{"procedure":{"code_type":"CPT","code":"23472","lay_name":"Total shoulder replacement","blurb":"Surgery that replaces both the ball of the upper arm bone and the shoulder socket with artificial parts, including reverse-type shoulder replacement.","slug":"cpt-23472-total-shoulder-replacement","description":"Arthroplasty Glenohumeral Joint Total Shoulder","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"154","label":"Arthroplasty other than hip or knee","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":1038,"n_usable":930,"n_not_usable":0,"n_labelled":67,"n_no_cash":32,"n_estimated":9,"n_states":50,"cash_p10":1853.25,"cash_p20":2774.64,"cash_p25":3141.6,"cash_p50":7534.15,"cash_p75":20697.58,"cash_p80":23701.58,"cash_p90":37493.6,"cash_mean_trimmed":9509.66,"gross_p50":7978.0,"cash_to_gross_p50":0.65,"medicare_rate":17913.59,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.4206,"by_state":[{"state":"AK","n":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":15,"p20":4116.0,"p50":15649.0,"p80":27043.96},{"state":"AR","n":11,"p20":2538.0,"p50":4569.3,"p80":5635.68},{"state":"AZ","n":12,"p20":2351.4,"p50":21516.53,"p80":31316.58},{"state":"CA","n":47,"p20":4120.5,"p50":11340.0,"p80":11340.0},{"state":"CO","n":17,"p20":2491.2,"p50":3477.35,"p80":18390.06},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":15,"p20":6329.05,"p50":23872.15,"p80":36893.58},{"state":"GA","n":13,"p20":15440.0,"p50":15440.0,"p80":45525.35},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":44,"p20":3122.6,"p50":3580.0,"p80":7529.9},{"state":"ID","n":19,"p20":2889.0,"p50":13851.01,"p80":21573.0},{"state":"IL","n":29,"p20":1907.5,"p50":2803.14,"p80":8965.0},{"state":"IN","n":30,"p20":1907.5,"p50":7484.96,"p80":45431.84},{"state":"KS","n":25,"p20":1890.0,"p50":3495.0,"p80":12885.6},{"state":"KY","n":14,"p20":1907.5,"p50":3492.6,"p80":23422.85},{"state":"LA","n":15,"p20":8702.7,"p50":16536.0,"p80":23136.6},{"state":"MA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":42,"p20":2883.0,"p50":3208.6,"p80":24109.66},{"state":"MN","n":38,"p20":3102.02,"p50":5990.0,"p80":10643.0},{"state":"MO","n":24,"p20":2414.85,"p50":17388.8,"p80":44295.09},{"state":"MS","n":11,"p20":4692.0,"p50":15436.14,"p80":28694.76},{"state":"MT","n":14,"p20":1607.9,"p50":4304.45,"p80":9298.58},{"state":"NC","n":12,"p20":3552.0,"p50":6908.75,"p80":17425.24},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":24,"p20":1427.84,"p50":4832.75,"p80":24560.0},{"state":"NH","n":13,"p20":1394.4,"p50":2234.27,"p80":6002.71},{"state":"NJ","n":35,"p20":5110.0,"p50":20098.12,"p80":21657.23},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":60,"p20":2480.0,"p50":13784.0,"p80":21762.05},{"state":"OH","n":37,"p20":4277.25,"p50":46240.09,"p80":59540.2},{"state":"OK","n":17,"p20":3030.44,"p50":3030.44,"p80":27296.4},{"state":"OR","n":26,"p20":2658.5,"p50":4199.25,"p80":5474.74},{"state":"PA","n":29,"p20":934.95,"p50":13844.13,"p80":34653.2},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":21927.47,"p50":26761.15,"p80":42353.54},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":17,"p20":1602.25,"p50":15607.09,"p80":20697.58},{"state":"TX","n":26,"p20":4546.8,"p50":17527.0,"p80":37740.81},{"state":"UT","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":17,"p20":8483.06,"p50":46287.6,"p80":59926.53},{"state":"VT","n":10,"p20":793.8,"p50":2288.8,"p80":3698.74},{"state":"WA","n":19,"p20":2877.0,"p50":3538.0,"p80":25962.3},{"state":"WI","n":43,"p20":5136.75,"p50":7534.15,"p80":9074.38},{"state":"WV","n":22,"p20":1593.5,"p50":4048.0,"p80":11598.0},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":643,"p20":3208.6,"p50":11598.0,"p80":29081.79},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":276,"p20":2233.88,"p50":3580.0,"p80":8429.25}],"ownership":[{"key":"for_profit","n":126,"p20":4563.6,"p50":19229.17,"p80":35331.36},{"key":"government","n":170,"p20":2635.0,"p50":4206.27,"p80":17549.54},{"key":"nonprofit","n":631,"p20":2658.5,"p50":7178.12,"p80":21922.55}],"affiliation":[{"key":"affiliated","n":696,"p20":3030.44,"p50":9074.38,"p80":25187.05},{"key":"independent","n":234,"p20":2522.25,"p50":4692.0,"p80":17388.8}]},"histogram":[{"lo":1260.0,"hi":1836.98,"n":46},{"lo":1836.98,"hi":2678.19,"n":87},{"lo":2678.19,"hi":3904.59,"n":136},{"lo":3904.59,"hi":5692.6,"n":93},{"lo":5692.6,"hi":8299.38,"n":84},{"lo":8299.38,"hi":12099.87,"n":81},{"lo":12099.87,"hi":17640.7,"n":89},{"lo":17640.7,"hi":