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Shoulder Replacement for a Broken Upper Arm Bone

Wyoming 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 $15,849 · 10th to 90th $6,918 to $35,481
$10.0K$20.0Kfacility $15,849

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$25,703.96
Typical High
$35,481.34