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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in IA

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Hospitals
21
Min
$2,807.00
Median
$4,475.00
Max
$18,759
Range multiplier
6.7×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1680$46.00$4,475.00$55,2721201.6×
Aetna1574$1,290.01$3,953.84$47,64136.9×
Blue Cross Blue Shield1571$1,290.01$2,807.00$17,95813.9×
Humana1527$1,290.01$1,354.51$18,48614.3×
health partners open network1423$2,760.79$2,760.79$33,58212.2×
Molina1121$1,315.81$17,293$18,75814.3×
amerivantage1121$1,290.01$1,354.51$19,31015.0×
amerigroup1415$15,243$17,460$18,8181.2×
Cigna1414$3,434.40$3,434.40$3,434.401.0×
iowa total care1313$15,243$16,175$18,2971.2×
bc illinois community28$2,677.09$5,179.38$7,171.752.7×
medica15$75.00$13,706$18,690249.2×
health alliance24$1,290.01$9,292.38$17,29513.4×
Ambetter24$1,290.01$14,210$27,12921.0×
meridian health plan24$1,354.51$9,578.96$17,80313.1×
wisconsin physician service13$21,606$22,743$22,7431.1×
Centene13$15.00$17,460$18,4601230.7×
common ground13$17,346$17,346$17,3461.0×
one world12$10,506$11,294$12,0821.1×
Anthem BCBS12$15,494$17,743$19,9921.3×
dean health plan12$4,117.00$6,175.50$8,234.002.0×
greater omaha packing12$10,506$11,294$12,0821.1×
meridian12$1,354.51$10,888$20,42215.1×
midlands choice12$75.00$75.00$75.001.0×
millard public schools12$10,506$11,294$12,0821.1×
health payment systems11$19,700$19,700$19,7001.0×
great plains11$18,818$18,818$18,8181.0×
medical associates health plan11$2,386.52$2,386.52$2,386.521.0×
trilogy11$25,737$25,737$25,7371.0×
everpointe elite11$17,086$17,086$17,0861.0×
aurora caregiver11$21,480$21,480$21,4801.0×
amps11$39,787$39,787$39,7871.0×
elap11$28.00$28.00$28.001.0×
Multiplan11$85.00$85.00$85.001.0×
centivo11$21,582$21,582$21,5821.0×
pace11$17,922$17,922$17,9221.0×
phcs11$75.00$75.00$75.001.0×
quartz group11$20,860$20,860$20,8601.0×
quartz one11$17,830$17,830$17,8301.0×
quiktrip11$60.00$60.00$60.001.0×
timpte11$12,082$12,082$12,0821.0×
todays options11$18,281$18,281$18,2811.0×
hs technology11$20,541$20,541$20,5411.0×
iamolina11$17,802$17,802$17,8021.0×
iowa health11$1,354.51$1,354.51$1,354.511.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Trinity BettendorfBettendorfIA11$8,950.00$7,160.00$1,290.01$4,475.00$47,229
The Finley HospitalDubuqueIA14$8,950.00$7,160.00$1,290.01$4,475.00$42,485
Trinity Regional Medical CenterFort DodgeIA8$8,950.00$7,160.00$1,290.01$4,475.00$48,260
Iowa Lutheran HospitalDes MoinesIA10$8,950.00$7,160.00$1,290.01$4,475.00$44,754
Trinity MuscatineMuscatineIA12$8,950.00$7,160.00$1,290.01$4,475.00$55,272
Grundy County Mem. HospitalGrundy CenterIA10$8,950.00$7,160.00$1,290.01$4,475.00$50,116
St. Lukes Methodist HospitalCedar RapidsIA10$8,950.00$7,160.00$1,290.01$4,475.00$45,785
Allen Memorial HospitalWaterlooIA10$8,950.00$7,160.00$1,290.01$4,475.00$50,116
Iowa Methodist Medical CenterDes MoinesIA10$8,950.00$7,160.00$1,290.01$4,214.42$47,229
St. Lukes Regl Medical CenterSioux CityIA10$8,950.00$7,160.00$1,290.01$3,434.40$18,297
Community Mem. Hospt. SummerSumnerIA10$8,950.00$7,160.00$1,290.01$3,434.40$18,297
Grinnell Regional Medical CenterGrinnellIA10$8,950.00$7,160.00$1,290.01$3,434.40$18,297
Unitypoint Health-MarshalltownMarshalltownIA10$8,950.00$7,160.00$1,290.01$3,368.40$32,320
Jones Regional Medical CtrAnamosaIA8$8,950.00$7,160.00$1,290.01$2,807.00$4,475.00
Washington County HospitalWashingtonIA14$8,466.00$18,759$25,737
Chi Health Mercy Council BluffsCouncil BluffsIA20$15.00$12,082$39,787
Story County HospitalNevadaIA0$3,987.00$3,189.60
Mercy Hospital Iowa CityIowa CityIA0$4,290.00$2,059.20
Stewart Memorial HospitalLake CityIA0$11,940$9,552.00
Mitchell County Regional Health CentOsageIA0$6,417.00$5,775.30
Greene County Medical CenterJeffersonIA0$6,889.00$3,857.84

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.