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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in IL

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Hospitals
24
Min
$1,344.50
Median
$18,790
Max
$28,284
Range multiplier
21.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2180$1,344.50$19,741$50,11637.3×
Aetna1158$1,290.01$3,281.33$52,17840.4×
Blue Cross Blue Shield1145$1,290.01$2,807.00$19,55415.2×
Humana1331$1,344.50$1,469.08$20,12915.0×
Molina1828$1,315.81$17,295$27,79721.1×
Medicare Advantage121$1,344.50$1,344.50$1,478.951.1×
WellCare511$1,399.12$1,441.09$19,74514.1×
Ambetter1011$1,290.01$27,797$30,67223.8×
hstechnology99$36,807$36,807$36,8071.0×
Oscar Health99$28,755$28,755$28,7551.0×
Cigna99$82.00$3,434.40$3,924.0047.9×
Medicare28$1,344.50$1,344.50$19,55414.5×
amerivantage48$1,354.51$9,578.96$20,12914.9×
health partners open network48$2,760.79$13,266$26,7129.7×
meridian58$757.50$1,413.55$18,79024.8×
meridian health plan27$1,354.51$1,427.97$20,12914.9×
Multiplan56$3,270.00$3,885.45$7,638.302.3×
prime health services36$1,329.16$4,087.50$18,21213.7×
iowa total care44$14,307$15,243$17,7181.2×
deaconess onecare24$1,399.12$2,868.20$19,17013.7×
health alliance24$1,290.01$5,304.38$19,55415.2×
mychoice wi medical adv13$1,344.50$1,344.50$1,344.501.0×
umwa23$1,399.12$1,399.12$19,17013.7×
alliance coal23$1,930.79$1,930.79$31,63116.4×
healthlink23$4,923.75$4,923.75$7,638.301.6×
noncontracted23$2,238.59$2,238.59$30,67213.7×
amerigroup33$15,243$15,243$17,7181.2×
ecoh13$3,300.81$3,480.04$3,793.691.1×
Self-Pay (Cash)33$1,907.50$1,907.50$1,907.501.0×
hfn12$3,300.81$3,547.25$3,793.691.1×
bc illinois community12$2,677.09$10,349$18,0206.7×
alter-net medical services, inc.12$2,238.59$28,437$54,63524.4×
mytru advantage12$1,399.12$10,285$19,17013.7×
Medicaid12$1,427.97$1,427.97$1,427.971.0×
care improvement plus22$1,427.10$10,490$19,55413.7×
quartz fully insured11$2,848.86$2,848.86$2,848.861.0×
the alliance11$3,110.02$3,110.02$3,110.021.0×
alliance11$5,126.14$5,126.14$5,126.141.0×
Workers Comp11$6,314.44$6,314.44$6,314.441.0×
healthcare's finest network (hfn)11$4,632.50$4,632.50$4,632.501.0×
wps11$4,267.80$4,267.80$4,267.801.0×
hope trust11$54,635$54,635$54,6351.0×
First Health11$4,905.00$4,905.00$4,905.001.0×
community partners health plan (cphp)11$4,545.00$4,545.00$4,545.001.0×
claimdoc11$1,748.90$1,748.90$1,748.901.0×
mercy care11$5,974.92$5,974.92$5,974.921.0×
beloit healt system11$4,950.65$4,950.65$4,950.651.0×
mytruadvantage11$1,399.12$1,399.12$1,399.121.0×
national provider network11$4,632.50$4,632.50$4,632.501.0×
network health plan11$2,270.62$2,270.62$2,270.621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Presence Saints Mary & Elizabeth MedChicagoIL4$2,270.62$5,669.44$5,669.44
Pekin Memorial HospitalPekinIL10$8,950.00$7,160.00$1,290.01$4,475.00$50,116
Trinity Rock IslandRock IslandIL13$8,950.00$7,160.00$1,290.01$4,475.00$52,178
Proctor HospitalPeoriaIL10$8,950.00$7,160.00$1,290.01$4,475.00$50,116
Methodist Medical Ctr Of IllinoisPeoriaIL10$8,950.00$7,160.00$1,290.01$4,214.42$47,229
Carle Eureka HospitalEurekaIL11$7,575.00$7,575.00$82.00$3,408.75$18,790
Heartland Regional Medical CenterMarionIL22$5,450.00$1,907.50$1,329.16$3,379.00$54,635
Red Bud Regional HospitalRed BudIL6$5,450.00$1,907.50$1,748.90$3,270.00$4,251.00
Advocate Christ HospitalOak LawnIL5$24,003$28,284$47,462
Advocate Southland HospitalChicagoIL5$24,003$28,284$47,462
Advocate Lutheran General HospitalPark RidgeIL5$24,003$28,284$47,462
Advocate Good Samaritan HospitalDowners GroveIL5$24,003$28,284$47,462
Good Shepherd HospitalBarringtonIL5$24,003$28,284$47,462
Advocate Northside Health SystemChicagoIL5$24,003$28,284$47,462
South Suburban HospitalHazelcrestIL5$24,003$28,284$47,462
Condell Medical CenterLibertyvilleIL5$17,324$26,150$36,807
Advocate Sherman HospitalElginIL5$15,472$23,667$36,807
Kirby HospitalMonticelloIL9$8,487.00$5,092.20$1,389.41$1,959.74$7,638.30
Carle Bromenn Medical CenterNormalIL7$1,352.64$18,790$18,790
Carle Foundation HospitalUrbanaIL7$1,352.64$18,790$19,165
Union County Hospital DistrictAnnaIL19$5,450.00$1,907.50$1,329.16$1,427.97$4,087.50
Swedishamerican HospitalRockfordIL19$8,535.60$1,365.70$1,344.50$1,344.50$8,535.60
Anderson HospitalMaryvilleIL0
Board Of Trustees Of The UniversityChicagoIL0$8,836.00$2,650.80

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.