CPT 23473 Surgery - Musculoskeletal

How Much Does Revis Reconstruction Shoulder Joint Cost?

Also known as: Revis reconst shoulder joint (CPT 23473)

Reverse total shoulder replacement, a specialized shoulder replacement where the ball and socket positions are switched.

The total estimated cost of Revis Reconstruction Shoulder Joint (CPT 23473) is $18,982 to $52,726, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,440. Average Medicare total payment: $21,091.

Total Estimated Cost of Care

$18,982 — $52,726

This estimate includes hospital facility fees, anesthesia, implants, and supplies for an inpatient hospital stay. Based on CMS data for MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES (DRG 483), the average Medicare total payment is $21,091.

Surgeon/Physician Fee
$1,440
Hospital Facility Fee
$19,650
Anesthesia (est.)
$288
Implant/Device (est.)
$5,273
Important: The physician fee of $1,440 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost. View DRG 483 hospital costs.
Medicare Physician Fee (Facility Setting)
$1,440
Physician component only — CMS PFS 2026

Patient Guide: Revis Reconstruction Shoulder Joint

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon replaces the shoulder joint but reverses the positions of the ball and socket. This allows the deltoid muscle to move the arm even when the rotator cuff is torn.

How Long Does It Take?

2-3 hours

Common Reasons Doctors Order This

Massive rotator cuff tear with arthritis, complex shoulder fracture, failed previous shoulder replacement

How to Prepare

Same preparation as standard shoulder replacement. This design is used when the rotator cuff cannot be repaired.

Procedures Commonly Done Together

These procedures are frequently performed alongside Revis reconst shoulder joint

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How to Reduce Your Cost for Revis reconst shoulder joint

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

24.38
Work RVU
13.85
Practice Expense RVU
4.89
Malpractice RVU
43.12
Total RVU

Payment = Total RVU (43.12) x CF ($33.40) = $1,440

Frequently Asked Questions

How much does Revis reconst shoulder joint cost?

The Medicare facility rate for Revis reconst shoulder joint is $1,440. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Revis reconst shoulder joint cost without insurance?

Without insurance, the cost of Revis reconst shoulder joint can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Revis reconst shoulder joint?

Most commercial health insurance plans and Medicare cover Revis reconst shoulder joint when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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