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Procedure price report · Partial excision bone

Surgical removal of the ball of the shoulder joint

CPT 23195the billing code this page is about

Open surgery to remove the head of the upper arm bone (the ball of the shoulder joint) without putting in a replacement implant.

Hospitals typically charge $2,694 cash for this outpatient procedure — the median across 232 hospitals that filed a usable cash price; the average of the middle 60% is $3,980. Most fall between $1,237 and $9,058 (20th–80th percentile).

Hospitals
232
States
39
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 232 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,055$1,294$2,694$8,454$10,959

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,055 vs $10,959).

How the prices are spread

$750 – $1,010: 12 hospitals$750$1,010 – $1,360: 41 hospitals$1,360 – $1,832: 20 hospitals$1,360$1,832 – $2,468: 24 hospitals$2,468 – $3,324: 13 hospitals$2,468$3,324 – $4,477: 12 hospitals$4,477 – $6,031: 12 hospitals$4,477$6,031 – $8,123: 21 hospitals$8,123 – $10,942: 27 hospitals$8,123$10,942 – $14,738: 32 hospitals$10,942median $2,694price bands are equal on a log scale
Hospitals per price band (214 of 232 — the bands cover the 5th to 95th percentile)
FromToHospitals
$750$1,01012
$1,010$1,36041
$1,360$1,83220
$1,832$2,46824
$2,468$3,32413
$3,324$4,47712
$4,477$6,03112
$6,031$8,12321
$8,123$10,94227
$10,942$14,73832

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,694
Cash as a multiple of Medicare0.36×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,694.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,476 across 13 hospitalsIL$1,476Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,355 across 11 hospitalsMI$1,355New York: median $8,454 across 22 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,841 across 14 hospitalsIA$1,841Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,694 across 10 hospitalsOH$2,694Pennsylvania: median $8,376 across 14 hospitalsPA$8,376New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $10,959 across 24 hospitalsCA$10,959Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,237 across 13 hospitalsOK$1,237Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,694. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$10,959+307%$10,959 – $10,959
New York NY22$8,454+214%$1,881 – $8,454
Pennsylvania PA14$8,376+211%$489 – $13,461
New Jersey NJ22$6,311+134%$4,881 – $7,914
Ohio OH10$2,6940%$1,851 – $2,784
Iowa IA14$1,841−32%$1,841 – $1,841
Illinois IL13$1,476−45%$1,168 – $1,841
Michigan MI11$1,355−50%$1,355 – $9,978
Oklahoma OK13$1,237−54%$1,237 – $8,528
Wisconsin WI8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,694.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care197$3,089$1,237 – $9,058
Children’s6fewer than 20 hospitals
Critical access28$1,566$1,168 – $14,738
Ownership
For-profit27$2,653$1,168 – $11,775
Government31$1,751$1,294 – $8,454
Non-profit173$3,691$1,237 – $9,978
System affiliation
Part of a system183$3,691$1,237 – $9,978
Independent49$1,851$1,237 – $7,053

Cash price vs list price

Median list price (chargemaster)$2,612
Median cash price$2,694
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

127 hospitals filed a usable inpatient cash price for this code. The median is $1,841 and the average of the middle 60% is $3,901; most fall between $1,168 and $10,959.

Cash price percentiles, inpatient, across 127 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$895$1,237$1,841$10,468$10,959

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($895 vs $10,959).

Of the 148 hospitals that filed this code inpatient, 127 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

232 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 261 hospitals that filed this code at all gave us
Usable cash price — counted232
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded3
Hospitals that filed this code261

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Partial excision bone family.

Hospitals file this code under descriptions such as PR Removal of Head of Humerus.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Surgical removal of the ball of the shoulder joint (CPT 23195) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23195-surgical-removal-of-the-ball-of-the-shoulder-joint