end of the arm bone near the shoulder, along with the affected bone, and rebuilds the missing section using a piece of donor bone (an allograft) rather than the patient's own tissue. It's used when a tumor has damaged enough bone that reconstruction is needed to restore the arm's structure and function. This is a more involved reconstruction than simply scraping out the tumor and leaving the bone otherwise intact.

Rates data updated October 2026.

How much does Shoulder Tumor Removal With Bone Graft cost?

$1,096

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,122 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$708 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,122$1,096 to $1,349

How much rates vary

Facilitymedian $1,122 · 10th to 90th $955 to $4,571Professionalmedian $1,096 · 10th to 90th $85 to $1,175
$100$200$500$1K$2K$5K$10Kfacility $1,122professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$691.83
Typical High
$1,096.48
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,258.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$977.24
Typical High
$1,096.48
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,288.25

Where Montana sits

The same service costs 7.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 17th of 51

$1,096

AK $2,818TX $363

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.