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HANK Price Transparency. (n.d.).
SHOULDER AND ELBOW JOINT REPLACEMENT (APR_DRG 322) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 2, 2026 , from http://ppman.hank.ai/transparency/procedure/322/by-state?code_type=APR_DRG
“SHOULDER AND ELBOW JOINT REPLACEMENT (APR_DRG 322) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/322/by-state?code_type=APR_DRG. Accessed
November 2, 2026 .
“SHOULDER AND ELBOW JOINT REPLACEMENT (APR_DRG 322) by State,” HANK Price Transparency ,
accessed November 2, 2026 ,
http://ppman.hank.ai/transparency/procedure/322/by-state?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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APR-DRG · across United States
322 — Shoulder And Elbow Joint Replacement
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$19,513
National median
$13,568 – $28,525
IQR (p25 – p75)
46
hospitals filing
15
states
Walking in without insurance?
Cash / self-pay price
Cash median
$39,939
vs. negotiated
+104.7%
Hospitals reporting
14
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 322 (APR_DRG), with interquartile range
State Median p25 p75
SD $38,331 $21,340 $51,514
VA $32,382 $19,761 $45,003
IA $30,904 $30,904 $30,904
IL $28,347 $28,347 $51,645
CO $26,283 $26,283 $26,417
NY $24,326 $17,833 $36,456
WA $23,038 $18,311 $32,092
HI $21,484 $18,611 $26,406
MA $20,124 $19,720 $20,502
PA $19,825 $14,496 $26,438
CA $17,616 $15,357 $17,979
MN $14,726 $14,726 $14,726
OH $13,800 $13,800 $13,800
MO $10,886 $10,886 $11,819
FL $7,621 $6,305 $10,408