Shoulder Replacement for a Broken Upper Arm Bone

Maine rates for HCPCS 23616

Treats a break at the top of the upper arm bone by replacing the broken ball of the shoulder with an artificial one through an open incision. It is chosen when the bone is in too many pieces, or its blood supply is too damaged, for a repair to be expected to heal. Tendons and bone fragments around the shoulder are reattached to the implant where possible.

Rates data updated July 2026.

How much rates vary

Facilitymedian $35,481 · 10th to 90th $35,481 to $35,481

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
United Setting Facility Modifier Global Typical Low $35,481.34 Median $35,481.34 Typical High $35,481.34	Facility	Global	$35,481.34	$35,481.34	$35,481.34