▸ Compare · PriceTransparency
Total shoulder arthroplasty
CPT 23472 · negotiated-rate distribution across hospitals in PA
Hospitals
38
Min
$1,772.3
Median
$18,004
Max
$20,656
Range multiplier
11.7×
By payer (40 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 25 | 137 | $1,331.39 | $17,486 | $62,489 | 46.9× |
| upmc health plan | 24 | 58 | $1,008.8 | $7,595.34 | $20,656 | 20.5× |
| Aetna | 22 | 54 | $298.66 | $17,533 | $37,695 | 126.2× |
| UnitedHealthcare | 21 | 40 | $892.4 | $18,409 | $21,651 | 24.3× |
| Cigna | 20 | 30 | $1,412.08 | $18,935 | $24,310 | 17.2× |
| upmc work partners | 20 | 20 | $4,297.36 | $5,083.31 | $5,581.04 | 1.3× |
| pa health & wellness | 17 | 19 | $1,452.43 | $18,935 | $21,854 | 15.0× |
| amerihealth caritas | 13 | 15 | $1,344.84 | $18,935 | $21,854 | 16.3× |
| Humana | 10 | 12 | $1,358.29 | $17,650 | $18,633 | 13.7× |
| geisinger | 7 | 11 | $2,641.65 | $18,446 | $20,272 | 7.7× |
| health partners plans | 2 | 6 | $1,670 | $1,670 | $18,798 | 11.3× |
| ibc | 2 | 6 | $6,869.4 | $7,547.52 | $24,614 | 3.6× |
| Multiplan | 2 | 5 | $3,842.4 | $3,842.4 | $5,620.49 | 1.5× |
| keystone first | 2 | 4 | $2,634.16 | $10,993 | $19,351 | 7.3× |
| gateway health plan | 3 | 4 | $931.2 | $15,024 | $23,037 | 24.7× |
| health plan of upper ohio valley | 3 | 4 | $17,533 | $17,708 | $17,883 | 1.0× |
| Medicaid | 1 | 4 | $220 | $749.39 | $1,993.9 | 9.1× |
| keystone autism services | 4 | 4 | $28,109 | $28,181 | $28,261 | 1.0× |
| keystone health plan | 3 | 3 | $22,309 | $23,764 | $23,764 | 1.1× |
| occunet | 3 | 3 | $23,669 | $30,409 | $30,409 | 1.3× |
| upmc commercial | 2 | 3 | $9,360 | $19,229 | $23,336 | 2.5× |
| jup pa health_wellness | 1 | 2 | $260 | $780 | $1,300 | 5.0× |
| city of washington | 2 | 2 | $35,065 | $35,065 | $35,065 | 1.0× |
| clover health | 2 | 2 | $19,535 | $19,535 | $19,535 | 1.0× |
| elder health | 2 | 2 | $22,115 | $22,115 | $22,115 | 1.0× |
| galaxy health plan | 1 | 2 | $3,842.4 | $3,842.4 | $3,842.4 | 1.0× |
| independent health | 1 | 2 | $22,327 | $23,913 | $25,500 | 1.1× |
| innovage | 2 | 2 | $18,798 | $18,798 | $18,798 | 1.0× |
| intergroup | 1 | 2 | $3,842.4 | $3,842.4 | $3,842.4 | 1.0× |
| naphcare | 2 | 2 | $27,644 | $27,644 | $27,644 | 1.0× |
| Oscar Health | 2 | 2 | $27,644 | $27,644 | $27,644 | 1.0× |
| pennsylvania health and wellness | 2 | 2 | $20,272 | $20,272 | $20,272 | 1.0× |
| prime health services | 2 | 2 | $29,336 | $29,336 | $29,336 | 1.0× |
| senior life | 2 | 2 | $17,533 | $17,533 | $17,533 | 1.0× |
| private health care systems | 1 | 1 | $6,375.9 | $6,375.9 | $6,375.9 | 1.0× |
| intergroup service corp | 1 | 1 | $5,257.6 | $5,257.6 | $5,257.6 | 1.0× |
| fidelis | 1 | 1 | $20,235 | $20,235 | $20,235 | 1.0× |
| community care behavioral health | 1 | 1 | $16,916 | $16,916 | $16,916 | 1.0× |
| WellCare | 1 | 1 | $20,842 | $20,842 | $20,842 | 1.0× |
| wtc health program | 1 | 1 | $23,037 | $23,037 | $23,037 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 8 | $7,010.13 | $1,892.74 | $931.2 | $7,010.13 | $18,839 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 12 | $4,803 | $2,881.8 | $1,331.39 | $3,842.4 | $7,805.47 |
