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HCPCS 23472

Reconstruct shoulder joint

Reported by 299 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 205–1,051 billing samples across every hospital reporting.

Low

$932

Average

$19.1k

Median

$19.2k

High

$78.0k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Sonora Community HospitalSonora, CA$1.6k$1.9k$1.0k24–240$581$4.5k
2Hmh Hospitals CorporationHackensack, NJ$15.7k$14.6k$6.9k24–114$2.7k$30.8k
3Hmh Hospitals CorporationBrick, NJ$10.8k$12.9k$7.0k24–78$1.6k$27.4k
4Hmh Hospitals CorporationNeptune City, NJ$14.2k$14.1k$6.7k18–72$1.8k$27.5k
5Hmh Hospitals CorporationRed Bank, NJ$10.8k$13.0k$7.1k7–70$1.9k$27.2k
6University of Florida HealthGainesville, FL$18.3k$15.1k$7.7k32–41$5.0k$33.2k
7Santa Monica UCLA Medical Center and Orthopaedic HospitalSanta Monica, CA$22.6k$25.0k$12.3k36$6.0k$64.7k
8Hmh Hospitals CorporationManahawkin, NJ$13.1k$12.9k$7.0k6–60$1.5k$27.2k
9Hmh Hospitals CorporationPerth Amboy, NJ$8.9k$11.7k$7.3k4–40$2.4k$26.9k
10Hmh Hospitals CorporationOld Bridge, NJ$8.9k$11.7k$7.3k4–40$2.4k$26.9k
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