▸ Compare · PriceTransparency
Total shoulder arthroplasty
CPT 23472 · negotiated-rate distribution across hospitals in MA
Hospitals
6
Min
$18,374
Median
$21,013
Max
$21,556
Range multiplier
1.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 27 | $52.12 | $10,845 | $57,395 | 1101.2× |
| UnitedHealthcare | 6 | 22 | $22.71 | $22,064 | $26,500 | 1166.9× |
| Medicaid | 3 | 16 | $2.89 | $9.41 | $21,273 | 7361.1× |
| harvard pilgrim [10701] | 4 | 12 | $165.98 | $10,714 | $10,714 | 64.5× |
| Cigna | 4 | 9 | $1,645 | $18,734 | $24,026 | 14.6× |
| Aetna | 4 | 8 | $24.88 | $21,485 | $26,990 | 1084.8× |
| institution [10406] | 4 | 7 | $21,013 | $21,013 | $21,273 | 1.0× |
| correctional care [11003] | 3 | 6 | $21,013 | $21,013 | $21,273 | 1.0× |
| tufts [11201] | 3 | 5 | $16,127 | $23,064 | $25,370 | 1.6× |
| senior whole health [10110] | 4 | 4 | $22,484 | $22,623 | $22,763 | 1.0× |
| fallon connectorcare [10503] | 4 | 4 | $947 | $947 | $947 | 1.0× |
| CHAMPVA | 4 | 4 | $19,655 | $22,615 | $23,390 | 1.2× |
| mgb mcr [10124] | 4 | 4 | $21,273 | $22,064 | $22,337 | 1.1× |
| tufts us family [11203] | 4 | 4 | $21,013 | $21,143 | $21,273 | 1.0× |
| hsno/free care [10801] | 4 | 4 | $294.3 | $672.16 | $680.81 | 2.3× |
| tufts connectorcare [10507] | 4 | 4 | $35,744 | $35,965 | $36,186 | 1.0× |
| workers compensation [20501] | 3 | 3 | $1,488.46 | $1,488.46 | $1,488.46 | 1.0× |
| commonwealth care mcr [10115] | 3 | 3 | $22,064 | $22,064 | $22,337 | 1.0× |
| fallon mcr [10105] | 3 | 3 | $22,064 | $22,064 | $22,337 | 1.0× |
| Medicare | 3 | 3 | $21,013 | $21,013 | $21,273 | 1.0× |
| pennsylvania health and wellness | 1 | 3 | $2,000 | $18,914 | $33,325 | 16.7× |
| tufts dual [10111] | 3 | 3 | $21,013 | $21,013 | $21,273 | 1.0× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $22,064 | $22,064 | $22,064 | 1.0× |
| health partners plans | 1 | 2 | $2,208 | $10,561 | $18,914 | 8.6× |
| Humana | 2 | 2 | $18,554 | $19,593 | $20,632 | 1.1× |
| keystone first | 1 | 2 | $1,342 | $9,857.91 | $18,374 | 13.7× |
| fidelis care | 1 | 2 | $25.96 | $10,329 | $20,632 | 794.8× |
| fallon mcr supp [20202] | 2 | 2 | $22,337 | $22,337 | $22,337 | 1.0× |
| wellpoint | 1 | 2 | $3,266 | $11,949 | $20,632 | 6.3× |
| qualcare inc | 1 | 2 | $87 | $1,393 | $2,699 | 31.0× |
| eternalhealth mcr replace [10116] | 2 | 2 | $22,064 | $22,064 | $22,064 | 1.0× |
| amerihealth | 1 | 2 | $21,303 | $22,635 | $23,966 | 1.1× |
| tufts mcr [10112] | 2 | 2 | $22,337 | $22,337 | $22,337 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $22,064 | $22,064 | $22,064 | 1.0× |
| grants [20507] | 2 | 2 | $8.73 | $8.73 | $8.73 | 1.0× |
| geisinger | 1 | 2 | $2,050 | $10,392 | $18,734 | 9.1× |
| commonwealth care alliance [10103] | 1 | 1 | $22,337 | $22,337 | $22,337 | 1.0× |
| clover health | 1 | 1 | $20,632 | $20,632 | $20,632 | 1.0× |
| sunrise | 1 | 1 | $19,815 | $19,815 | $19,815 | 1.0× |
| gateway health plan | 1 | 1 | $18,914 | $18,914 | $18,914 | 1.0× |
| Emblem Health | 1 | 1 | $41,264 | $41,264 | $41,264 | 1.0× |
| innovage | 1 | 1 | $18,374 | $18,374 | $18,374 | 1.0× |
| First Health | 1 | 1 | $60 | $60 | $60 | 1.0× |
| elder health | 1 | 1 | $21,616 | $21,616 | $21,616 | 1.0× |
| upmc health plan | 1 | 1 | $18,914 | $18,914 | $18,914 | 1.0× |
| WellCare | 1 | 1 | $41,058 | $41,058 | $41,058 | 1.0× |
| vibra | 1 | 1 | $18,374 | $18,374 | $18,374 | 1.0× |
| naphcare | 1 | 1 | $27,020 | $27,020 | $27,020 | 1.0× |
| occunet | 1 | 1 | $29,722 | $29,722 | $29,722 | 1.0× |
| harvard pilgrim mcr [10106] | 1 | 1 | $22,337 | $22,337 | $22,337 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 17 | $67,938 | $67,938 | $165.98 | $21,556 | $36,186 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 23 | $113,565 | $113,565 | $2.89 | $21,273 | $36,186 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 23 | $112,274 | $112,274 | $7.46 | $21,013 | $35,744 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 23 | $112,274 | $112,274 | $7.46 | $21,013 | $35,744 |
| BETH ISRAEL DEACONESS - PLYMOUTH | PLYMOUTH | MA | 13 | — | $4,881 | $22.71 | $20,632 | $41,264 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 18 | — | — | $1,342 | $18,374 | $57,395 |
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.