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Procedure price report · Other fracture and dislocation procedure

Repositioning a dislocated shoulder with a broken bony bump

CPT 23665the billing code this page is about

Manual repositioning, without an incision, of a shoulder dislocation that also involves a fracture of the bony knob at the top of the upper arm bone.

Hospitals typically charge $1,433 cash for this outpatient procedure — the median across 1,872 hospitals that filed a usable cash price; the average of the middle 60% is $1,489. Most fall between $673 and $2,705 (20th–80th percentile).

Hospitals
1,872
States
50
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 1,872 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
$440$814$1,433$2,272$4,156

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($440 vs $4,156).

How the prices are spread

$313 – $415: 74 hospitals$313$415 – $552: 116 hospitals$552 – $733: 115 hospitals$552$733 – $973: 202 hospitals$973 – $1,292: 243 hospitals$973$1,292 – $1,716: 254 hospitals$1,716 – $2,279: 308 hospitals$1,716$2,279 – $3,027: 134 hospitals$3,027 – $4,020: 137 hospitals$3,027$4,020 – $5,339: 103 hospitals$4,020median $1,433price bands are equal on a log scale
Hospitals per price band (1,686 of 1,872 — the bands cover the 5th to 95th percentile)
FromToHospitals
$313$41574
$415$552116
$552$733115
$733$973202
$973$1,292243
$1,292$1,716254
$1,716$2,279308
$2,279$3,027134
$3,027$4,020137
$4,020$5,339103

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,433
Cash as a multiple of Medicare0.87×

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 $1,433.

