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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in NY

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Hospitals
9
Min
$1,407.52
Median
$2,195.45
Max
$8,426.98
Range multiplier
6.0×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield574$607.50$1,881.30$106,705175.6×
UnitedHealthcare737$290.00$2,643.16$23,50381.0×
Aetna722$1,146.41$3,585.66$41,78336.4×
univera120$117.12$866.69$1,722.3514.7×
Medicaid216$620.88$1,208.62$3,881.996.3×
fidelis care314$1,146.41$1,517.31$23,28520.3×
Medicare213$1,146.41$1,538.76$24,07621.0×
capital district physicians' health plan211$917.13$1,348.72$22,46924.5×
mvp211$1,146.41$1,375.69$22,46919.6×
amerihealth110$210.00$1,050.00$22,850108.8×
Empire BCBS210$1,514.43$7,483.56$16,39610.8×
Emblem Health18$730.45$730.45$6,613.019.1×
Healthfirst28$1,346.16$1,682.70$4,879.833.6×
Humana57$1,146.41$21,346$23,06820.1×
Cigna36$1,727.37$4,920.93$37,55921.7×
mvp 290014$1,251.50$19,516$37,55930.0×
[oxford]14$7,715.45$12,852$20,0782.6×
geisinger14$290.00$870.00$1,450.005.0×
VA Health23$1,348.72$1,348.72$22,46916.7×
[fidelis]13$1,682.70$1,682.70$1,682.701.0×
martins point23$1,348.73$1,348.73$24,06517.8×
st. regis23$2,793.60$2,793.60$22,4698.0×
centers plan for healthy living12$1,700.98$11,732$21,76212.8×
choicecare12$1,398.87$1,608.70$1,818.531.3×
emblemhealth12$2,976.72$11,825$20,6746.9×
Anthem BCBS12$1,445.83$1,445.83$1,445.831.0×
excellus 220112$1,146.41$1,247.57$1,348.721.2×
fidelis 515512$1,584.56$1,722.35$1,860.141.2×
wellpath12$1,888.21$17,796$33,70417.8×
independent health 515612$1,763.62$1,919.24$2,074.851.2×
magnacare22$2,793.60$3,120.80$3,448.001.2×
Molina22$1,445.83$12,583$23,72116.4×
Multiplan22$3,317.40$6,811.20$10,3053.1×
pennsylvania health and wellness12$264.00$792.00$1,320.005.0×
[metroplus]12$2,944.73$4,349.78$5,754.832.0×
[magnacare]12$8,244.00$8,702.00$9,160.001.1×
[urn]11$8,931.00$8,931.00$8,931.001.0×
elderplan 131611$21,887$21,887$21,8871.0×
derived contracted rate11$8,426.98$8,426.98$8,426.981.0×
american health plans11$21,762$21,762$21,7621.0×
emblemhealth-commercial other11$14,448$14,448$14,4481.0×
harvard pilgrim11$2,793.60$2,793.60$2,793.601.0×
oxford-commercial other11$4,782.00$4,782.00$4,782.001.0×
life pittsburgh11$21,762$21,762$21,7621.0×
capital district physicians health plan (cdphp) 514911$3,525.15$3,525.15$3,525.151.0×
martin's point11$21,762$21,762$21,7621.0×
First Health11$3,142.80$3,142.80$3,142.801.0×
1199seiu national benefit funds11$20,856$20,856$20,8561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Stony Brook University HospitalStony BrookNY8$20,858$20,858$1,806.76$8,426.98$14,448
Memorial Hospital For Cancer And AllNew YorkNY12$11,450$11,450$730.45$6,757.98$21,179
Nassau University Medical CenterEast MeadowNY10$1,445.83$2,976.72$23,285
Champlain Valley Physicians HospitalPlattsburghNY15$3,492.00$3,492.00$944.10$2,195.45$106,705
Westfield Memorial HospitalWestfieldNY14$4,065.00$894.30$117.12$1,881.30$41,783
Fredrick Ferris Thompson HospitalCanandaiguaNY13$59,846$29,923$607.50$1,412.33$60,652
Alice Hyde Medical CenterMaloneNY12$4,310.00$4,310.00$917.13$1,407.52$4,223.80
Nyu Langone HospitalsNew YorkNY0
Eastern Long Island HospitalGreenportNY0

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.