Care Abroad

a procedureTotal shoulder replacement

also: total shoulder arthroplasty · TSA · reverse total shoulder replacement · rTSA · shoulder arthroplasty

Surgeons say anatomic or reverse, and the difference is which side of the joint gets the ball. Price pages usually say shoulder replacement and say neither.

The arthritic or destroyed shoulder joint is replaced with a stemmed or stemless humeral component and a glenoid component. In an anatomic replacement the ball stays on the arm bone; in a reverse, the ball is fixed to the shoulder blade and the socket to the arm, so the deltoid can lift where the rotator cuff cannot. It is done for arthritis, for cuff-deficient arthritis and for some fractures.

Root. arthroplasty: Greek arthron, a joint, plus plastos, moulded. Glenoid, the socket, is Greek glene, the pupil of the eye or a socket, plus eidos, form — an eye-shaped hollow.
Reverse means the ball is fixed to the socket side and the cup to the arm, which lets the deltoid drive a shoulder whose rotator cuff has gone. Australia's schedule covers anatomic and reverse under one item number. Trade practice

The story Cited

Shoulder replacement is the joint operation that travels least well and prices worst. It is done in smaller numbers than hip or knee, the reverse version depends on tendon anatomy a package page cannot assess in advance, and the first six weeks afterwards are a sling and a physiotherapy schedule rather than a walk to the shops.

The price pages show the gap. Bangkok's two largest international hospitals publish arthroscopic shoulder work and no shoulder replacement at all: at Bumrungrad on 16 September 2026 a basic arthroscopic shoulder package is 337,300 baht, a labral repair 345,100 and a rotator cuff repair 371,200, each with two nights — and nothing for a replacement. A patient who wants the joint replaced in Bangkok is asking for a quote, not buying a package.

Where a replacement is priced, the numbers come in the two shapes this subject keeps producing. Practice Plus Group in England lists shoulder replacement at £12,749, one figure covering the stay and the tests. Nordorthopaedics in Kaunas advertises it "from 4.500 € / 3.750 £" with no inclusion list. Australia's Medicare Benefits Schedule sets item 48918, anatomic or reverse total shoulder replacement, at $1,803.15 as at 1 July 2026 — the highest of the joint schedule fees this batch read, and still only the surgeon's fee.

Inference — the schedule fee ranking is worth reading beside the package ranking. Australia's payer prices the shoulder above the hip and the knee; the Bangkok package market prices the shoulder at nothing, because it does not sell one.

How it works Trade practice

General anaesthesia, usually with an interscalene nerve block. The surgeon opens the front of the shoulder between deltoid and pectoralis, cuts the humeral head, prepares the glenoid, seats the components, tests the tension and closes. The arm goes into a sling. Australia's item 48918 includes, in its own wording, associated rotator cuff repair, biceps tenodesis and tuberosity osteotomy if performed — three separate operations folded into one fee, which is what a bundled item number does.

Today Cited

As of 16 September 2026 the published shoulder prices on this site are an English self-pay figure of £12,749, a Lithuanian advertised floor of 4,500 euro, and an Australian schedule fee of $1,803.15. No hospital read for this batch publishes a shoulder replacement package price in Asia, and the largest Bangkok price pages carry arthroscopy instead.

Notes

This page describes an operation and the prices published for it, and says nothing about whether any reader should have one.

What it costs where anyone publishes a price

2,0005,00010,000AustraliaLithuaniaThailandUnited Kingdom
a provider's package pricea state tariff or what a payer refundsa list price, an estimate or an advertised rangelogarithmic scale, US$
4 published prices for this procedure, across 4 countries.
The 4 prices behind this chart

Dollar figures are the published price put through one dated rate table; the published currency and date are in the next columns.

CountryKindUS$As publishedDatedSource
Australiatariff1,2851,803 AUD2026-07-01page
Lithuaniaquoted-range5,1924,500 EUR2026-09-16page
Thailandquoted-range10,00010,000–15,000 USD2026-09-17page
United Kingdomlist17,18112,749 GBP2026-09-16page

Every price this directory has read, for every procedure, sits together on the prices page.

Published prices Cited

Each is a number read off a page on the date named, in the currency the provider bills in. Dollars are that number through one dated rate table.

1,803 AUD ≈ US$1,285

tariff · Australia · Australia · for Total shoulder replacement

Includes.

Excludes.

Published price dated 2026-07-01 · dollars at the rate of Wed, 16 Sep 2026 · the page it was read from · Medicare Benefits Schedule item 48918, fee last updated 1 July 2026; the 75% benefit is $1,352.40. The item is the dearest of the joint replacement fees read for this batch, above hip at $1,577.30.

4,500 EUR ≈ US$5,192

quoted-range · Kaunas · Lithuania · for Total shoulder replacement

Published price dated 2026-09-16 · dollars at the rate of Wed, 16 Sep 2026 · the page it was read from · advertised as "from 4.500 € / 3.750 £". The page lists shoulder arthroscopy at 1.700 € and rotator cuff repair at 2.000 €, and states no inclusion list for any of them.

12,749 GBP ≈ US$17,181

list · England · United Kingdom · for Total shoulder replacement

Includes.

Excludes.

Published price dated 2026-09-16 · dollars at the rate of Wed, 16 Sep 2026 · the page it was read from · the group's published self-pay price. On the same list a rotator cuff repair is £5,749 and a shoulder arthroscopy £5,149, so the replacement is priced at roughly twice the keyhole work.

1 more published prices for this procedure sit on other records — all of them together are on the prices page.

The particulars

familyorthopaedic
settinginpatient
anaesthesiageneral
regionEverywhere
about those numbersNo page read for this record publishes a ward stay, a recovery span or a flying interval for shoulder replacement. The nearest figure found is the two nights Bumrungrad names for its arthroscopic shoulder packages, which are different operations, so it is not carried here. The gaps are real gaps, not omissions. (2026-09-16) · source
linksMBS item 48918 · Practice Plus Group shoulder prices
confidencemedium · needs verification · updated 2026-09-16

Not to be confused with

What it connects to

a procedureTotal hip replacementThe joint that sells as a package everywhere this one does not.a procedureTotal knee replacementThe operation whose package pages set the shape this one is missing from.a hospitalBumrungrad International HospitalPublishes arthroscopic shoulder packages and no shoulder replacement price.a countryUnited KingdomWhere the self-pay price on this page is sold.a countryLithuaniaWhere the advertised floor price on this page comes from.a countryAustraliaWhose payer sets the schedule fee on this page, and prices the shoulder above the hip.a riskThe implant is excludedThe cost the Australian schedule fee leaves entirely outside itself.a riskThe follow-up gapWho runs the sling protocol and the six weeks of physiotherapy after the flight home.a wordTariffWhat a schedule fee is, and what it does not buy.a stepGetting a quoteThe step a shoulder patient cannot skip, because the package price does not exist.

Sources

Where it came from: Cited a source named here · Harvested pulled from an open dataset · Trade practice how the trade works, hedged · Inference this project's own reasoning · Field somebody stood there. This record as JSON.

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