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Total shoulder arthroplasty

CPT 23472 · negotiated-rate distribution across hospitals in WI

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Hospitals
32
Min
$1,482.79
Median
$16,161
Max
$27,040
Range multiplier
18.2×

By payer (47 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2975$1,296.90$17,955$27,04020.8×
Anthem BCBS2055$1,296.90$15,494$30,04423.2×
common ground1236$17,346$17,346$21,4801.2×
wisconsin physician service1236$21,606$22,743$22,7431.1×
Molina1415$17,293$17,293$18,8901.1×
Humana613$1,361.75$5,669.44$17,76313.0×
quartz group1212$20,860$20,860$24,7701.2×
hs technology1212$20,541$20,541$20,5411.0×
health payment systems1212$19,700$19,700$19,7001.0×
everpointe elite1212$17,086$17,086$17,0861.0×
Aetna1212$8,466.00$8,466.00$8,466.001.0×
aurora caregiver1212$21,480$21,480$21,4801.0×
trilogy1212$25,737$25,737$25,7371.0×
quartz one1212$17,830$17,830$21,1701.2×
centivo1212$21,582$21,582$21,5821.0×
wps77$5,281.90$5,281.90$5,281.901.0×
network health plan57$2,270.62$11,646$17,5297.7×
aspirus16$1,296.90$7,326.40$17,76313.7×
Blue Cross Blue Shield36$1,027.64$2,204.96$26,22225.5×
prevea 36014$1,296.90$17,842$26,88120.7×
Medicare24$1,363.79$1,496.02$1,637.221.2×
security health plan23$6,324.90$9,487.50$17,4912.8×
Medicaid23$1,688.18$2,198.08$46,98927.8×
alliance33$5,126.14$5,126.14$5,126.141.0×
medica [900156]22$2,461.48$3,927.58$5,393.672.2×
Cigna12$5,903.24$7,379.12$8,855.001.5×
mercy care12$7,379.05$9,223.90$11,0691.5×
meridiancare12$1,361.75$9,562.54$17,76313.0×
centivo nw322$5,185.46$5,185.46$5,185.461.0×
First Health22$5,426.76$5,466.93$5,507.101.0×
centivo nw122$5,185.46$5,185.46$5,185.461.0×
cchp22$3,138.39$3,138.39$3,138.391.0×
illinicare12$1,296.90$9,530.11$17,76313.7×
unitedhealth group of wi12$10,387$13,958$17,5291.7×
healthpartners [900713]22$2,691.48$24,165$45,63817.0×
icare22$17,491$18,124$18,7561.1×
group health cooperative of eau claire11$18,581$18,581$18,5811.0×
health partners open network11$2,760.79$2,760.79$2,760.791.0×
community care incorporated11$17,491$17,491$17,4911.0×
ma wisconsin replacement [950271]11$6,618.00$6,618.00$6,618.001.0×
managed health services11$17,529$17,529$17,5291.0×
medical associates health plan11$4,305.71$4,305.71$4,305.711.0×
quartz11$17,529$17,529$17,5291.0×
security health plan (shp)11$17,529$17,529$17,5291.0×
veteran's administration (va ccn)11$17,529$17,529$17,5291.0×
allwell11$17,841$17,841$17,8411.0×
health partners11$17,491$17,491$17,4911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Meriter Hospital Inc.MadisonWI13$31,625$25,300$1,296.90$8,014.53$30,044
Ascension Columbia St Marys MilwaukeMilwaukeeWI4$2,270.62$5,669.44$5,669.44
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$2,270.62$5,669.44$5,669.44
Ascension Columbia St Marys OzaukeeMequonWI4$2,270.62$5,669.44$5,669.44
Westfields HospitalNew RichmondWI8$6,618.00$3,481.07$1,568.36$4,106.14$46,989
MoshFranklinWI2$5,281.90$27,040$27,040
Aurora Lakeland Medical CenterElkhornWI14$8,466.00$20,267$25,737
Aurora Medical Center KenoshaKenoshaWI14$8,466.00$19,631$25,737
Aurora Medical Center GraftonGraftonWI14$8,466.00$19,631$25,737
Aurora Health Care Metro Inc.MilwaukeeWI14$8,466.00$19,631$25,737
West Allis Memorial HospitalWest AllisWI14$8,466.00$19,631$25,737
Aurora Medical Center - HartfordHartfordWI14$8,466.00$18,759$25,737
Sheboygan Memorial HospitalSheboyganWI14$8,466.00$18,759$25,737
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI14$8,466.00$18,759$25,737
Memorial Hospital Of BurlingtonBurlingtonWI14$8,466.00$18,759$25,737
Aurora Medical Center Of OshkoshOshkoshWI14$8,466.00$18,759$25,737
Aurora Medical Center - SummitSummitWI14$8,466.00$18,759$25,737
Amery Regional Medical CenterAmeryWI7$6,119.00$3,190.45$1,027.64$1,810.88$5,507.10
Aurora Medical Center - Bay AreaMarinetteWI14$6,793.00$17,955$25,737
Beaver Dam Community HospitalsBeaver DamWI11$10,387$17,529$23,877
Holy Family Memorial IncManitowocWI10$11,646$17,491$19,754
Wheaton Franciscan - FranklinFranklinWI2$5,281.90$16,161$27,040
Wfhc - Elmbrook MemorialBrookfieldWI2$5,281.90$16,161$27,040
Ascension Se Wisconsin Hospital IncMilwaukeeWI2$5,281.90$16,161$27,040
Wheaton Franciscan Healthcare - AllRacineWI2$5,281.90$16,161$27,040
All Saints - St. Luke S HospitalRacineWI2$5,281.90$16,161$27,040
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI2$5,281.90$16,161$27,040
Ascension Ne Wisconsin-St. ElizabethAppletonWI4$1,482.79$1,482.79$5,185.46
Mercy Medical CenterOshkoshWI4$1,482.79$1,482.79$5,185.46
Ssh - Fox ValleyOshkoshWI2$13,774$13,958$25,306
Childrens WisconsinMilwaukeeWI2$13,774$13,958$25,306
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$13,774$13,958$25,306

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.