▸ Compare · PriceTransparency
Total shoulder arthroplasty
CPT 23472 · negotiated-rate distribution across hospitals in TX
Hospitals
48
Min
$1,243.12
Median
$12,553
Max
$30,501
Range multiplier
24.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 41 | 227 | $912.94 | $2,728.90 | $31,808 | 34.8× |
| UnitedHealthcare | 35 | 105 | $387.26 | $14,433 | $48,260 | 124.6× |
| baylor scott & white health plan | 14 | 56 | $15,611 | $20,831 | $28,976 | 1.9× |
| Humana | 37 | 55 | $1,146.55 | $13,700 | $41,394 | 36.1× |
| Aetna | 34 | 54 | $1,146.55 | $12,577 | $47,641 | 41.6× |
| Cigna | 26 | 48 | $917.24 | $6,546.00 | $30,501 | 33.3× |
| Medicare | 11 | 35 | $11,060 | $12,700 | $14,796 | 1.3× |
| Anthem BCBS | 3 | 25 | $1,017.53 | $1,673.90 | $34,858 | 34.3× |
| Ambetter | 17 | 17 | $13,700 | $35,280 | $37,126 | 2.7× |
| american health plan | 15 | 15 | $17,255 | $17,896 | $18,439 | 1.1× |
| prime health services | 14 | 14 | $17,215 | $17,855 | $18,397 | 1.1× |
| triwest | 14 | 14 | $16,433 | $17,044 | $17,561 | 1.1× |
| corvel | 14 | 14 | $17,215 | $17,855 | $18,397 | 1.1× |
| procare advantage | 14 | 14 | $17,255 | $17,896 | $18,439 | 1.1× |
| superior health plan | 13 | 13 | $16,433 | $17,896 | $17,953 | 1.1× |
| healthspring | 11 | 11 | $17,255 | $17,896 | $17,953 | 1.0× |
| Medicaid | 3 | 9 | $1,017.53 | $1,017.53 | $1,243.12 | 1.2× |
| commercial | entrust | all plans | 8 | 8 | $24,494 | $29,091 | $32,409 | 1.3× |
| sedgwick | 6 | 6 | $24,567 | $25,205 | $26,254 | 1.1× |
| wellmed | 6 | 6 | $1,146.55 | $17,268 | $17,756 | 15.5× |
| commercial | community health choice | exchange | 6 | 6 | $18,484 | $18,490 | $18,495 | 1.0× |
| Medicare Advantage | 2 | 6 | $13,700 | $13,700 | $13,700 | 1.0× |
| wellpoint (fka amerigroup) | 5 | 5 | $17,555 | $17,555 | $17,611 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $18,484 | $18,495 | $18,495 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $2,404.80 | $2,404.80 | $2,404.80 | 1.0× |
| commercial | kelseycare | exchange | 5 | 5 | $16,636 | $16,646 | $16,646 | 1.0× |
| commercial | nxhealth | all plans | 5 | 5 | $39,802 | $40,049 | $40,073 | 1.0× |
| commercial | renaissance | all plans | 5 | 5 | $8,872.48 | $8,877.80 | $8,877.80 | 1.0× |
| commercial | superior health plan | all plans | 5 | 5 | $18,484 | $18,495 | $18,495 | 1.0× |
| Molina | 4 | 5 | $17,756 | $17,896 | $19,532 | 1.1× |
| wellpoint | 5 | 5 | $17,756 | $23,312 | $23,312 | 1.3× |
| 90 degree benefits | 5 | 5 | $17,756 | $43,170 | $43,170 | 2.4× |
| insurance management services | 4 | 4 | $28,147 | $28,147 | $28,147 | 1.0× |
| mhs care connect | 2 | 4 | $1,017.53 | $1,017.53 | $1,017.53 | 1.0× |
| kempton group | 4 | 4 | $34,536 | $34,536 | $34,536 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $1,673.90 | $1,673.90 | $1,673.90 | 1.0× |
| scott & white | 4 | 4 | $27,629 | $27,629 | $27,629 | 1.0× |
| pdh/texas trust | 4 | 4 | $34,536 | $34,536 | $34,536 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $1,673.90 | $1,673.90 | $1,673.90 | 1.0× |
| care improvement | 4 | 4 | $17,268 | $17,268 | $17,268 | 1.0× |
| insurance services of lubbock | 4 | 4 | $28,147 | $28,147 | $28,147 | 1.0× |
| caprock | 4 | 4 | $43,170 | $43,170 | $43,170 | 1.0× |
| prominence health | 1 | 3 | $17,756 | $18,644 | $18,644 | 1.1× |
| injury management organization | 3 | 3 | $20,704 | $21,176 | $21,467 | 1.0× |
| health partners open network | 2 | 3 | $2,760.79 | $2,760.79 | $29,119 | 10.5× |
| careworks fka rockport | 3 | 3 | $24,921 | $25,840 | $26,254 | 1.1× |
| ascension complete mcr | 2 | 2 | $13,700 | $13,700 | $13,700 | 1.0× |
| superior | 1 | 2 | $17,756 | $18,644 | $19,532 | 1.1× |
| encore exclusive | 2 | 2 | $1,673.90 | $1,673.90 | $1,673.90 | 1.0× |
| secure horizons-pacificare | 2 | 2 | $13,700 | $13,700 | $13,700 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 3 | $4,760.00 | $2,856.00 | $2,618.00 | $8,427.00 | $18,989 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 6 | — | — | $949.84 | $8,006.06 | $11,060 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | $8,950.00 | $7,160.00 | $1,290.01 | $4,475.00 | $48,260 |
| Glen Rose Medical Center | Glen Rose | TX | 8 | $43,573 | $43,573 | $20,044 | $30,501 | $41,394 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $8,950.00 | $7,160.00 | $1,290.01 | $2,807.00 | $4,475.00 |
