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 23472 · VERNAL, UT

23472 — Reconstruct Shoulder Joint

What each payer pays ASHLEY REGIONAL MEDICAL CENTER (CCN 460030) 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.

$32,723 All-payer median here
$27,451 Cash / self-pay here
36 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
   
Bcbs Of Ut $52,845 61.5% 2
EDUCATORS MUTUAL INSURANCE (EMI) $41,845 27.9% 2
Molina Healthcare $41,845 27.9% 2
MultiPlan $41,585 27.1% 2
MEGA Life and Health Insurance Company $41,065 25.5% 2
Pai $41,065 25.5% 2
Rocky Mountain $41,065 25.5% 2
GEHA (Government Employees Health Association) $40,805 24.7% 2
Wise Provider Network - Ibew $40,545 23.9% 2
Arches $40,545 23.9% 2
Embs $40,545 23.9% 2
MAIL HANDLERS BENEFIT PLAN $40,545 23.9% 2
National Rural Electric $40,545 23.9% 2
Principal Financial $40,545 23.9% 2
TALL TREE ADMINISTRATORS $40,545 23.9% 2
Wise $40,545 23.9% 2
Utah Health $40,285 23.1% 2
University Of Utah $36,930 12.9% 2
UMR (UnitedHealthcare TPA) $36,566 11.7% 2
Centene $35,721 9.2% 2
Meriben Group $35,656 9.0% 2
Aetna $35,656 9.0% 4
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $33,368 2.0% 4
Vitori Health $33,264 1.7% 2
Cigna Healthcare $32,978 0.8% 2
UnitedHealthcare $32,723 0.0% 6
Humana $32,723 0.0% 4
DESERET MUTUAL BENEFIT ADMINISTRATORS $32,723 0.0% 4
ALTIUS HEALTH PLANS $32,723 0.0% 4
SelectHealth $32,497 -0.7% 4
PEHP (Public Employees Health Program) $31,626 -3.4% 2
Liberty Health $26,939 -17.7% 2
American Health Plan Of Utah $25,617 -21.7% 2
TRICARE $25,176 -23.1% 2
Anthem (Elevance Health) $25,176 -23.1% 2
Managed Medicare 100% $25,176 -23.1% 2

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.