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HCPCS 23455

Repair shoulder capsule

Reported by 304 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

$636

Average

$9.9k

Median

$9.4k

High

$43.9k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Marymount Hospital IncGarfield Heights, OH$6.6k$5.9k$2.5k1–10$2.5k$14.9k
2University Of Miami Hosp & ClinicsMiami, FL$15.2k$17.7k$15.1k1–10$7.4k$19.5k
3The Mount Sinai HospitalNew York, NY$9.1k$8.3k$3.1k—$1.3k$14.1k
4Spring Valley Hospital Medical CenterLas Vegas, NV$2.9k$5.2k$5.9k———
5Valley Health Speciality HospitalLas Vegas, NV$2.5k$5.3k$6.1k———
6Summerlin Hospital Medical CenterLas Vegas, NV$2.5k$5.3k$6.1k———
7West Henderson HospitalHenderson, NV$2.5k$5.3k$6.1k———
8Henderson HospitalHenderson, NV$2.5k$5.3k$6.1k———
9Centennial HillsLas Vegas, NV$2.5k$5.3k$6.1k———
10McAllen Hospitals, LPMcAllen, TX$8.9k$9.6k$4.2k———
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Look up this code directly

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