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Procedure price report · Other OR therapeutic procedures on joints

Open shoulder repair for instability in several directions

CPT 23466the billing code this page is about

Open surgery to tighten the shoulder joint capsule when the shoulder slips out of place in more than one direction.

Hospitals typically charge $3,827 cash for this outpatient procedure — the median across 350 hospitals that filed a usable cash price; the average of the middle 60% is $4,538. Most fall between $1,849 and $9,203 (20th–80th percentile).

Hospitals
350
States
46
Filings dated
Mar 2023 – 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 350 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
$1,378$2,025$3,827$8,454$14,738

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,378 vs $14,738).

How the prices are spread

$996 – $1,322: 15 hospitals$996$1,322 – $1,756: 32 hospitals$1,756 – $2,332: 58 hospitals$1,756$2,332 – $3,097: 37 hospitals$3,097 – $4,113: 20 hospitals$3,097$4,113 – $5,462: 33 hospitals$5,462 – $7,254: 16 hospitals$5,462$7,254 – $9,634: 62 hospitals$9,634 – $12,794: 18 hospitals$9,634$12,794 – $16,990: 36 hospitals$12,794median $3,827price bands are equal on a log scale
Hospitals per price band (327 of 350 — the bands cover the 5th to 95th percentile)
FromToHospitals
$996$1,32215
$1,322$1,75632
$1,756$2,33258
$2,332$3,09737
$3,097$4,11320
$4,113$5,46233
$5,462$7,25416
$7,254$9,63462
$9,634$12,79418
$12,794$16,99036

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,827
Cash as a multiple of Medicare0.52×

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 $3,827.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $5,974 across 10 hospitalsID$5,974Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,869 across 10 hospitalsIL$1,869Wisconsin: median $4,290 across 12 hospitalsWI$4,290Michigan: median $2,156 across 22 hospitalsMI$2,156New York: median $8,454 across 28 hospitalsNY$8,454Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,734 across 17 hospitalsIA$2,734Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,157 across 14 hospitalsOH$4,157Pennsylvania: median $4,113 across 20 hospitalsPA$4,113New Jersey: median $7,807 across 28 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 32 hospitalsCA$16,990Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,849 across 13 hospitalsOK$1,849Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,691 across 21 hospitalsTX$7,691Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,827. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA32$16,990+344%$2,567 – $16,990
New York NY28$8,454+121%$2,787 – $8,613
New Jersey NJ28$7,807+104%$5,110 – $9,388
Texas TX21$7,691+101%$3,754 – $7,691
Idaho ID10$5,974+56%$4,770 – $14,738
Wisconsin WI12$4,290+12%$4,290 – $4,330
Ohio OH14$4,157+9%$1,995 – $5,071
Pennsylvania PA20$4,113+7%$695 – $11,093
Iowa IA17$2,734−29%$2,734 – $2,734
Michigan MI22$2,156−44%$1,654 – $2,286
Illinois IL10$1,869−51%$1,419 – $2,734
Oklahoma OK13$1,849−52%$1,849 – $9,658
Georgia GA8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $3,827.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care275$4,627$1,849 – $9,533
Children’s9fewer than 20 hospitals
Critical access65$2,567$1,650 – $4,714
Ownership
For-profit39$5,974$1,419 – $10,468
Government50$2,899$1,880 – $8,454
Non-profit260$4,157$1,849 – $9,533
System affiliation
Part of a system273$4,290$1,849 – $9,654
Independent77$2,789$1,729 – $6,943

Cash price vs list price

Median list price (chargemaster)$4,103
Median cash price$3,827
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

201 hospitals filed a usable inpatient cash price for this code. The median is $2,787 and the average of the middle 60% is $3,905; most fall between $1,654 and $10,817.

Cash price percentiles, inpatient, across 201 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
$1,365$1,849$2,787$7,691$15,440

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,365 vs $15,440).

Of the 220 hospitals that filed this code inpatient, 201 gave a usable cash price; 13 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

350 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 387 hospitals that filed this code at all gave us
Usable cash price — counted350
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
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 — excluded8
Hospitals that filed this code387

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.

Related procedures

Part of the Other OR therapeutic procedures on joints family.

Hospitals file this code under descriptions such as PR Repair Shldr Capsu for Instability.

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, “Open shoulder repair for instability in several directions (CPT 23466) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23466-open-shoulder-repair-for-instability-in-several-directions