HRHospitalRates.comCompare prices

Procedure price report · Other fracture and dislocation procedure

Treatment of a separated shoulder with manual repositioning

CPT 23545the billing code this page is about

Non-surgical care of a dislocation of the joint where the collarbone meets the shoulder blade, where the bones are pushed back into place by hand without opening the skin.

Hospitals typically charge $568 cash for this outpatient procedure — the median across 1,178 hospitals that filed a usable cash price; the average of the middle 60% is $605. Most fall between $308 and $1,076 (20th–80th percentile).

Hospitals
1,178
States
49
Filings dated
Aug 2022 – 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 1,178 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
$242$343$568$908$1,506

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($242 vs $1,506).

How the prices are spread

$200 – $253: 84 hospitals$200$253 – $320: 118 hospitals$320 – $404: 110 hospitals$320$404 – $511: 127 hospitals$511 – $646: 161 hospitals$511$646 – $817: 158 hospitals$817 – $1,033: 114 hospitals$817$1,033 – $1,306: 89 hospitals$1,306 – $1,651: 58 hospitals$1,306$1,651 – $2,087: 43 hospitals$1,651median $568price bands are equal on a log scale
Hospitals per price band (1,062 of 1,178 — the bands cover the 5th to 95th percentile)
FromToHospitals
$200$25384
$253$320118
$320$404110
$404$511127
$511$646161
$646$817158
$817$1,033114
$1,033$1,30689
$1,306$1,65158
$1,651$2,08743

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$568
Cash as a multiple of Medicare2.3×

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 $568.

Alaska: median $763 across 10 hospitalsAK$763Maine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $251 across 10 hospitalsNH$251Washington: median $706 across 33 hospitalsWA$706Idaho: median $670 across 14 hospitalsID$670Montana: median $670 across 11 hospitalsMT$670North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $687 across 27 hospitalsMN$687Illinois: median $579 across 39 hospitalsIL$579Wisconsin: median $814 across 25 hospitalsWI$814Michigan: median $532 across 39 hospitalsMI$532New York: median $607 across 70 hospitalsNY$607Massachusetts: median $1,407 across 26 hospitalsMA$1,407Oregon: median $990 across 31 hospitalsOR$990Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $615 across 31 hospitalsIA$615Indiana: median $341 across 22 hospitalsIN$341Ohio: median $576 across 44 hospitalsOH$576Pennsylvania: median $378 across 47 hospitalsPA$378New Jersey: median $1,288 across 35 hospitalsNJ$1,288Connecticut: median $838 across 15 hospitalsCT$838Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $692 across 93 hospitalsCA$692Utah: median $441 across 26 hospitalsUT$441Colorado: median $653 across 23 hospitalsCO$653Nebraska: median $396 across 23 hospitalsNE$396Missouri: median $561 across 24 hospitalsMO$561Kentucky: median $385 across 14 hospitalsKY$385West Virginia: median $493 across 10 hospitalsWV$493Virginia: median $1,121 across 27 hospitalsVA$1,121Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $430 across 13 hospitalsAZ$430New Mexico: median $524 across 13 hospitalsNM$524Kansas: median $601 across 25 hospitalsKS$601Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $212 across 18 hospitalsTN$212North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,367 across 24 hospitalsSC$1,367Oklahoma: median $380 across 36 hospitalsOK$380Louisiana: median $217 across 19 hospitalsLA$217Mississippi: median $380 across 24 hospitalsMS$380Alabama: median $419 across 10 hospitalsAL$419Georgia: median $1,270 across 26 hospitalsGA$1,270Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $521 across 95 hospitalsTX$521Florida: median $673 across 38 hospitalsFL$673
Cash price by state, most expensive first. National median $568. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA26$1,407+148%$686 – $1,930
South Carolina SC24$1,367+140%$1,172 – $1,379
New Jersey NJ35$1,288+127%$266 – $4,881
Georgia GA26$1,270+123%$603 – $3,447
Virginia VA27$1,121+97%$369 – $1,442
Oregon OR31$990+74%$657 – $1,100
Connecticut CT15$838+47%$381 – $1,291
Wisconsin WI25$814+43%$541 – $1,644
Alaska AK10$763+34%$555 – $1,187
Washington WA33$706+24%$497 – $1,108
California CA93$692+22%$338 – $1,120
Minnesota MN27$687+21%$325 – $742
Florida FL38$673+18%$242 – $896
Montana MT11$670+18%$339 – $902
Idaho ID14$670+18%$359 – $1,195
Colorado CO23$653+15%$347 – $743
Iowa IA31$615+8%$426 – $840
New York NY70$607+7%$284 – $1,019
Kansas KS25$601+6%$328 – $1,120
Illinois IL39$579+2%$265 – $813
Ohio OH44$576+1%$262 – $717
Missouri MO24$561−1%$200 – $749
Michigan MI39$532−6%$310 – $613
New Mexico NM13$524−8%$414 – $2,003
Texas TX95$521−8%$346 – $826
West Virginia WV10$493−13%$345 – $904
Utah UT26$441−22%$363 – $479
Arizona AZ13$430−24%$430 – $616
Alabama AL10$419−26%$220 – $556
Nebraska NE23$396−30%$310 – $682
Kentucky KY14$385−32%$352 – $701
Mississippi MS24$380−33%$197 – $946
Oklahoma OK36$380−33%$257 – $545
Pennsylvania PA47$378−33%$224 – $1,961
Indiana IN22$341−40%$257 – $375
New Hampshire NH10$251−56%$251 – $719
Louisiana LA19$217−62%$147 – $522
Tennessee TN18$212−63%$187 – $622
Hawaii HI9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not 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 $568.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care879$561$284 – $1,117
Children’s28$976$413 – $1,193
Critical access270$579$347 – $975
Ownership
For-profit108$656$262 – $1,666
Government195$497$315 – $868
Non-profit874$600$308 – $1,076
System affiliation
Part of a system954$599$310 – $1,100
Independent224$510$292 – $981

Cash price vs list price

Median list price (chargemaster)$929
Median cash price$568
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

875 hospitals filed a usable inpatient cash price for this code. The median is $603 and the average of the middle 60% is $628; most fall between $339 and $1,088.

Cash price percentiles, inpatient, across 875 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
$250$380$603$918$1,506

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($250 vs $1,506).

Of the 939 hospitals that filed this code inpatient, 875 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,178 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,257 hospitals that filed this code at all gave us
Usable cash price — counted1,178
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
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 — excluded41
Hospitals that filed this code1,257

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 fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Clsd Tx Acromioclavicular Dislc W/Manipulation.

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, “Treatment of a separated shoulder with manual repositioning (CPT 23545) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23545-treatment-of-a-separated-shoulder-with-manual-repositioning