25718.8,"n":101},{"lo":25718.8,"hi":37496.07,"n":74},{"lo":37496.07,"hi":54666.44,"n":47}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":444,"n_usable":391,"n_not_usable":0,"n_labelled":24,"n_no_cash":29,"n_estimated":0,"n_states":46,"cash_p10":1252.4,"cash_p20":1907.5,"cash_p25":2096.75,"cash_p50":3610.62,"cash_p75":9890.32,"cash_p80":11340.0,"cash_p90":21608.1,"cash_mean_trimmed":4871.85,"gross_p50":5294.0,"cash_to_gross_p50":0.67,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":31,"p20":4490.0,"p50":11340.0,"p80":11340.0},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":2324.0,"p50":3580.0,"p80":3580.0},{"state":"ID","n":10,"p20":507.68,"p50":20834.0,"p80":20834.0},{"state":"IL","n":19,"p20":1907.5,"p50":2650.8,"p80":5563.2},{"state":"IN","n":15,"p20":755.7,"p50":1907.5,"p80":4426.0},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":25,"p20":507.68,"p50":3769.6,"p80":26435.84},{"state":"MN","n":26,"p20":3330.58,"p50":5990.0,"p80":9890.32},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":1553.23,"p50":3477.62,"p80":4310.0},{"state":"OH","n":10,"p20":2006.25,"p50":2457.24,"p80":5989.79},{"state":"OK","n":11,"p20":3030.44,"p50":3030.44,"p80":3030.44},{"state":"OR","n":14,"p20":2658.5,"p50":3141.6,"p80":13379.33},{"state":"PA","n":18,"p20":1171.71,"p50":1563.37,"p80":33288.5},{"state":"SC","n":8,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":10,"p20":1894.2,"p50":3669.0,"p80":21437.34},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":23,"p20":5657.4,"p50":7534.15,"p80":13872.6},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":259,"p20":1675.8,"p50":3595.53,"p80":13844.13},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":126,"p20":2005.5,"p50":3610.62,"p80":8643.36}],"ownership":[{"key":"for_profit","n":36,"p20":1675.8,"p50":3492.6,"p80":20834.0},{"key":"government","n":52,"p20":2495.2,"p50":3744.08,"p80":7709.53},{"key":"nonprofit","n":301,"p20":1882.27,"p50":3595.53,"p80":11340.0}],"affiliation":[{"key":"affiliated","n":298,"p20":1772.25,"p50":3717.95,"p80":11340.0},{"key":"independent","n":93,"p20":2202.0,"p50":3306.8,"p80":15472.8}]},"histogram":[{"lo":535.86,"hi":804.28,"n":9},{"lo":804.28,"hi":1207.17,"n":9},{"lo":1207.17,"hi":1811.87,"n":36},{"lo":1811.87,"hi":2719.47,"n":60},{"lo":2719.47,"hi":4081.72,"n":79},{"lo":4081.72,"hi":6126.35,"n":40},{"lo":6126.35,"hi":9195.18,"n":34},{"lo":9195.18,"hi":13801.25,"n":35},{"lo":13801.25,"hi":20714.62,"n":23},{"lo":20714.62,"hi":31091.05,"n":28}],"previous":null}},"related":[{"code_type":"CPT","code":"25447","lay_name":"Wrist or thumb-base joint resurfacing with a tissue spacer","slug":"cpt-25447-wrist-or-thumb-base-joint-resurfacing-with-a-tissue-spacer"},{"code_type":"CPT","code":"23470","lay_name":"Partial shoulder replacement","slug":"cpt-23470-partial-shoulder-replacement"},{"code_type":"CPT","code":"23474","lay_name":"Revision of shoulder replacement, both parts replaced","slug":"cpt-23474-revision-of-shoulder-replacement-both-parts-replaced"},{"code_type":"CPT","code":"23473","lay_name":"Revision of shoulder replacement, one part replaced","slug":"cpt-23473-revision-of-shoulder-replacement-one-part-replaced"},{"code_type":"CPT","code":"26535","lay_name":"Finger joint resurfacing without implant, each joint","slug":"cpt-26535-finger-joint-resurfacing-without-implant-each-joint"},{"code_type":"CPT","code":"23420","lay_name":"Open repair of a completely torn rotator cuff","slug":"cpt-23420-open-repair-of-a-completely-torn-rotator-cuff"},{"code_type":"CPT","code":"24366","lay_name":"Radial head replacement with an implant","slug":"cpt-24366-radial-head-replacement-with-an-implant"},{"code_type":"CPT","code":"26531","lay_name":"Knuckle joint replacement with implant, each joint","slug":"cpt-26531-knuckle-joint-replacement-with-implant-each-joint"},{"code_type":"CPT","code":"27702","lay_name":"Total ankle replacement with implant","slug":"cpt-27702-total-ankle-replacement-with-implant"},{"code_type":"CPT","code":"26536","lay_name":"Finger joint replacement with implant, each joint","slug":"cpt-26536-finger-joint-replacement-with-implant-each-joint"},{"code_type":"CPT","code":"26530","lay_name":"Knuckle joint resurfacing without implant, each joint","slug":"cpt-26530-knuckle-joint-resurfacing-without-implant-each-joint"},{"code_type":"CPT","code":"25332","lay_name":"Wrist joint replacement or resurfacing","slug":"cpt-25332-wrist-joint-replacement-or-resurfacing"}]}