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 · HCPCS 23472 · STARKVILLE, MS

23472 — Reconstruct Shoulder Joint

What each payer pays OCH REGIONAL MEDICAL CENTER (CCN 250050) 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.

$5,038 All-payer median here
$3,224 Cash / self-pay here
28 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
   
MPCN $36,082 616.3% 1
Medicare (Generic) $15,117 200.1% 1
VA_PCCC $14,361 185.1% 1
UnitedHealthcare $5,038 0.0% 1
Molina Healthcare $5,038 0.0% 1
MOLINA_CHIP $5,038 0.0% 1
BLUECROSS $5,038 0.0% 1
MPCN-CHIP $5,038 0.0% 1
MSCAN_TRUECARE $5,038 0.0% 1
NORTH AMERICA ADMIN $5,038 0.0% 1
STATE_OF_MS $5,038 0.0% 1
TRICARE $5,038 0.0% 1
UMR (UnitedHealthcare TPA) $5,038 0.0% 1
GOLDEN RULE INSURANCE $5,038 0.0% 1
HUMANA_MA $5,038 0.0% 1
Magnolia Health (Centene Mississippi Medicaid) $5,038 0.0% 1
Centene $5,038 0.0% 1
GROUP_PENSION $4,534 -10.0% 1
UNITED-INTEGRATED $4,534 -10.0% 1
MPEEBT $4,282 -15.0% 1
PPOPLUS $3,778 -25.0% 1
UNITED-STUDENT $3,778 -25.0% 1
MultiPlan $3,778 -25.0% 1
Humana $3,526 -30.0% 1
HEALTHLINK $3,526 -30.0% 1
FOXEVERETT $3,526 -30.0% 1
Aetna $2,771 -45.0% 1
Cigna Healthcare $2,147 -57.4% 1

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.