Payer comparison · HCPCS 23474 · TOMAH, WI

23474 — Revis Reconst Shoulder Joint

What each payer pays TOMAH MEMORIAL HOSPITAL (CCN 521320) 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.

$1,407 All-payer median here

$3,126 Cash / self-pay here

19 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

THE ALLIANCE - ALL PLANS	$5,981	325.0%	1
Cigna Healthcare	$5,273	274.7%	2
Humana	$5,028	257.3%	1
QUARTZ COMM - ALL OTHER PLANS	$4,892	247.6%	1
SECURITY HP COMM - ALL OTHER PLANS	$4,621	228.3%	1
BCBS COMM - ALL OTHER PLANS	$3,847	173.4%	1
Aetna	$3,120	121.7%	2
UnitedHealthcare	$1,764	25.3%	2
VA / CHAMPVA	$1,407	0.0%	1
BCBS MCR ADV	$1,407	0.0%	1
GROUP HLTH MCR ADV - ALL PLANS	$1,407	0.0%	1
INDEPENDENT CARE MCR - ALL OTHER PLANS	$1,407	0.0%	1
QUARTZ MCR ADV	$1,407	0.0%	1
SECURITY HP MCR ADV	$1,407	0.0%	1
SECURITY HP MCAID	$1,321	-6.1%	1
BCBS MCAID	$1,321	-6.1%	1
MANAGED HLTH MCAID - ALL PLANS	$1,321	-6.1%	1
INDEPENDENT CARE MCAID	$1,321	-6.1%	1
QUARTZ MCAID	$1,189	-15.5%	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.