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Open Repair of Broken Upper Arm Bone at Shoulder

Nationwide rates for HCPCS 23615

Repairs a break at the top of the upper arm bone, near the shoulder, through an incision that lets the surgeon see the fragments and set them in the right position. Plates, screws, pins or heavy sutures are used to hold the pieces, and broken bumps of bone where the rotator cuff tendons attach are reattached at the same time when needed. The joint surface itself is kept, not replaced.

Rates data updated July 2026.

How much does Open Repair of Broken Upper Arm Bone at Shoulder cost?

$7,895

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,895 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $6,607 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 58 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$977 to $1,950
Facility feeThe hospital or surgery center$6,607$2,818 to $12,023

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,175 to $20,893Professionalmedian $1,288 · 10th to 90th $813 to $3,020
$100$500$2K$10K$50Kfacility $6,607professional $1,288

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
$1,096.48
Median
$5,128.61
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$10,471.29
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,398.83
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$9,332.54
Typical High
$22,908.68

What it costs in each state

The same service costs 4.9 times more in Wisconsin than in Oregon. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

WI $17,177OR $3,516

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.