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 · BLAIR, NE

23472 — Reconstruct Shoulder Joint

What each payer pays MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM (CCN 281359) 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.

$2,169 All-payer median here
$3,209 Cash / self-pay here
16 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
   
MULTIPLAN (PHCS)-ALL PLANS $3,376 55.7% 1
Midlands Choice $2,670 23.1% 1
AETNA RENTAL PROFEE ONLY $2,635 21.5% 1
BCBS of Nebraska $2,391 10.3% 1
Aetna $2,390 10.2% 1
Amerigroup $2,291 5.6% 1
WellCare Health Plans $2,269 4.6% 1
Centene $2,204 1.6% 1
NE TOTAL CARE MCAID-ALL OTHER PLANS $2,161 -0.3% 1
AETNA WHOLE HEALTH ACO PROFEE ONLY $2,117 -2.4% 1
Medica $1,764 -18.6% 2
UnitedHealthcare $1,615 -25.5% 4
NE TOTAL CARE COMM EXCH OP/PROFEE ONLY $1,247 -42.5% 1
Humana $1,200 -44.7% 1
TRICARE $1,176 -45.8% 1
BCBS MCR ADV $1,176 -45.8% 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.