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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in GA

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Hospitals
6
Min
$3,121.47
Median
$11,305
Max
$17,501
Range multiplier
5.6×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield310$2,696.82$3,302.85$36,55513.6×
UnitedHealthcare49$1,515.22$9,255$17,50111.5×
Humana48$1,515.22$8,658.22$17,15111.3×
Aetna48$2,852.1$4,275$17,5016.1×
WellCare46$3,169$8,448.57$18,3765.8×
CareSource36$9,490.53$14,779$30,6263.2×
Cigna36$2,693.65$4,480.5$36,49313.5×
First Health35$3,010.55$9,855$38,98913.0×
Health Net13$1,515.22$3,073.93$3,1692.1×
riverwood behavioral health12$17,501$19,688$21,8761.3×
Ambetter22$15,828$15,828$15,8281.0×
peach state12$18,026$19,513$21,0011.2×
banner health12$1,515.22$2,342.11$3,1692.1×
dodge cty op rate22$10,397$10,815$11,2341.1×
secure health op rate22$6,397$6,397$6,3971.0×
sonder health plan12$18,376$18,376$18,3761.0×
alliant op rate22$4,095$4,095$4,0951.0×
devoted health22$3,359.14$10,692$18,0265.4×
acchs11$1,515.22$1,515.22$1,515.221.0×
Multiplan11$17,501$17,501$17,5011.0×
naphcare11$27,126$27,126$27,1261.0×
novanet11$17,501$17,501$17,5011.0×
Oscar Health11$22,751$22,751$22,7511.0×
peach state hp op rate11$5,397.41$5,397.41$5,397.411.0×
phcs op rate11$39,856$39,856$39,8561.0×
prime health services11$17,501$17,501$17,5011.0×
provider select11$17,501$17,501$17,5011.0×
rural arizona network11$3,169$3,169$3,1691.0×
three rivers11$17,501$17,501$17,5011.0×
TRICARE11$17,501$17,501$17,5011.0×
united mine workers of america11$3,169$3,169$3,1691.0×
mercy care11$1,590.99$1,590.99$1,590.991.0×
americas choice provider network11$17,501$17,501$17,5011.0×
amerigroup op rate11$5,345.05$5,345.05$5,345.051.0×
arizona complete health11$1,515.22$1,515.22$1,515.221.0×
arizona medical network11$3,169$3,169$3,1691.0×
beech street op rate11$38,989$38,989$38,9891.0×
bridgeway health solutions11$3,169$3,169$3,1691.0×
care 1st11$1,515.22$1,515.22$1,515.221.0×
centurion11$26,251$26,251$26,2511.0×
clear spring health plan11$17,501$17,501$17,5011.0×
corvel11$17,501$17,501$17,5011.0×
employer direct healthcare11$24,501$24,501$24,5011.0×
georgia workers’ compensation11$17,501$17,501$17,5011.0×
health choice11$1,590.99$1,590.99$1,590.991.0×
health choice pathway11$3,169$3,169$3,1691.0×
health management network11$3,169$3,169$3,1691.0×
imperial insurance11$3,327.45$3,327.45$3,327.451.0×
Medicare11$17,501$17,501$17,5011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$3,169$2,351.4$1,515.22$3,121.47$3,359.14
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA26$84,320$17,500$2,877.56$17,501$36,493
PERRY HOSPITALPERRYGA10$25,437$4,095$11,305$15,828
HOUSTON MEDICAL CENTERWARNER ROBINSGA16$25,437$4,095$10,397$39,856
UNION GENERAL HOSPITALBLAIRSVILLEGA0
SOUTHWELL MEDICALADELGA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.