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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in NV

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Hospitals
5
Min
$13,278
Median
$16,893
Max
$53,021
Range multiplier
4.0×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare412$2,040$16,893$53,02126.0×
TRICARE210$16,893$19,017$19,0171.1×
Blue Cross Blue Shield29$4,362$16,893$25,7505.9×
Medicare47$13,372$13,640$19,0171.4×
Humana45$13,372$14,340$74,9145.6×
Aetna35$13,372$74,914$74,9145.6×
Cigna24$16,893$78,222$78,2224.6×
health partners plan13$1,582$16,893$16,89310.7×
govt employees health assn [3081090]13$53,021$53,021$53,0211.0×
healthpartners [3081368]13$19,017$19,017$19,0171.0×
medica (commercial) 94265 [3081118]13$69,088$69,088$69,0881.0×
pa health & wellness13$3,500$16,893$16,8934.8×
national telephone cooperative assn 52103 [3081149]12$53,021$53,021$53,0211.0×
Medicaid22$1,391.87$1,391.87$1,391.871.0×
keystone12$3,634$10,264$16,8934.6×
Meritain Health12$78,222$78,222$78,2221.0×
commercial | health plan of nv | all plans22$8,992$8,992$8,9921.0×
Anthem BCBS22$13,372$13,372$13,3721.0×
commercial | health services coalition | all plans22$3,200$3,200$3,2001.0×
risk admin svs [3081167]12$42,376$42,376$42,3761.0×
commercial | sierra health options | state of nv22$13,183$13,183$13,1831.0×
commercial | teachers health trust | all plans22$5,999.86$5,999.86$5,999.861.0×
va ccn optum [3081339]11$19,017$19,017$19,0171.0×
Auto Insurance11$16,893$16,893$16,8931.0×
midlands choice 47080 [3081136]11$78,222$78,222$78,2221.0×
minnesota health care programs 12k16 [3081295]11$25,221$25,221$25,2211.0×
coresource 38225 [3081146]11$54,105$54,105$54,1051.0×
Multiplan11$71,419$71,419$71,4191.0×
naphcare11$16,893$16,893$16,8931.0×
worker compensation11$16,893$16,893$16,8931.0×
pacificsource health plans [3081333]11$70,752$70,752$70,7521.0×
preferred one 41147 [3081160]11$78,222$78,222$78,2221.0×
providers partner health plan11$16,893$16,893$16,8931.0×
rocky mountain admin llc 83028 [3081168]11$66,590$66,590$66,5901.0×
sanford health plan 91184 [3081174]11$72,214$72,214$72,2141.0×
spartan11$16,893$16,893$16,8931.0×
surest [3081369]11$53,021$53,021$53,0211.0×
tlc advantage llc [3081189]11$78,244$78,244$78,2441.0×
commercial | sierra health options | prime11$13,183$13,183$13,1831.0×
Molina11$19,585$19,585$19,5851.0×
employee benefit management 12x44 [3081079]11$70,752$70,752$70,7521.0×
employer direct healthcare11$16,893$16,893$16,8931.0×
fedmed inc [3081283]11$79,076$79,076$79,0761.0×
allied benefit systems inc [3081320]11$78,222$78,222$78,2221.0×
group and pension administrators inc [3081098]11$71,419$71,419$71,4191.0×
health partners sx009 [3081102]11$50,231$50,231$50,2311.0×
va black hills health care system 12115 [3081206]11$19,017$19,017$19,0171.0×
avera health plans 46045 [3081018]11$58,938$58,938$58,9381.0×
key benefit administrators [3081332]11$78,222$78,222$78,2221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ORTHOPEDIC SPECIALTY HOSPITALLAS VEGASNV32$83,238$83,238$19,017$53,021$79,076
PAM REHAB HOSP OF CENTENNIAL HILLSLAS VEGASNV1$19,585$19,585$19,585
MT. GRANT GENERAL HOSPITALHAWTHORNENV15$16,893$17,925$1,582$16,893$16,893
ST. ROSE DOMINICAN - SAN MARTINLAS VEGASNV10$1,391.87$13,372$14,448
ST. ROSE DOMINICAN - DELIMAHENDERSONNV11$1,391.87$13,278$14,448

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.