Search thousands of topics on

BROWSE ALL TOPICS >> appliances babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business weddings
CostHelper > Health & Personal Care  > Orthopedics and Injuries > Shoulder Replacement

Shoulder Replacement Cost

How Much Does Shoulder Replacement Cost?

average costWith Health Insurance: Copay + 10%-50% Coinsurancehigh costWithout Health Insurance: $7,000-$21,000+
post E-mail post Post   Comments (2)

Shoulder replacement surgery is used to treat chronic shoulder pain and stiffness caused by degenerative joint disease, arthritis and other conditions. During the procedure, a metal ball and polyethylene cup is used to replace the head of the upper arm bone and its socket. According to the American Academy of Orthopaedic Surgeons[1] , shoulder replacement may be an option if non-operative treatments such as arthritis medications and physical therapy don't help.

Typical costs:

  • Shoulder replacement surgery typically costs $7,000-$21,000 or more, depending on the type of implants used and the hospital in which the procedure is performed. According to a 2007 study[2] by researchers from Johns Hopkins University, a shoulder replacement's total costs, on average, are $10,351. A more recent report [3] by Zimmer, a manufacturer of orthopedic prosthetics including those used in shoulder replacements, notes that in 2011 Medicare typically paid between $10,919 and $13,413 for total, partial and reverse shoulder replacements. In Vermont community hospitals, costs for this class of surgery ranged from about $7,000 to more than $21,000.
  • Shoulder replacement surgery typically is covered by health insurance. For insured patients, out-of-pocket costs typically consist of a specialist copay, possibly a hospital copay of $100 or more, and coinsurance of 10%-50% for the procedure, which could reach the yearly out-of-pocket maximum. According to the Kaiser Family Foundation[4] , the average hospital copay is $132 for outpatient surgery and for $232 inpatient surgery. The average coinsurance rate is 17%-18%.
Related articles: Physical Therapy, EKG, Health Insurance

What should be included:
  • According to the Cleveland Clinic[5] , patients who are interested in shoulder replacement would have an initial appointment with an orthopedic surgeon. The visit may include a series of x-rays, a physical examination and a thorough review of the patient's medical history.
  • Shoulder replacement surgery[6] is an inpatient procedure. It is typically scheduled in advance, lasts about two hours, and brings an average hospital stay of one to three days. A series of pre-operative tests, including blood tests, an electrocardiogram and a physical exam will be scheduled a few weeks before surgery.
  • Depending on the damage to the cartilage, the surgeon may decide to replace only the ball of the joint. Patients who have severe arthritis, completely torn rotator cuffs, or had a previous shoulder replacement that failed, may also be advised to get a reverse total shoulder replacement[7] in which a metal ball is attached to the shoulder bone and a plastic socket to the upper arm bone.
Additional costs:
  • Physical therapy following surgery can help to improve the shoulder's range of motion. For insured patients out-of-pocket costs typically consist of a copay of $10 -$75 per session or coinsurance of 10%-50% or more. For uninsured patients it typically costs$50 -$350 or more per session.
  • Many hospitals offer discounts of 30% of more to uninsured/cash-paying patients. At St. Joseph Hospital[8] in Orange, CA, for example, patients without health insurance may qualify for a 45% discount off billed charges. They'll also be offered an additional 10% discount if payment is made within 10 days of receiving a bill.
Shopping for shoulder replacement:
  • The American Academy of Orthopaedic Surgeons features an orthopedic surgeon finder[9] .
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
post E-mail post Post   Comments (2)
CostHelper News

7 Fireplace and Wood Stove Safety Steps To Do This Week
Gathering around a wood stove or fireplace on a cold winter night can be wonderful experience, but it's crucial to not take basic safety for granted. || Posted November 12 2013

The 4-1-1 on Flu Shots
There are 13 different CDC-approved flu shots available this year. Do you know which one is right for you?To be fair, one is actually an inhaled spray, not a shot, but it is one of the choices. It's restricted to people between the ages of 2 and 49. || Posted November 4 2013

‣ All CostHelper Blog Posts

What People Are Paying - Recent Comments
shoulder replacement
Amount: $0.00
Posted by: Carolyn R Nelson in Mercer, PA.Posted: July 21st, 2015 12:07PM
Insurance Carrier: CompProvider: Comp.
I have had many experiences with the comp people concerning my left shoulder. I would like to know the quick ans. if shoulder replacement is an offer. Cost of lowest amt and the highest amt.
Was this post helpful to you?   yes     no Report prohibited or spam
shoulder replacement
Amount: $100,000.00
Posted by: robert foley in Amarillo, TX.Posted: May 24th, 2015 03:05AM
Insurance Carrier: N.O.V.Provider: Cigna
My shoulder replacement was extremely expensive. Up to 150,000. With pt. But the ins. Co. Fought the cost every time a bill came out. So the bottom line is how much did the ins. Co. Pay the total cost???
Was this post helpful to you?   yes     no Report prohibited or spam


Comment On Your Experience With Shoulder Replacement
Subject:  *
Amount Spent:  *
Insurance Carrier: Provider: 
Purchased:  Year: 
City:  * State:  *
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.

External Resources:
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Does Growing Medical Marijuana Outdoors Cost? How Much Do Crutches Cost? How Much Do Eyeglasses Cost?

Search Thousands of Topics on


Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Angiogram of heart
Paid: 55150.00
Had this procedure done to check heart due to abnormal stress test. Did not need any stents or any other procedure as everything was negative... [more]
-Pamela Garrett
Angiogram Cost
HELP: asbestos in furance - many questions
Paid: 0.00
I am renting out my home in Grand Rapids, MI and have received a notice from the city that the home must be inspected... [more]
Asbestos Removal Cost
Paid: 45.00
The clamp was annoying so it took away concentration of the tiny sting of the needle. I had just turned 15 at the the time and I've had it for almost a year and it has healed fast and never given me any trouble... [more]
Body Piercings Cost
Paid: 3009.00
Single family home... [more]
Ductwork Cost
2 half shafts replaced
Paid: 140.00
Bought the axles myself on ebay for 40 each, then had a mobile mechanic come to my house to do the work. It is not a hard job, but has a couple tricky parts for a subaru. Easier for a honda or toyota... [more]
-Subbie Giy
Replacing a CV Boot Cost
Even with insurance looking at going broke
Paid: 55000.00
Recently on a camping vacation my 11 year old became very sick. Took him to the closest hospital. Found out he is type 1 diabetic. Was very sick and had to be flown from Rock Springs WY, to Salt Lake City, UT. 185 mile on the ground... [more]
-Broke and confused.
Air Ambulance Cost