CL TX SHOULDER DIS W/SUR NK FX at UPMC Mercy

Pittsburgh, PA

Pricing by billing methodology

Price type

How this price compares nationally

UPMC Mercy’s median price of $2.2k is 24% above the median hospital's median price ($1.7k), higher than 68% of the 1,829 hospitals reporting CPT 23675. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 23675 at UPMC Mercy

Negotiated rates from the hospital’s own file: 7 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
2	Highmark medicaid facility · fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$730	$730	—	—	—	$730 – $730
5	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
6	Aetna medicare facility · fee schedule · outpatient	$1.6k	$1.6k	$38	2%	—	$1.6k – $1.7k
7	Highmark managed care - social mission facility · fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
8	Amerihealth Caritas medicare facility · fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
9	Highmark medicare facility · fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
10	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
11	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
12	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
13	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
14	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
15	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
16	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
17	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
18	Highmark managed care facility · fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
19	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
20	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
21	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
22	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
23	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
24	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.8k	$2.8k	$570	20%	—	$2.3k – $3.4k
25	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$570	20%	—	$2.3k – $3.4k

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Last updated: Mar 6, 2026

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