go back

Fusion Of The Main Shoulder Joint

Montana rates for HCPCS 23800

Surgery that joins the ball of the upper arm bone to the socket on the shoulder blade so they heal into one solid piece and the joint no longer moves. The bone surfaces are prepared and held together with hardware while they knit. It is used for a shoulder beyond repair or replacement because of severe damage, paralysis, or infection.

Rates data updated October 2026.

How much does Fusion Of The Main Shoulder Joint cost?

$1,622

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,622 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,622$1,072 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,622$1,622 to $1,905

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,445 to $5,888Professionalmedian $1,622 · 10th to 90th $85 to $1,738
$100$200$500$1K$2K$5K$10Kfacility $1,622professional $1,622

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,096.48
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$1,862.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,621.81
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,479.11
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,949.84

Where Montana sits

The same service costs 7.9 times more in Alaska than in Texas. 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.

Montana· 19th of 51

$1,622

AK $4,169TX $525

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.