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 · HCPCS 23472 · VERNON, TX

23472 — Reconstruct Shoulder Joint

What each payer pays WILBARGER GENERAL HOSPITAL (CCN 450584) 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.

$25,063 All-payer median here
$34,490 Cash / self-pay here
33 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
   
Cigna Healthcare $49,724 98.4% 1
Humana $49,671 98.2% 2
USA MCO PPO-ALL PLANS $48,861 95.0% 1
CORVEL $48,861 95.0% 1
HEALTHSMART BENEFIT SOLUTIONS $48,861 95.0% 1
PROVIDER SELECT INC, PPO-ALL PLANS $48,861 95.0% 1
Three Rivers Provider Network $48,861 95.0% 1
BLUE CROSS POS/PPO-ALL OTHER PLANS $45,987 83.5% 1
CAP STAR HEALTH NETWORK-ALL PLANS $45,987 83.5% 1
Prime Health Services $40,239 60.6% 1
Healthcare Highways $37,365 49.1% 1
PARTNERS DIRECT HLTH - ALL PLANS $37,365 49.1% 1
TRICARE $35,525 41.7% 2
Aetna $35,300 40.8% 2
COMM HEALTH CHOICE STAR $26,316 5.0% 1
COMM HLTH CHOICE HMO $26,316 5.0% 1
Superior HealthPlan $25,063 0.0% 1
Baylor Scott & White Health $25,063 0.0% 1
COMM HEALTH CHOICE CHIP $25,063 0.0% 1
COMM HEALTH CHOICE PERINATE - ALL OTHER PLANS $25,063 0.0% 1
UnitedHealthcare $25,063 0.0% 3
Amerigroup $25,063 0.0% 5
Molina Healthcare $25,063 0.0% 1
BCBS MCAID $25,063 0.0% 1
TEXAS CHILDREN'S HEALTH PLAN $25,063 0.0% 1
Centene $20,751 -17.2% 2
UNIVERSAL AMERICAN $19,336 -22.9% 2
BCBS MCR ADV HMO $18,864 -24.7% 1
MultiPlan $18,864 -24.7% 1
BCBS MCR ADV $18,864 -24.7% 1
PGBA TRIWEST VA CCN $18,298 -27.0% 1
BCBS BLUE ADV $1,734 -93.1% 1
BCBS of Florida (Florida Blue) $1,719 -93.1% 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.