Price Transparencybeta 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 23412 · SPEARFISH, SD

23412 — Repair Rotator Cuff Chronic

What each payer pays MONUMENT HEALTH SPEARFISH HOSPITAL (CCN 430048) 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.

$37,534 All-payer median here
$71,743 Cash / self-pay here
29 payer/plan-name variants
← This hospital National rates for 23412 →
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
   
TLC Advantage of Sioux Falls $37,534 0.0% 2
ALLIED BENEFIT SYSTEMS INC [3081320] $37,534 0.0% 2
AVERA HEALTH PLANS 46045 [3081018] $37,534 0.0% 2
UnitedHealthcare $37,534 0.0% 8
UMR (UnitedHealthcare TPA) $37,534 0.0% 2
Cigna Healthcare $37,534 0.0% 6
CORESOURCE 38225 [3081146] $37,534 0.0% 2
EMPLOYEE BENEFIT MANAGEMENT 12X44 [3081079] $37,534 0.0% 2
Employee Benefit Services d/b/a Key Benefit Administrators $37,534 0.0% 2
FEDMED INC [3081283] $37,534 0.0% 2
GEHA (Government Employees Health Association) $37,534 0.0% 6
GOLDEN RULE INSURANCE $37,534 0.0% 2
GROUP AND PENSION ADMINISTRATORS INC [3081098] $37,534 0.0% 2
HealthPartners $37,534 0.0% 6
Aetna $37,534 0.0% 6
Medica $37,534 0.0% 8
Meritain Health $37,534 0.0% 4
Midlands Choice $37,534 0.0% 2
MultiPlan $37,534 0.0% 2
NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149] $37,534 0.0% 4
PacificSource $37,534 0.0% 2
PREFERRED ONE 41147 [3081160] $37,534 0.0% 2
ROCKY MOUNTAIN ADMIN LLC 83028 [3081168] $37,534 0.0% 2
Sanford Health $37,534 0.0% 2
Surest (UHC) $37,534 0.0% 2
Humana $21,505 -42.7% 4
BLUE CROSS BLUE SHIELD FEDERAL SB889 [3081027] $11,650 -69.0% 2
Wellmark BCBS $11,650 -69.0% 2
BLUE CROSS MEDICARE BLUE SB889 [3081024] $5,477 -85.4% 4

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.