# CPT 23472: Reconstruction of shoulder joint, total shoulder arthroplasty

Medicare CPT 23472 pays $1,300.30 in a non-facility setting and $1,300.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,168.49 in Arkansas to $1,623.51 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/23472-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,300.30 |
| National facility | $1,300.30 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,623.51 | $1,623.51 |
| Florida | $1,439.60 | $1,439.60 |
| New York | $1,436.98 | $1,436.98 |
| District of Columbia | $1,432.91 | $1,432.91 |
| Illinois | $1,420.84 | $1,420.84 |
| New Jersey | $1,404.10 | $1,404.10 |
| Connecticut | $1,378.70 | $1,378.70 |
| Washington | $1,353.02 | $1,353.02 |
| Massachusetts | $1,351.63 | $1,351.63 |
| Maryland | $1,339.40 | $1,339.40 |
| California | $1,338.99 | $1,338.99 |
| Michigan | $1,333.18 | $1,333.18 |
| Rhode Island | $1,312.58 | $1,312.58 |
| Georgia | $1,310.04 | $1,310.04 |
| Pennsylvania | $1,307.94 | $1,307.94 |
| West Virginia | $1,306.22 | $1,306.22 |
| Colorado | $1,304.82 | $1,304.82 |
| Puerto Rico | $1,302.89 | $1,302.89 |
| Virgin Islands | $1,302.89 | $1,302.89 |
| Montana | $1,300.01 | $1,300.01 |
| New Hampshire | $1,299.88 | $1,299.88 |
| Hawaii | $1,298.43 | $1,298.43 |
| New Mexico | $1,293.56 | $1,293.56 |
| Oregon | $1,289.01 | $1,289.01 |
| Texas | $1,287.18 | $1,287.18 |
| Delaware | $1,283.99 | $1,283.99 |
| Nevada | $1,276.41 | $1,276.41 |
| Louisiana | $1,269.39 | $1,269.39 |
| Arizona | $1,265.88 | $1,265.88 |
| Ohio | $1,263.71 | $1,263.71 |
| Wyoming | $1,262.43 | $1,262.43 |
| Missouri | $1,262.29 | $1,262.29 |
| Utah | $1,259.41 | $1,259.41 |
| Virginia | $1,250.11 | $1,250.11 |
| South Carolina | $1,245.48 | $1,245.48 |
| Kentucky | $1,239.76 | $1,239.76 |
| Maine | $1,226.60 | $1,226.60 |
| Vermont | $1,224.02 | $1,224.02 |
| Oklahoma | $1,221.40 | $1,221.40 |
| North Carolina | $1,218.66 | $1,218.66 |
| North Dakota | $1,213.79 | $1,213.79 |
| Minnesota | $1,210.36 | $1,210.36 |
| South Dakota | $1,203.60 | $1,203.60 |
| Mississippi | $1,201.98 | $1,201.98 |
| Indiana | $1,193.77 | $1,193.77 |
| Tennessee | $1,193.39 | $1,193.39 |
| Idaho | $1,188.84 | $1,188.84 |
| Kansas | $1,186.41 | $1,186.41 |
| Alabama | $1,182.86 | $1,182.86 |
| Wisconsin | $1,181.30 | $1,181.30 |
| Nebraska | $1,176.31 | $1,176.31 |
| Iowa | $1,175.60 | $1,175.60 |
| Arkansas | $1,168.49 | $1,168.49 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 23472 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules