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Open Repair of Broken Upper Arm Bone at Shoulder

South Dakota 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?

$1,738

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,445 to $3,388.

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.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,479 to $18,197Professionalmedian $1,479 · 10th to 90th $1,000 to $1,905
$1K$2K$5K$10K$20Kfacility $3,388professional $1,479

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
$3,388.44
Median
$4,365.16
Typical High
$18,197.01
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$1,737.80
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$26,302.68

Where South Dakota sits

The same service costs 18.6 times more in Indiana than in West Virginia. 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.

South Dakota· 47th of 50

$1,738

IN $22,909WV $1,230

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.