How much does Proximal humerus fracture, open reduction & fixation cost in northern-virginia?

CPT 23615 โ€” the fair price, every hospital's price, and the Medicare benchmark for northern-virginia.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
23615 Proximal humerus fracture, open reduction & fixation
Market typical price
$12,269
14 facilities ยท typical range $8,410 โ€“ $16,957 ยท 1.0ร— Medicare OPPS
What Medicare paysโ“˜
$12,867
Market typical
$12,269
Cash / self-pay price
$30,789
Prices near you โ€” 14 facilities, lowest first
FacilityTypePricevs MedicareQuality
Stafford Hospital (Stafford) lowest Hospital $7,513negotiated 0.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Mary Washington Hospital (Fredericksburg) Hospital $7,813negotiated 0.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.9%
Spotsylvania Regional Medical Center (Fredericksburg) Hospital $8,061negotiated 0.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
StoneSprings Hospital Center (Dulles) Hospital $8,526negotiated 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.1%
Reston Hospital Center (Reston) Hospital $8,526negotiated 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.6%
Inova Alexandria Hospital (Alexandria) Hospital $12,269negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.0%
Inova Mount Vernon Hospital (Alexandria) Hospital $12,269negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.7%
Inova Loudoun Hospital (Leesburg) Hospital $12,269negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.1%
Inova Fairfax Hospital (Falls Church) Hospital $12,269negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Inova Fair Oaks Hospital (Fairfax) Hospital $12,269negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.9%
Sentara Northern Virginia Medical Center (Woodbridge) Hospital $12,840negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
UVA Health Haymarket Medical Center (Haymarket) Hospital $29,308cash 2.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 2 unusually low/high prices excluded from the typical price as likely data errors.
See Proximal humerus fracture, open reduction & fixation prices in another area

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 $8,410 to $16,957 across 14 facilities. Medicare's benchmark rate is $12,867, the floor to negotiate toward. 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 $8,410 to $16,957 across 14 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 โ€” a fair cash-pay target is roughly 1.5โ€“2ร— 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.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

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 โ€” not a guarantee.