Search hospital rates

Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$1,391.87 – $79,076

Negotiated median

$19,017

CPT 23472 Total shoulder arthroplasty · Showing 126 of 128 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Chargemaster	N/A	outpatient	gross	$83,238
MT. GRANT GENERAL HOSPITAL	NV	Chargemaster	N/A	outpatient	gross	$16,893
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Cash pay	N/A	outpatient	cash	$83,238
MT. GRANT GENERAL HOSPITAL	NV	Cash pay	N/A	outpatient	cash	$17,925
PAM REHAB HOSP OF CENTENNIAL HILLS	NV	[De-identified Min]	—	outpatient	min	$19,585
ORTHOPEDIC SPECIALTY HOSPITAL	NV	[De-identified Min]	—	outpatient	min	$19,017
MT. GRANT GENERAL HOSPITAL	NV	[De-identified Min]	—	outpatient	min	$1,582
ST. ROSE DOMINICAN - DELIMA	NV	[de-identified min]	—	—	min	$1,391.87
ST. ROSE DOMINICAN - SAN MARTIN	NV	[de-identified min]	—	—	min	$1,391.87
ORTHOPEDIC SPECIALTY HOSPITAL	NV	fedmed inc [3081283]	FEDMED INC [308128301]	outpatient	negotiated	$79,076
ORTHOPEDIC SPECIALTY HOSPITAL	NV	tlc advantage llc [3081189]	TLC ADV LLC [308118901]	outpatient	negotiated	$78,244
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Cigna	CIGNA STATE OF WYOMING [308105107]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Cigna	CIGNA APWU OR NALC PRIMARY [308105104]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Cigna	CIGNA 62308 [308105105]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Meritain Health	MERITAIN HEALTH 64157 [308113501]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	midlands choice 47080 [3081136]	MIDLANDS CHOICE [308113601]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	allied benefit systems inc [3081320]	ALLIED BENEFIT SYSTEMS INC 75068 [308132001]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	preferred one 41147 [3081160]	PREFERRED ONE [308116001]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	key benefit administrators [3081332]	KEY BENEFIT ADMINISTRATORS 37323 [308133201]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Meritain Health	MERITAIN HEALTH 41124 [308113503]	outpatient	negotiated	$78,222
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Aetna	AETNA [308100201]	outpatient	negotiated	$74,914
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Humana	HUMANA [308110701]	outpatient	negotiated	$74,914
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Aetna	HEALTHSCOPE BENEFITS [308100206]	outpatient	negotiated	$74,914
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Aetna	AETNA SENIOR SUPPLEMENT [308100202]	outpatient	negotiated	$74,914
ORTHOPEDIC SPECIALTY HOSPITAL	NV	sanford health plan 91184 [3081174]	SANFORD HEALTH PLAN [308117401]	outpatient	negotiated	$72,214
ORTHOPEDIC SPECIALTY HOSPITAL	NV	group and pension administrators inc [3081098]	GROUP AND PENSION ADMINISTRATORS 48143 [308109801]	outpatient	negotiated	$71,419
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Multiplan	MULTIPLAN INC [308128501]	outpatient	negotiated	$71,419
ORTHOPEDIC SPECIALTY HOSPITAL	NV	pacificsource health plans [3081333]	PACIFICSOURCE HEALTH PLANS 93029 [308133301]	outpatient	negotiated	$70,752
ORTHOPEDIC SPECIALTY HOSPITAL	NV	employee benefit management 12x44 [3081079]	EMP BENEFIT MGMT [308107901]	outpatient	negotiated	$70,752
ORTHOPEDIC SPECIALTY HOSPITAL	NV	medica (commercial) 94265 [3081118]	MEDICA HEALTH PLAN SOLUTIONS 71890 [308111803]	outpatient	negotiated	$69,088
ORTHOPEDIC SPECIALTY HOSPITAL	NV	medica (commercial) 94265 [3081118]	MEDICA IFB 12422 [308111802]	outpatient	negotiated	$69,088
ORTHOPEDIC SPECIALTY HOSPITAL	NV	medica (commercial) 94265 [3081118]	MEDICA CLAIMS [308111801]	outpatient	negotiated	$69,088
ORTHOPEDIC SPECIALTY HOSPITAL	NV	rocky mountain admin llc 83028 [3081168]	ROCKY MOUNTAIN ADMIN LLC [308116801]	outpatient	negotiated	$66,590
ORTHOPEDIC SPECIALTY HOSPITAL	NV	avera health plans 46045 [3081018]	AVERA HEALTH [308101801]	outpatient	negotiated	$58,938
ORTHOPEDIC SPECIALTY HOSPITAL	NV	coresource 38225 [3081146]	CORESOURCE 38225 [308114601]	outpatient	negotiated	$54,105
