Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 23472 · BATESVILLE, AR

23472 — Reconstruct Shoulder Joint

What each payer pays WHITE RIVER MEDICAL CENTER (CCN 040119) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$18,008 All-payer median here
$2,454 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for 23472 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Provider Network of America (PNOA) $28,813 60.0% 2
QualChoice (Alliance) WRMC $27,585 53.2% 2
Ambetter WRMC $25,211 40.0% 2
Allwell (Centene Medicare Advantage) $18,909 5.0% 2
WellCare Health Plans $18,909 5.0% 2
Cigna Healthcare $18,548 3.0% 2
Vantage HealthPlan Medicare Advantage WRMC $18,368 2.0% 2
Medipak Advantage WRMC $18,008 0.0% 2
Arkansas Superior Select WRMC $18,008 0.0% 2
BCBS Medicare Advantage WRMC $18,008 0.0% 2
HMO Partners Inc WRMC $18,008 0.0% 2
Optum VA - White River $18,008 0.0% 2
UMR (UnitedHealthcare TPA) $18,008 0.0% 2
UnitedHealthcare $18,008 0.0% 4
BCBS - WRMC $13,270 -26.3% 2
Aetna $12,084 -32.9% 6
Centene $12,084 -32.9% 4
MultiPlan $2,290 -87.3% 2
Municipal Health Benefit Fund $1,832 -89.8% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.