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Shoulder Tumor Removal With Bone Graft

Ohio 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 July 2026.

How much does Shoulder Tumor Removal With Bone Graft cost?

$891

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $6,607 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$661 to $1,000
FacilityA hospital or hospital-owned outpatient department$6,607$3,631 to $10,715

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,413 to $12,589Professionalmedian $741 · 10th to 90th $589 to $2,291
$10.0$100.0$1.0K$10.0Kfacility $6,607professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$8,912.51
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,754.40
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,230.27

Where Ohio sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $891 · 34th of 51
CA $6,607DE $676

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.