| WELLSBORO | WELLSBORO | PA | 2 | — | — | $993.28 | $2,645.32 | $4,297.36 |
| UPMC HAMOT | ERIE | PA | 11 | — | — | $2,617.92 | $20,656 | $25,500 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 18 | — | — | $1,670 | $19,351 | $58,720 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 19 | — | — | $1,670 | $19,167 | $58,720 |
| UPMC LITITZ | LITITZ | PA | 8 | — | — | $1,016.56 | $18,546 | $55,557 |
| MEMORIAL HOSPITAL | YORK | PA | 9 | — | — | $1,016.56 | $18,516 | $62,147 |
| UPMC HANOVER | HANOVER | PA | 10 | — | — | $1,016.56 | $18,385 | $62,489 |
| UPMC CARLISLE | CARLISLE | PA | 11 | — | — | $1,016.56 | $18,349 | $54,978 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 7 | — | — | $2,617.92 | $18,174 | $18,935 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 7 | — | — | $2,617.92 | $18,174 | $18,935 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 7 | — | — | $2,617.92 | $18,174 | $18,935 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 7 | — | — | $2,617.92 | $18,174 | $18,935 |
| COMMUNITY GENERAL OSTEOPATHIC HOSP. | HARRISBURG | PA | 9 | — | — | $1,016.56 | $18,044 | $23,764 |
| UPMC PINNACLE HOSPITALS | HARRISBURG | PA | 9 | — | — | $1,016.56 | $18,044 | $23,764 |
| UPMC NORTHWEST HOSPITAL | SENECA | PA | 7 | — | — | $5,023.39 | $18,004 | $19,286 |
| THE WASHINGTON HOSPITAL | WASHINGTON | PA | 7 | — | — | $13,150 | $17,883 | $40,434 |
| WHS - GREENE | WAYNESBURG | PA | 7 | — | — | $13,150 | $17,883 | $40,434 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 8 | — | — | $2,642.84 | $17,746 | $19,286 |
| ARIA HEALTH | PHILADELPHIA | PA | 7 | $12,960 | $2,344.57 | $220 | $1,772.3 | $19,229 |
| UPMC JAMESON | NEW CASTLE | PA | 10 | — | — | $892.4 | $17,533 | $23,669 |
| UPMC PASSAVANT | PITTSBURGH | PA | 9 | — | — | $2,642.84 | $16,293 | $19,286 |
| UPMC SHADYSIDE | PITTSBURGH | PA | 9 | — | — | $931.2 | $15,500 | $19,286 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 6 | — | — | $2,617.92 | $14,615 | $19,286 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 5 | — | — | $7,547.52 | $11,615 | $24,614 |
| UPMC ST MARGARET | PITTSBURGH | PA | 5 | — | — | $2,642.84 | $10,244 | $19,286 |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $27,452 | $27,452 | — | — | — |
| MILTON S. HERSHEY MEDICAL CENTER | HERSHEY | PA | 0 | $119,535 | $39,602 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $20,000 | $13,979 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | — | — | — | — | — |
| HAMPDEN MEDICAL CENTER | ENOLA | PA | 0 | $119,535 | $37,618 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $17,549 | $8,774.5 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $59,828 | $41,880 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $119,535 | $28,557 | — | — | — |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $119,535 | $31,091 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $119,535 | $31,091 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | — | — | — | — | — |
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.