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.
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 $1,803.15. No hospital read for this batch publishes a shoulder replacement package price in Asia, and the largest Bangkok price pages carry arthroscopy instead.
Notes
This page describes an operation and the prices published for it, and says nothing about whether any reader should have one.
What it costs where anyone publishes a price
The 4 prices behind this chart
Dollar figures are the published price put through one dated rate table; the published currency and date are in the next columns.
| Country | Kind | US$ | As published | Dated | Source |
|---|---|---|---|---|---|
| Australia | tariff | 1,285 | 1,803 AUD | 2026-07-01 | page |
| Lithuania | quoted-range | 5,192 | 4,500 EUR | 2026-09-16 | page |
| Thailand | quoted-range | 10,000 | 10,000–15,000 USD | 2026-09-17 | page |
| United Kingdom | list | 17,181 | 12,749 GBP | 2026-09-16 | page |
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.
tariff · Australia · Australia · for Total shoulder replacement
Includes.
- the medical service described in item 48918: anatomic or reverse total shoulder replacement, including associated rotator cuff repair, biceps tenodesis or tuberosity osteotomy if performed
Excludes.
- hospital accommodation and theatre
- the prosthesis
- the anaesthetist's own items
- any amount charged above the schedule fee
quoted-range · Kaunas · Lithuania · for Total shoulder replacement
list · England · United Kingdom · for Total shoulder replacement
Includes.
- the quoted price for surgery includes any necessary tests or hospital stays
Excludes.
- the initial consultation, listed separately at £145
1 more published prices for this procedure sit on other records — all of them together are on the prices page.
The particulars
| family | orthopaedic |
|---|---|
| setting | inpatient |
| anaesthesia | general |
| region | Everywhere |
| about those numbers | No 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 |
| links | MBS item 48918 · Practice Plus Group shoulder prices |
| confidence | medium · needs verification · updated 2026-09-16 |
Not to be confused with
- Total hip replacement — Both are joint replacements, but the shoulder is rarely packaged and its recovery is measured in sling weeks rather than walking weeks.
What it connects to
Sources
- Private shoulder and elbow surgery — self-pay price list — Practice Plus Group · link (read 2026-09-16)
- Orthopaedic Surgery Prices — Nordorthopaedics Clinic, Kaunas · link (read 2026-09-16)
- MBS item 48918 — anatomic or reverse total shoulder replacement — Australian Government Department of Health, Disability and Ageing · link (read 2026-09-16)
- Sports Medicine & Joint Center — package list — Bumrungrad International Hospital · link (read 2026-09-16)
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.