How much does proximal humerus fracture, open reduction & fixation cost in Virginia?
CPT 23615 — the fair price, every hospital's price, and the Medicare benchmark for Virginia.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
23615 Proximal humerus fracture, open reduction & fixation
Market typical price
$12,285
51 facilities · typical range $9,266 – $19,845 · 1.0× Medicare OPPS
Typical
$12,285
Medicare $12,867
$592 lowboxed = typical rangehigh $58,373
What Medicare pays
$12,867
Market typical
$12,285
Cash / self-pay price
$30,789
Prices near you — 51 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Centra Lynchburg General Hospital (Lynchburg) lowest ⚠ likely error | Hospital | $592cash | 0.0× | ★★★★★ hip/knee complications 3.3% |
| Centra Virginia Baptist Hospital (Lynchburg) ⚠ likely error | Hospital | $592cash | 0.0× | ★★★★★ hip/knee complications 3.3% |
| Stafford Hospital (Stafford) | Hospital | $7,513negotiated | 0.6× | ★★★★★ |
| Mary Washington Hospital (Fredericksburg) | Hospital | $7,813negotiated | 0.6× | ★★★★★ hip/knee complications 3.9% |
| Chesapeake Regional Medical Center (Chesapeake) | Hospital | $8,356negotiated | 0.6× | ★★★★★ hip/knee complications 4.6% |
| Spotsylvania Regional Medical Center (Fredericksburg) | Hospital | $8,403negotiated | 0.7× | ★★★★★ |
| Chippenham Hospital, CJW Medical Center (Richmond) | Hospital | $9,000negotiated | 0.7× | ★★★★★ hip/knee complications 3.4% |
| Henrico Doctors' Hospital, Forest campus (Richmond) | Hospital | $9,000negotiated | 0.7× | ★★★★★ hip/knee complications 3.3% |
| Johnston-Willis Hospital, CJW Medical Center (Richmond) | Hospital | $9,000negotiated | 0.7× | ★★★★★ hip/knee complications 3.4% |
| Parham Doctors' Hospital — ortho/spine-focused campus (Richmond) | Hospital | $9,000negotiated | 0.7× | ★★★★★ hip/knee complications 3.3% |
| Retreat Doctors' Hospital (Richmond) | Hospital | $9,000negotiated | 0.7× | ★★★★★ hip/knee complications 3.3% |
| TriCities Hospital, formerly John Randolph Medical Center (Hopewell) | Hospital | $9,000negotiated | 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% |
| LewisGale Hospital Pulaski (Pulaski) | Hospital | $9,556negotiated | 0.7× | ★★★★★ |
| LewisGale Medical Center (Salem) | Hospital | $10,467negotiated | 0.8× | ★★★★★ hip/knee complications 4.2% |
| Clinch Valley Medical Center (Richlands) | Hospital | $11,302cash | 0.9× | ★★★★★ |
| LewisGale Hospital Montgomery (Blacksburg) | Hospital | $11,402negotiated | 0.9× | ★★★★★ hip/knee complications 3.9% |
| LewisGale Hospital Alleghany (Low Moor) | Hospital | $11,836negotiated | 0.9× | ★★★★★ |
| 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% |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $12,285negotiated | 1.0× | ★★★★★ hip/knee complications 2.5% |
| Riverside Regional Medical Center (Newport News) | Hospital | $12,285negotiated | 1.0× | ★★★★★ |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $12,285negotiated | 1.0× | ★★★★★ hip/knee complications 2.9% |
| VCU Medical Center (Richmond) | Hospital | $12,285negotiated | 1.0× | ★★★★★ hip/knee complications 4.8% |
| 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% |
| Augusta Health (Fishersville) | Hospital | $12,991negotiated | 1.0× | ★★★★★ hip/knee complications 4.3% |
| Sentara Martha Jefferson Hospital (Charlottesville) | Hospital | $13,137negotiated | 1.0× | ★★★★★ hip/knee complications 4.9% |
| Sentara RMH Medical Center (Harrisonburg) | Hospital | $13,153negotiated | 1.0× | ★★★★★ hip/knee complications 3.9% |
| Sentara Halifax Regional Hospital (South Boston) | Hospital | $13,257negotiated | 1.0× | ★★★★★ |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $19,698negotiated | 1.5× | ★★★★★ hip/knee complications 6.2% |
| Sentara Obici Hospital (Suffolk) | Hospital | $19,698negotiated | 1.5× | ★★★★★ hip/knee complications 5.6% |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $19,698negotiated | 1.5× | ★★★★★ |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $19,782negotiated | 1.5× | ★★★★★ hip/knee complications 3.7% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $19,845negotiated | 1.5× | ★★★★★ |
| Sovah Health Danville (Danville) | Hospital | $20,365cash | 1.6× | ★★★★★ hip/knee complications 4.4% |
| Sentara CarePlex Hospital (Hampton) | Hospital | $26,244negotiated | 2.0× | ★★★★★ |
| Sentara Williamsburg Regional Medical Center (Williamsburg) | Hospital | $26,537negotiated | 2.1× | ★★★★★ hip/knee complications 5.6% |
| UVA Health Haymarket Medical Center (Haymarket) | Hospital | $29,308cash | 2.3× | ★★★★★ |
| UVA Health University Medical Center (Charlottesville) | Hospital | $29,957cash | 2.3× | ★★★★★ hip/knee complications 4.3% |
| UVA Health Culpeper Medical Center (Culpeper) | Hospital | $30,789cash | 2.4× | ★★★★★ |
| UVA Health Prince William Medical Center (Manassas) | Hospital | $30,940cash | 2.4× | ★★★★★ |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $30,943cash | 2.4× | ★★★★★ hip/knee complications 4.7% |
| Bon Secours Southside Medical Center (Petersburg) | Hospital | $32,739cash | 2.5× | ★★★★★ |
| Bon Secours St. Mary's Hospital (Richmond) gross charge | Hospital | $40,153cash | 3.1× | ★★★★★ hip/knee complications 2.8% |
| Bon Secours Memorial Regional Medical Center (Mechanicsville) gross charge | Hospital | $48,037cash | 3.7× | ★★★★★ hip/knee complications 3.8% |
| Bon Secours St. Francis Medical Center (Midlothian) gross charge | Hospital | $58,373cash | 4.5× | ★★★★★ hip/knee complications 4.0% |
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. 5 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 Virginia?
For proximal humerus fracture, open reduction & fixation (CPT 23615) in Virginia, a fair self-pay price is around $12,285, with hospitals ranging from $9,266 to $19,845 across 51 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 Virginia?
A fair self-pay price for proximal humerus fracture, open reduction & fixation (CPT 23615) in Virginia is around $12,285, with hospital prices ranging from $9,266 to $19,845 across 51 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 Virginia
Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCC
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.