ORTHOPEDIC SPECIALTY HOSPITAL	NV	govt employees health assn [3081090]	GEHA FEHB 44054 MEDICARE PRIMARY [308109001]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	national telephone cooperative assn 52103 [3081149]	NTCA 39026 UNITED SHARED SERVICES [308114901]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	national telephone cooperative assn 52103 [3081149]	NTCA 52103 BENEFITS [30114902]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	UnitedHealthcare	UNITED HEALTHCARE 87726 [308119901]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	UnitedHealthcare	UMR [308119401]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	surest [3081369]	SUREST [308136901]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	UnitedHealthcare	ALL SAVERS [308119915]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	UnitedHealthcare	GEHA 39026 UNITED HEALTH SHARED SERVICES [308119914]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	govt employees health assn [3081090]	GEHA 57254 MEDICARE PRIMARY [308109003]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	govt employees health assn [3081090]	GEHA ASA 06603 [308109002]	outpatient	negotiated	$53,021
ORTHOPEDIC SPECIALTY HOSPITAL	NV	health partners sx009 [3081102]	HEALTH PARTNERS [308110201]	outpatient	negotiated	$50,231
ORTHOPEDIC SPECIALTY HOSPITAL	NV	risk admin svs [3081167]	RISK ADMIN SVS [308116701]	outpatient	negotiated	$42,376
ORTHOPEDIC SPECIALTY HOSPITAL	NV	risk admin svs [3081167]	MH RISK ADMIN SVS [308116702]	outpatient	negotiated	$42,376
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Blue Cross Blue Shield	BCBS SOUTH DAKOTA [308102601]	outpatient	negotiated	$25,750
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Blue Cross Blue Shield	BCBS FEDERAL [308102701]	outpatient	negotiated	$25,750
ORTHOPEDIC SPECIALTY HOSPITAL	NV	minnesota health care programs 12k16 [3081295]	MEDICA MINNESOTACARE [308129509]	outpatient	negotiated	$25,221
PAM REHAB HOSP OF CENTENNIAL HILLS	NV	Molina	Marketplace Exchange	outpatient	negotiated	$19,585
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE WEST (TERMED 7/2/2018) [308121203]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Blue Cross Blue Shield	ANTHEM MEDICARE PREFERRED PPO [308102416]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Blue Cross Blue Shield	BCBS MEDICARE BLUE PPO [308102401]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	healthpartners [3081368]	HEALTHPARTNERS MH EMPLOYEES EPO [308136803]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	healthpartners [3081368]	HEALTHPARTNERS MH EMPLOYEES HDHP [308136802]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	healthpartners [3081368]	HEALTHPARTNERS MH EMPLOYEES PPO [308136801]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Humana	HUMANA CHOICE MEDICARE [308110901]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	Medicare	MEDICA MEDICARE [308111901]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE EAST [308121207]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE EAST REGION LINE OF DUTY [308121205]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE FOR LIFE [308121101]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE NORTH (TERMED 12/31/2017) [308121202]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE OVERSEAS SX163 [308121208]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE SOUTH (TERMED 12/31/2017) [308121204]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE WEST [308121201]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	TRICARE	TRICARE WEST REGION LINE OF DUTY [308121299]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	UnitedHealthcare	UHC MEDICARE ADVANTAGE 87726 [308119301]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	va black hills health care system 12115 [3081206]	VA HOT SPRINGS [308120601]	outpatient	negotiated	$19,017
ORTHOPEDIC SPECIALTY HOSPITAL	NV	va ccn optum [3081339]	VA CCN OPTUM [308133901]	outpatient	negotiated	$19,017
MT. GRANT GENERAL HOSPITAL	NV	providers partner health plan	Provider Partners Health Plan	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	naphcare	Naphcare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	pa health & wellness	PA Health & Wellness Commercial Insurance Exchange	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	worker compensation	Worker Compensation	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	pa health & wellness	PA Health & Wellness Medicare & Duals	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	spartan	Spartan Plan	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	TRICARE	