Procedure price report · Other therapeutic procedures on muscles and tendons

Muscle or tendon transfer in the shoulder or upper arm

CPT code CPT 23395the billing code this page is about

Open surgery to move a muscle or tendon to a new attachment point in the shoulder or upper arm; this code covers a single transfer.

Hospitals typically charge $5,364 cash for this outpatient procedure — the median across 355 hospitals that filed a usable cash price; the average of the middle 60% is $5,625. Most fall between $2,286 and $10,199 (20th–80th percentile).

Hospitals
355
States
43
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 355 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
$1,418$2,649$5,364$9,263$16,990

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,418 vs $16,990).

How the prices are spread

$1,289 – $1,673: 24 hospitals$1,289$1,673 – $2,171: 23 hospitals$2,171 – $2,817: 42 hospitals$2,171$2,817 – $3,656: 28 hospitals$3,656 – $4,745: 19 hospitals$3,656$4,745 – $6,158: 49 hospitals$6,158 – $7,992: 29 hospitals$6,158$7,992 – $10,372: 53 hospitals$10,372 – $13,460: 17 hospitals$10,372$13,460 – $17,469: 40 hospitals$13,460median $5,364price bands are equal on a log scale
Hospitals per price band (324 of 355 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,289$1,67324
$1,673$2,17123
$2,171$2,81742
$2,817$3,65628
$3,656$4,74519
$4,745$6,15849
$6,158$7,99229
$7,992$10,37253
$10,372$13,46017
$13,460$17,46940

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$5,364
Cash as a multiple of Medicare0.72×

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 $5,364.

Alaska: 2 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,354 across 11 hospitalsIL$2,354Wisconsin: median $5,974 across 28 hospitalsWI$5,974Michigan: median $2,771 across 28 hospitalsMI$2,771New York: median $8,454 across 24 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,231 across 11 hospitalsOR$4,231Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $3,160 across 16 hospitalsIA$3,160Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,820 across 11 hospitalsOH$4,820Pennsylvania: median $5,364 across 21 hospitalsPA$5,364New Jersey: median $7,807 across 29 hospitalsNJ$7,807Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $16,990 across 30 hospitalsCA$16,990Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 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: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,113 across 13 hospitalsOK$2,113Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,434 across 23 hospitalsTX$8,434Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,364. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$16,990+217%$3,693 – $16,990
New York NY24$8,454+58%$7,031 – $9,058
Texas TX23$8,434+57%$4,314 – $8,434
New Jersey NJ29$7,807+46%$4,881 – $9,388
Wisconsin WI28$5,974+11%$4,799 – $12,778
Pennsylvania PA21$5,3640%$834 – $12,077
Ohio OH11$4,820−10%$2,516 – $4,820
Oregon OR11$4,231−21%$2,375 – $4,231
Iowa IA16$3,160−41%$3,160 – $3,160
Michigan MI28$2,771−48%$2,771 – $9,978
Illinois IL11$2,354−56%$1,418 – $3,160
Oklahoma OK13$2,113−61%$2,113 – $13,892
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Hawaii HI2not 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
Washington WA2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $5,364.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care284$5,758$2,260 – $11,148
Children’s11fewer than 20 hospitals
Critical access60$4,799$2,344 – $8,434
Ownership
For-profit39$6,210$1,418 – $11,775
Government46$3,625$2,309 – $8,454
Non-profit270$5,364$2,375 – $11,148
System affiliation
Part of a system290$5,974$2,375 – $11,148
Independent65$3,990$2,212 – $7,861

Cash price vs list price

Median list price (chargemaster)$5,651
Median cash price$5,364
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

185 hospitals filed a usable inpatient cash price for this code. The median is $4,337 and the average of the middle 60% is $5,133; most fall between $2,113 and $11,564.

Cash price percentiles, inpatient, across 185 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
$1,418$2,344$4,337$11,093$16,990

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,418 vs $16,990).

Of the 205 hospitals that filed this code inpatient, 185 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

355 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 394 hospitals that filed this code at all gave us
Usable cash price — counted355
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded7
Hospitals that filed this code394

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as PR Muscle Transfer,Shoulder/Arm,Single.

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, “Muscle or tendon transfer in the shoulder or upper arm (CPT 23395) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23395-muscle-or-tendon-transfer-in-the-shoulder-or-upper-arm