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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$5,479.00
Median
$53,021
Max
$53,021
Range multiplier
9.7×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$19,017$19,017$19,0171.0×
Blue Cross Blue Shield28$5,479.00$22,384$28,8315.3×
UnitedHealthcare26$5,479.00$53,021$53,0219.7×
medica (commercial) 94265 [3081118]13$69,088$69,088$69,0881.0×
Humana23$5,479.00$19,017$74,91413.7×
healthpartners [3081368]13$19,017$19,017$19,0171.0×
govt employees health assn [3081090]13$53,021$53,021$53,0211.0×
Cigna13$78,222$78,222$78,2221.0×
Aetna13$74,914$74,914$74,9141.0×
Meritain Health12$78,222$78,222$78,2221.0×
Medicare22$5,479.00$12,248$19,0173.5×
national telephone cooperative assn 52103 [3081149]12$53,021$53,021$53,0211.0×
risk admin svs [3081167]12$42,376$42,376$42,3761.0×
key benefit administrators [3081332]11$78,222$78,222$78,2221.0×
employee benefit management 12x44 [3081079]11$70,752$70,752$70,7521.0×
allied benefit systems inc [3081320]11$78,222$78,222$78,2221.0×
coresource 38225 [3081146]11$54,105$54,105$54,1051.0×
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×
Multiplan11$71,419$71,419$71,4191.0×
va black hills health care system 12115 [3081206]11$19,017$19,017$19,0171.0×
pacificsource health plans [3081333]11$70,752$70,752$70,7521.0×
preferred one 41147 [3081160]11$78,222$78,222$78,2221.0×
va ccn optum [3081339]11$19,017$19,017$19,0171.0×
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×
surest [3081369]11$53,021$53,021$53,0211.0×
tlc advantage llc [3081189]11$78,244$78,244$78,2441.0×
avera health plans 46045 [3081018]11$58,938$58,938$58,9381.0×
health partners sx009 [3081102]11$50,231$50,231$50,2311.0×
group and pension administrators inc [3081098]11$71,419$71,419$71,4191.0×
fedmed inc [3081283]11$79,076$79,076$79,0761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD4$75,091$75,091$5,479.00$5,479.00$28,831
Monument Health Rapid City HospitalRapid CitySD32$83,238$83,238$19,017$53,021$79,076

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.