| Shannon Medical Center | San Angelo | TX | 13 | — | — | $4,095.14 | $27,629 | $43,170 |
| River Crest Hospital | San Angelo | TX | 13 | — | — | $4,095.14 | $27,629 | $43,170 |
| San Angelo Community Medical Center | San Angelo | TX | 13 | — | — | $4,095.14 | $27,629 | $43,170 |
| Big Spring State Hospital | Big Springs | TX | 13 | — | — | $4,095.14 | $27,629 | $43,170 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | — | — | $1,975.06 | $2,291.68 | $15,273 |
| Madison St. Joseph Health Center | Madisonville | TX | 2 | — | — | $1,975.06 | $2,291.68 | $15,273 |
| Golden Plains Community Hospital | Borger | TX | 6 | $4,985.00 | $3,489.50 | $917.24 | $2,176.01 | $3,389.80 |
| Burleson St. Joseph Health Center | Caldwell | TX | 1 | — | — | $1,975.06 | $2,171.06 | $2,412.29 |
| St Lukes Health Memorial San August | San Augustine | TX | 2 | — | — | $949.84 | $2,171.06 | $2,826.00 |
| North Texas Medical Center | Gainsville | TX | 17 | $4,125.00 | $1,031.00 | $1,650.00 | $17,756 | $19,532 |
| College Station Hospital | College Station | TX | 14 | — | — | $2,236.46 | $17,561 | $28,976 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $17,503 | $17,503 | $17,503 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 16 | — | — | $1,783.12 | $17,299 | $35,280 |
| Centennial Medical Center | Frisco | TX | 16 | — | — | $1,783.12 | $17,299 | $35,280 |
| Scott And White Memorial Hospital | Temple | TX | 15 | — | — | $2,236.46 | $17,284 | $28,519 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 14 | — | — | $2,417.79 | $17,098 | $35,393 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 15 | — | — | $2,417.79 | $17,098 | $35,393 |
| Baylor University Medical Ctr | Dallas | TX | 16 | — | — | $2,417.79 | $17,044 | $35,280 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 14 | — | — | $2,417.79 | $17,044 | $35,280 |
| Baylor S&W Medical Center - Plano | Plano | TX | 14 | — | — | $2,417.79 | $17,044 | $35,280 |
| Baylor S&W Medical Center - Irving | Irving | TX | 15 | — | — | $2,417.79 | $17,044 | $35,280 |
| Round Rock Hospital | Round Rock | TX | 16 | — | — | $2,236.46 | $16,878 | $27,505 |
| Ascension Seton Shoal Creek | Austin | TX | 18 | — | — | $387.26 | $1,673.90 | $13,700 |
| Ascension Seton Bastrop | Bastrop | TX | 18 | — | — | $387.26 | $1,673.90 | $13,700 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 14 | — | — | $2,236.46 | $16,670 | $27,505 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 14 | — | — | $2,236.46 | $16,433 | $27,115 |
| Hillcrest Baptist Medical Center | Waco | TX | 13 | — | — | $2,236.46 | $16,197 | $28,132 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $1,351.78 | $1,351.78 | $1,351.78 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | $13,500 | $8,100.00 | $7,568.00 | $12,559 | $22,182 |
| St. Joseph Regional Health Center | Bryan | TX | 8 | — | — | $1,975.06 | $12,553 | $39,802 |
| College Station Medical Center | College Station | TX | 8 | — | — | $1,975.06 | $12,553 | $39,802 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | $29,879 | $17,927 | $7,568.00 | $12,541 | $16,979 |
| St Lukes Hospital At The Vintage | Houston | TX | 14 | — | — | $964.81 | $12,454 | $40,073 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 13 | — | — | $912.94 | $12,446 | $40,049 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $1,243.12 | $1,243.12 | $1,243.12 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 13 | — | — | $964.81 | $12,330 | $29,099 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 12 | — | — | $964.81 | $12,330 | $29,099 |
| Brazosport Regional Health System | Lake Jackson | TX | 8 | — | — | $1,507.68 | $12,323 | $29,082 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 13 | — | — | $964.81 | $12,323 | $40,049 |
| St. Lukes Patients Medical Center | Pasadena | TX | 7 | — | — | $964.81 | $12,323 | $18,484 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | — | — | $949.84 | $10,507 | $11,392 |
| Laredo Medical Center | Laredo | TX | 0 | $299,217 | $71,812 | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | $292,405 | $52,633 | — | — | — |
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.