Tricare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	UnitedHealthcare	UHC Commercial All Payer	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	UnitedHealthcare	UHC Exchange	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	UnitedHealthcare	UHC Medicare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Blue Cross Blue Shield	IBC Medicare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	employer direct healthcare	Employer Direct Healthcare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Cigna	Cigna Commercial (05-01-2023 to 12-31-2026)	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Blue Cross Blue Shield	Highmark Commercial (02-01-2024 to 12-31-2026)	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	health partners plan	Health Partners Plan Medicare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Auto Insurance	Auto Insurance	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	keystone	Keystone First Medicare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	UnitedHealthcare	UHC VA CCN	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	health partners plan	Health Partners Plan Exchange	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Medicare	Ally-Align Medicare	outpatient	negotiated	$16,893
MT. GRANT GENERAL HOSPITAL	NV	Medicare	Traditional Medicare	outpatient	negotiated	$16,893
ST. ROSE DOMINICAN - DELIMA	NV	UnitedHealthcare	—	—	negotiated	$14,448
ST. ROSE DOMINICAN - SAN MARTIN	NV	UnitedHealthcare	—	—	negotiated	$14,448
MT. GRANT GENERAL HOSPITAL	NV	Humana	Humana Military Tricare	outpatient	negotiated	$14,340
ST. ROSE DOMINICAN - DELIMA	NV	Medicare	—	—	negotiated	$13,640
ST. ROSE DOMINICAN - SAN MARTIN	NV	Medicare	—	—	negotiated	$13,640
ST. ROSE DOMINICAN - SAN MARTIN	NV	Aetna	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - DELIMA	NV	Aetna	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - DELIMA	NV	Anthem BCBS	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - DELIMA	NV	Humana	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - SAN MARTIN	NV	Anthem BCBS	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - SAN MARTIN	NV	Humana	—	—	negotiated	$13,372
ST. ROSE DOMINICAN - DELIMA	NV	commercial \| sierra health options \| state of nv	—	—	negotiated	$13,183
ST. ROSE DOMINICAN - DELIMA	NV	commercial \| sierra health options \| prime	—	—	negotiated	$13,183
ST. ROSE DOMINICAN - SAN MARTIN	NV	commercial \| sierra health options \| state of nv	—	—	negotiated	$13,183
ST. ROSE DOMINICAN - DELIMA	NV	commercial \| health plan of nv \| all plans	—	—	negotiated	$8,992
ST. ROSE DOMINICAN - SAN MARTIN	NV	commercial \| health plan of nv \| all plans	—	—	negotiated	$8,992
ST. ROSE DOMINICAN - DELIMA	NV	commercial \| teachers health trust \| all plans	—	—	negotiated	$5,999.86
ST. ROSE DOMINICAN - SAN MARTIN	NV	commercial \| teachers health trust \| all plans	—	—	negotiated	$5,999.86
MT. GRANT GENERAL HOSPITAL	NV	Blue Cross Blue Shield	IBC Commercial HMO PPO	outpatient	negotiated	$5,505
MT. GRANT GENERAL HOSPITAL	NV	Blue Cross Blue Shield	IBC Indemnity	outpatient	negotiated	$5,505
MT. GRANT GENERAL HOSPITAL	NV	Blue Cross Blue Shield	IBC PPACA	outpatient	negotiated	$4,362
MT. GRANT GENERAL HOSPITAL	NV	keystone	Keystone First Medicaid	outpatient	negotiated	$3,634
MT. GRANT GENERAL HOSPITAL	NV	pa health & wellness	PA Health & Wellness Medicaid	outpatient	negotiated	$3,500
ST. ROSE DOMINICAN - SAN MARTIN	NV	commercial \| health services coalition \| all plans	—	—	negotiated	$3,200
ST. ROSE DOMINICAN - DELIMA	NV	commercial \| health services coalition \| all plans	—	—	negotiated	$3,200
MT. GRANT GENERAL HOSPITAL	NV	UnitedHealthcare	UHC Medicaid	outpatient	negotiated	$2,040
MT. GRANT GENERAL HOSPITAL	NV	health partners plan	Health Partners Plan Medicaid	outpatient	negotiated	$1,582
ST. ROSE DOMINICAN - SAN MARTIN	NV	Medicaid	—	—	negotiated	$1,391.87
ST. ROSE DOMINICAN - DELIMA	NV	Medicaid	—	—	negotiated	$1,391.87
ORTHOPEDIC SPECIALTY HOSPITAL	NV	[De-identified Max]	—	outpatient	max	$79,076
PAM REHAB HOSP OF CENTENNIAL HILLS	NV	[De-identified Max]	—	outpatient	max	$19,585
MT. GRANT GENERAL HOSPITAL	NV	[De-identified Max]	—	outpatient	max	$16,893
ST. ROSE DOMINICAN - SAN MARTIN	NV	[de-identified max]	—	—	max	$14,448
ST. ROSE DOMINICAN - DELIMA	NV	[de-identified max]	—	—	max	$14,448

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).