Alaska: median $2,168 across 12 hospitalsAK$2,168Maine: median $956 across 20 hospitalsME$956Vermont: median $1,010 across 10 hospitalsVT$1,010New Hampshire: median $474 across 16 hospitalsNH$474Washington: median $2,000 across 49 hospitalsWA$2,000Idaho: median $1,007 across 16 hospitalsID$1,007Montana: median $979 across 20 hospitalsMT$979North Dakota: median $1,522 across 14 hospitalsND$1,522Minnesota: median $1,217 across 62 hospitalsMN$1,217Illinois: median $1,524 across 77 hospitalsIL$1,524Wisconsin: median $1,547 across 67 hospitalsWI$1,547Michigan: median $1,466 across 60 hospitalsMI$1,466New York: median $1,989 across 81 hospitalsNY$1,989Massachusetts: median $1,901 across 39 hospitalsMA$1,901Oregon: median $1,474 across 45 hospitalsOR$1,474Nevada: median $1,213 across 11 hospitalsNV$1,213Wyoming: median $1,101 across 10 hospitalsWY$1,101South Dakota: median $1,106 across 13 hospitalsSD$1,106Iowa: median $914 across 52 hospitalsIA$914Indiana: median $595 across 35 hospitalsIN$595Ohio: median $1,719 across 70 hospitalsOH$1,719Pennsylvania: median $2,055 across 81 hospitalsPA$2,055New Jersey: median $3,786 across 43 hospitalsNJ$3,786Connecticut: median $1,257 across 14 hospitalsCT$1,257Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,958 across 114 hospitalsCA$1,958Utah: median $891 across 28 hospitalsUT$891Colorado: median $1,022 across 40 hospitalsCO$1,022Nebraska: median $1,034 across 39 hospitalsNE$1,034Missouri: median $1,010 across 33 hospitalsMO$1,010Kentucky: median $899 across 26 hospitalsKY$899West Virginia: median $1,764 across 26 hospitalsWV$1,764Virginia: median $1,196 across 50 hospitalsVA$1,196Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $587 across 20 hospitalsAZ$587New Mexico: median $1,412 across 20 hospitalsNM$1,412Kansas: median $821 across 32 hospitalsKS$821Arkansas: median $719 across 17 hospitalsAR$719Tennessee: median $439 across 37 hospitalsTN$439North Carolina: median $1,568 across 37 hospitalsNC$1,568South Carolina: median $1,061 across 36 hospitalsSC$1,061Oklahoma: median $1,061 across 36 hospitalsOK$1,061Louisiana: median $538 across 31 hospitalsLA$538Mississippi: median $852 across 35 hospitalsMS$852Alabama: median $1,099 across 22 hospitalsAL$1,099Georgia: median $3,272 across 49 hospitalsGA$3,272Hawaii: median $3,058 across 16 hospitalsHI$3,058Texas: median $1,397 across 121 hospitalsTX$1,397Florida: median $2,401 across 79 hospitalsFL$2,401
Cash price by state, most expensive first. National median $1,433. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ43$3,786+164%$1,864 – $5,842
Georgia GA49$3,272+128%$736 – $4,438
Hawaii HI16$3,058+113%$1,491 – $4,787
Florida FL79$2,401+68%$1,311 – $5,571
Alaska AK12$2,168+51%$884 – $3,056
Pennsylvania PA81$2,055+43%$872 – $3,520
Washington WA49$2,000+40%$872 – $3,808
New York NY81$1,989+39%$1,091 – $3,995
California CA114$1,958+37%$1,204 – $3,808
Massachusetts MA39$1,901+33%$739 – $4,386
West Virginia WV26$1,764+23%$459 – $2,088
Ohio OH70$1,719+20%$900 – $3,560
North Carolina NC37$1,568+9%$725 – $2,268
Wisconsin WI67$1,547+8%$1,060 – $2,367
Illinois IL77$1,524+6%$760 – $2,437
North Dakota ND14$1,522+6%$748 – $2,414
Oregon OR45$1,474+3%$832 – $2,252
Michigan MI60$1,466+2%$469 – $2,211
New Mexico NM20$1,412−1%$610 – $2,218
Texas TX121$1,397−2%$882 – $2,110
Connecticut CT14$1,257−12%$867 – $2,636
Minnesota MN62$1,217−15%$732 – $1,759
Nevada NV11$1,213−15%$1,035 – $1,749
Virginia VA50$1,196−17%$564 – $2,500
South Dakota SD13$1,106−23%$968 – $1,222
Wyoming WY10$1,101−23%$494 – $1,552
Alabama AL22$1,099−23%$810 – $2,797
South Carolina SC36$1,061−26%$1,049 – $2,605
Oklahoma OK36$1,061−26%$341 – $1,941
Nebraska NE39$1,034−28%$692 – $1,790
Colorado CO40$1,022−29%$806 – $1,560
Missouri MO33$1,010−29%$659 – $1,602
Vermont VT10$1,010−29%$353 – $1,894
Idaho ID16$1,007−30%$770 – $4,436
Montana MT20$979−32%$447 – $1,255
Maine ME20$956−33%$579 – $1,314
Iowa IA52$914−36%$554 – $1,338
Kentucky KY26$899−37%$553 – $1,098
Utah UT28$891−38%$864 – $1,276
Mississippi MS35$852−41%$440 – $1,094
Kansas KS32$821−43%$412 – $1,520
Arkansas AR17$719−50%$363 – $983
Indiana IN35$595−58%$220 – $1,692
Arizona AZ20$587−59%$515 – $2,400
Louisiana LA31$538−62%$313 – $1,034
New Hampshire NH16$474−67%$294 – $946
Tennessee TN37$439−69%$406 – $1,163
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD1not 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 $1,433.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,362$1,602$764 – $3,148
Children’s34$2,421$977 – $7,307
Critical access473$996$498 – $1,840
Ownership
For-profit185$1,816$703 – $3,653
Government329$1,131$601 – $2,120
Non-profit1,355$1,474$719 – $2,789
System affiliation
Part of a system1,519$1,511$703 – $2,981
Independent353$1,212$623 – $2,154

Cash price vs list price

Median list price (chargemaster)$2,373
Median cash price$1,433
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

1,412 hospitals filed a usable inpatient cash price for this code. The median is $1,433 and the average of the middle 60% is $1,552; most fall between $741 and $3,069.

Cash price percentiles, inpatient, across 1,412 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
$446$847$1,433$2,500$4,330

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($446 vs $4,330).

Of the 1,510 hospitals that filed this code inpatient, 1,412 gave a usable cash price; 34 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 64 a list price only.

How complete is this

1,872 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,002 hospitals that filed this code at all gave us
Usable cash price — counted1,872
Cash price carrying a plausibility flag — shown on the compare tool, excluded here61
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded64
Hospitals that filed this code2,002

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 Cltx Shoulder Dislc W/Fx Humeral Tubrst W/Mnpj.

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, “Repositioning a dislocated shoulder with a broken bony bump (CPT 23665) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23665-repositioning-a-dislocated-shoulder-with-a-broken-bony-bump