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 23474 · ROYERSFORD, PA

23474 — Revis Reconst Shoulder Joint

What each payer pays PHYSICIANS CARE SURGICAL HOSPITAL (CCN 390324) 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.

$23,554 All-payer median here
$13,808 Cash / self-pay here
81 payer/plan-name variants
← This hospital National rates for 23474 →
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
   
Oxford Life Insurance Company $36,622 55.5% 1
UnitedHealthcare $36,622 55.5% 11
Allsavers $36,622 55.5% 1
UMR (UnitedHealthcare TPA) $36,622 55.5% 2
Surest (UHC) $36,622 55.5% 1
United Healthcare Choice Plus $36,622 55.5% 1
GOLDEN RULE INSURANCE $36,622 55.5% 1
Highmark BCBS $31,607 34.2% 2
Central Pa Teamsters $25,431 8.0% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $25,053 6.4% 1
Loomis $25,053 6.4% 1
Sana Benefits $25,053 6.4% 1
Apwu $25,053 6.4% 1
Cigna Healthcare $25,053 6.4% 8
Upmc Tower Health W/ Cigna $25,053 6.4% 1
Cwi Benefits $25,053 6.4% 1
Freedom Life Insurance Company $25,053 6.4% 1
Nalc Health $25,053 6.4% 1
Mvp Cigna $25,053 6.4% 1
CONNECTICARE (COMMERCIAL) $24,158 2.6% 1
Regence Blue Shield $23,554 0.0% 1
Amerihealth Administrators $23,554 0.0% 1
Horizon BCBS of NJ $23,554 0.0% 2
Keystone Hmo $23,554 0.0% 1
Keystone Direct Pos $23,554 0.0% 1
Independence BCBS $23,554 0.0% 14
Carefirst Administrators $23,554 0.0% 1
Bcbs Federal $23,554 0.0% 1
Blue Cross Blue Shield Association $23,554 0.0% 1
Capital BCBS $23,554 0.0% 1
Empire Plan $23,554 0.0% 1
Amerihealth New Jersey Hmo $23,554 0.0% 1
Anthem (Elevance Health) $23,554 0.0% 1
Independence Administrators $23,554 0.0% 1
UPMC Health Plan $20,187 -14.3% 2
Aetna Medicare Ppo $19,135 -18.8% 1
Aetna $19,135 -18.8% 20
Vibra Health Plan $17,261 -26.7% 1
Capital Blue Cross / CAIC $17,261 -26.7% 1
Csi Medicare Supplement $17,261 -26.7% 1
Devon Health Services $17,261 -26.7% 1
Erie Insurance Medicare Supplement $17,261 -26.7% 1
Geisinger Medicare Advantage $17,261 -26.7% 1
Gpm Health And Life Insurance Mc Supplement $17,261 -26.7% 1
HealthPartners $17,261 -26.7% 3
Humana $17,261 -26.7% 3
Medicare (Generic) $17,261 -26.7% 2
Medicare Novitas Solutions $17,261 -26.7% 1
Medicare Supplement Plan F- Mutual Of Omaha $17,261 -26.7% 1
Medicare Supplement Plan J $17,261 -26.7% 1
Medicare Supplemental/ Plan F $17,261 -26.7% 1
Novitas Solutions (JL) $17,261 -26.7% 1
Pcsh Aarp $17,261 -26.7% 1
Provider Partners Health Plan (PPHP) $17,261 -26.7% 1
Shenandoah Life $17,261 -26.7% 1
Spartan Plan Pa Medicare Advantage $17,261 -26.7% 1
TRICARE $17,261 -26.7% 1
UNIFIED HEALTH SERVICES $17,261 -26.7% 1
HealthEZ $15,878 -32.6% 2
GEHA (Government Employees Health Association) $15,878 -32.6% 2
Aetna Coventry Advantra $15,878 -32.6% 2
Continental Benefits $15,878 -32.6% 2
Ag Administrators Inc $15,878 -32.6% 2
Premier Care Network $15,878 -32.6% 2
Ag Administrators $15,878 -32.6% 2
MARPAI $15,878 -32.6% 2
Allied Benefits Systems $15,878 -32.6% 2
Aetna Ip $15,878 -32.6% 2
Trustmark $15,878 -32.6% 2
Allied Benefit Systems $15,878 -32.6% 2
Meritain Health $15,878 -32.6% 2
Meritan Health Aetna $15,878 -32.6% 2
Aetna Op $15,878 -32.6% 2
LUCENT HEALTH $15,878 -32.6% 2
Centene $2,850 -87.9% 1
AmeriHealth Caritas Pennsylvania Community HealthChoices $2,850 -87.9% 1
Straight Access $2,850 -87.9% 1
Upmc Health Plan - Medicaid $2,850 -87.9% 1
Keystone First Vip Choice $2,850 -87.9% 1
Keystone First $2,850 -87.9% 3
Medicaid (Generic) $2,850 -87.9% 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.