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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$11,061
Median
$20,500
Max
$21,657
Range multiplier
2.0×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield967$33.15$90.77$88,9182682.3×
UnitedHealthcare1254$12.16$22,525$26,5002179.3×
Aetna1242$13.32$20,632$26,9902026.3×
Cigna927$6,000$20,762$26,0284.3×
amerihealth816$21,284$23,129$25,1031.2×
fidelis care816$12.51$10,063$21,6571731.2×
qualcare inc815$75.6$87$9,057119.8×
wellpoint814$780.34$20,098$21,65727.8×
WellCare1111$19,727$39,995$43,0982.2×
clover health1111$19,727$20,355$21,6571.1×
Humana1111$20,098$20,632$21,6571.1×
Emblem Health88$35,172$35,397$41,2641.2×
First Health88$60$60$601.0×
wellpoint full dual advantage33$19,727$20,532$20,5321.0×
Ambetter33$40,440$42,092$42,0921.0×
braven health33$19,727$20,532$20,5321.0×
healthspring33$20,319$21,148$21,1481.0×
horizon nj total care33$19,727$20,532$20,5321.0×
jefferson health plan33$21,108$21,970$21,9701.0×
Medicare33$19,727$20,532$20,5321.0×
jeff nj amerihealth_ibc12$17,000$17,000$17,0001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,339$27.58$21,657$43,098
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$4,881$22.71$20,632$41,264
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$6,839$15.83$20,632$41,264
INSPIRA MEDICAL CENTER ELMERELMERNJ12$12,874$20,532$42,092
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ12$12,874$20,532$42,092
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$5,110$12.16$20,500$88,918
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$5,110$12.16$20,500$88,918
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$5,419$24.85$20,355$40,507
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$3,786$12.41$20,098$39,995
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$6,311$14.45$20,016$39,995
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ12$12,874$19,727$40,440
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ5$6,000$11,061$19,229

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.