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 23473 · SPRINGFIELD, OH

23473 — Revis Reconst Shoulder Joint

What each payer pays OHIO VALLEY SURGICAL HOSPITAL (CCN 360355) 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.

$12,263 All-payer median here
$23,901 Cash / self-pay here
60 payer/plan-name variants
← This hospital National rates for 23473 →
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
   
Preferred Health $35,852 192.4% 2
Medben $35,852 192.4% 2
LUMINARE HEALTH KC $35,852 192.4% 1
Ohio Health $35,852 192.4% 1
Medical Mutual of Ohio $25,096 104.6% 19
Self Pay Medicare $23,901 94.9% 3
Sbma $19,665 60.4% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $19,665 60.4% 1
Cigna Healthcare $19,665 60.4% 30
Unified Group $19,665 60.4% 1
Samba $19,665 60.4% 1
Nalc $19,665 60.4% 1
Bluecrossblueshieldfeddonotuse $19,171 56.3% 1
Blue Cross Blue Shield Association $19,171 56.3% 23
CareSource $18,395 50.0% 9
Devoted Health $14,683 19.7% 3
EMPLOYER DIRECT HEALTHCARE $13,414 9.4% 1
The Health Plan of West Virginia, Inc. $12,876 5.0% 1
Medicare (Generic) $12,263 0.0% 4
Molina Healthcare $12,263 0.0% 11
AULTCARE/PRIMETIME HEALTH PLAN $12,263 0.0% 1
American Continental Insurance $12,263 0.0% 1
American Continental Life $12,263 0.0% 1
American Republic $12,263 0.0% 1
American Retirement $12,263 0.0% 1
Americo Medicare Supplement $12,263 0.0% 1
Anthem (Elevance Health) $12,263 0.0% 3
Bankers Fidelity $12,263 0.0% 1
Bankers Life And Casualty $12,263 0.0% 1
BCBS of Illinois $12,263 0.0% 4
Buckeye Health Plan $12,263 0.0% 4
CENTRAL STATES HEALTH & LIFE CO OF OMAHA MEDICARE SUPPLEMENT $12,263 0.0% 1
Communicare Advantage $12,263 0.0% 1
EVEREST SUPPLEMENTAL MEDICAL EXPENSE POLICY $12,263 0.0% 1
Gateway Health Plan $12,263 0.0% 1
Humana $12,263 0.0% 9
Kskj Life Medicare $12,263 0.0% 1
Lumico Medicare $12,263 0.0% 1
PARAMOUNT HEALTH CARE $12,263 0.0% 3
Patient No Pay $12,263 0.0% 1
Prosperity Supplement $12,263 0.0% 1
Self Pay Imaging $12,263 0.0% 1
Sierra Medicare $12,263 0.0% 1
TRICARE $12,263 0.0% 9
UnitedHealthcare $12,263 0.0% 30
VA / CHAMPVA $12,263 0.0% 4
WellCare Health Plans $12,263 0.0% 2
Western United Life Medicare $12,263 0.0% 1
Wraparound Pl Supp $12,263 0.0% 1
Aetna $7,074 -42.3% 34
UMR (UnitedHealthcare TPA) $4,719 -61.5% 1
PacificSource $1,886 -84.6% 1
Genworth $1,886 -84.6% 1
Nippon Life $1,886 -84.6% 2
Mhbp $1,886 -84.6% 1
GEHA (Government Employees Health Association) $1,886 -84.6% 3
Meritain Health $1,886 -84.6% 3
Mail Handlers $1,886 -84.6% 1
Personify Health $1,886 -84.6% 1
Ngs Coresource $1,886 -84.6% 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.