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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in MI

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Hospitals
17
Min
$1,313.38
Median
$10,059
Max
$21,004
Range multiplier
16.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1159$1,281.34$12,305$28,69722.4×
Medicaid1153$931.66$9,322.89$10,36111.1×
UnitedHealthcare1142$931.66$1,947.88$34,88937.4×
Blue Cross Blue Shield1225$2,329.59$3,101.37$31,36213.5×
Humana1016$1,281.34$6,540.18$17,93514.0×
Aetna1216$1,617.69$1,851.20$41,86725.9×
priority health99$2,104.63$2,104.63$9,322.894.4×
u of m health plan88$1,473.54$1,473.54$1,473.541.0×
mclaren commercial ins88$1,645.55$1,645.55$1,645.551.0×
TRICARE66$16,216$17,117$18,0181.1×
mi amish medical board55$17,935$17,935$17,9351.0×
priority health op rate55$4,569.60$20,442$29,5906.5×
harbor health plan14$9,322.89$10,255$17,3931.9×
First Health44$1,685.51$18,608$31,29118.6×
hap - hmo op rate33$17,007$17,007$20,0741.2×
total health care priority health13$9,322.89$17,119$17,3931.9×
hcap op rate33$5,697.75$22,088$22,0883.9×
hp - hmo op rate22$15,104$15,104$15,1041.0×
cofinity - ppom op rate22$31,475$31,475$31,4751.0×
mclaren health op rate22$2,485.74$10,049$17,6127.1×
mclaren health plan12$9,322.89$13,358$17,3931.9×
mclaren health plan op rate22$6,250.97$6,250.97$6,250.971.0×
Medicare Advantage22$12,148$14,771$17,3931.4×
mi amish medical board op rate22$14,151$14,151$14,1511.0×
health advantage - commercial op rate22$12,903$12,903$12,9031.0×
hap - ppo op rate22$23,597$23,597$23,5971.0×
blue care network op rate22$19,291$19,291$19,2911.0×
hp - ppo op rate22$20,957$20,957$20,9571.0×
zing11$18,262$18,262$18,2621.0×
auto-cofinity op rate11$6,457.45$6,457.45$6,457.451.0×
bcn op rate11$3,232.52$3,232.52$3,232.521.0×
beacon health strategies11$9,322.89$9,322.89$9,322.891.0×
CHAMPVA11$1,246.92$1,246.92$1,246.921.0×
Cigna11$4,444.24$4,444.24$4,444.241.0×
cofinity - auto op rate11$25,882$25,882$25,8821.0×
cofinity and wc op rate11$23,201$23,201$23,2011.0×
cofinity op rate11$5,868.68$5,868.68$5,868.681.0×
employer direct healthcare11$24,350$24,350$24,3501.0×
hap - preferred op rate11$25,368$25,368$25,3681.0×
hap ahl op rate11$3,859.28$3,859.28$3,859.281.0×
hap hmo op rate11$3,816.73$3,816.73$3,816.731.0×
hap op rate11$31,972$31,972$31,9721.0×
hap ppo op rate11$4,806.62$4,806.62$4,806.621.0×
health plus hmo op rate11$4,216.34$4,216.34$4,216.341.0×
health plus ppo op rate11$4,558.20$4,558.20$4,558.201.0×
honest hmo11$17,393$17,393$17,3931.0×
longevity hp11$18,436$18,436$18,4361.0×
mclaren health advantage op rate11$17,583$17,583$17,5831.0×
Multiplan11$6,101.91$6,101.91$6,101.911.0×
naphcare residential inmate treatment center11$26,959$26,959$26,9591.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Port HuronPort HuronMI26$6,417.20$3,950.45$931.66$4,037.81$12,251
Ascension St John HospitalDetroitMI3$1,617.69$3,101.37$3,101.37
Mclaren OaklandPontiacMI14$16,670$7,327.28$21,004$33,340
Mclaren Bay Special CareBay CityMI17$18,406$6,250.97$19,291$31,475
Garden City Hospital OsteopathicGarden CityMI19$31,568$17,392$9,322.89$17,393$26,959
Mclaren Thumb RegionBad AxeMI9$6,417.20$3,208.60$931.66$1,313.38$2,329.59
Mclaren FlintFlintMI9$6,417.20$3,208.60$931.66$1,313.38$2,329.59
Bay Regional Medical CenterBay CityMI23$56,832$28,416$931.66$12,551$31,475
Mclaren Central MichiganMt PleasantMI11$60,887$30,444$931.66$10,059$28,697
Mclaren Greater LansingLansingMI11$72,818$36,409$931.66$10,059$28,697
Mclaren Northern MichiganPetoskeyMI14$52,872$26,436$931.66$10,059$41,867
Mclaren Lapeer RegionLapeerMI11$80,605$40,303$931.66$10,059$28,697
Sparrow EatonCharlotteMI0$2,912.00$1,456.00
Mackinac Straits Health System IncSt. IgnaceMI0$4,805.00$3,363.50
North Ottawa Community HospitalGrand HavenMI0$39,875$27,913
Carson City HospitalCarson CityMI0$2,912.00$1,456.00
Sparrow Clinton HospitalSt. JohnsMI0$2,912.00$1,456.00

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.