CPT 23412

Shoulder Repair or Replacement - Open

Current code39 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 23412 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$554 – $1,583Doctor’s fee: $1,029 – $1,583	$852 – $2,436Doctor’s fee: $1,583 – $2,436
Three Rivers HospitalBrewster	Doctor’s fee: $93.80 – $1,201	Doctor’s fee: $134 – $1,715	Doctor’s fee: $134 – $1,715
Trios HealthKennewick	—	—	$23,095
Virginia Mason Medical CenterSeattle	—	$10,486	$20,561

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $870 in a hospital or surgery center
Doctor's fee, rest of Washington: $795 in a hospital or surgery center
Hospital outpatient payment (national): $7,413 (APC 5114)
Surgery center payment (national): $3,696

How hospitals also write this code

Some price files write it differently. These are counted as CPT 23412:

23412P (with a letter after it, P; 4 price lines)
23412T (with a letter after it, T; 2 price lines)