How much does proximal humerus fracture, open reduction & fixation cost in northern-virginia?
CPT 23615 — the fair price, every hospital's price, and the Medicare benchmark for northern-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Stafford Hospital (Stafford) lowest | Hospital | $7,513negotiated | 0.6× | ★★★★★ |
| Mary Washington Hospital (Fredericksburg) | Hospital | $7,813negotiated | 0.6× | ★★★★★ hip/knee complications 3.9% |
| Spotsylvania Regional Medical Center (Fredericksburg) | Hospital | $8,403negotiated | 0.7× | ★★★★★ |
| Reston Hospital Center (Reston) | Hospital | $9,266negotiated | 0.7× | ★★★★★ hip/knee complications 3.6% |
| StoneSprings Hospital Center (Dulles) | Hospital | $9,266negotiated | 0.7× | ★★★★★ hip/knee complications 3.1% |
| Inova Alexandria Hospital (Alexandria) | Hospital | $12,269negotiated | 1.0× | ★★★★★ hip/knee complications 4.0% |
| Inova Fair Oaks Hospital (Fairfax) | Hospital | $12,269negotiated | 1.0× | ★★★★★ hip/knee complications 4.9% |
| Inova Fairfax Hospital (Falls Church) | Hospital | $12,269negotiated | 1.0× | ★★★★★ |
| Inova Loudoun Hospital (Leesburg) | Hospital | $12,269negotiated | 1.0× | ★★★★★ hip/knee complications 4.1% |
| Inova Mount Vernon Hospital (Alexandria) | Hospital | $12,269negotiated | 1.0× | ★★★★★ hip/knee complications 3.7% |
| Sentara Northern Virginia Medical Center (Woodbridge) | Hospital | $12,840negotiated | 1.0× | ★★★★★ |
| VHC Health, Virginia Hospital Center (Arlington) | Hospital | $12,956negotiated | 1.0× | ★★★★★ hip/knee complications 4.4% |
| UVA Health Haymarket Medical Center (Haymarket) gross charge | Hospital | $29,308cash | 2.3× | ★★★★★ |
| UVA Health Culpeper Medical Center (Culpeper) gross charge | Hospital | $30,789cash | 2.4× | ★★★★★ |
| UVA Health Prince William Medical Center (Manassas) gross charge | Hospital | $30,940cash | 2.4× | ★★★★★ |
What should 23615 cost in northern-virginia?
For proximal humerus fracture, open reduction & fixation (CPT 23615) in northern-virginia, a fair self-pay price is around $12,269, with hospitals ranging from $9,266 to $12,956 across 15 facilities. Medicare's benchmark rate is $12,867, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does proximal humerus fracture, open reduction & fixation cost in northern-virginia?
A fair self-pay price for proximal humerus fracture, open reduction & fixation (CPT 23615) in northern-virginia is around $12,269, with hospital prices ranging from $9,266 to $12,956 across 15 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 23615?
Medicare pays about $12,867 for proximal humerus fracture, open reduction & fixation (CPT 23615). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of proximal humerus fracture, open reduction & fixation?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 23615, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in northern-virginia
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.