Achilles tendon repair Cost by Hospital

Achilles tendon repair is a surgical procedure. Prices are from 1478 US hospitals across 52 states, from their machine-readable files.

$5,862median cash price · 1478 hospitals, 52 statestypically $1,227–$18,791 depending on the hospital
≈ 9.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$9,450
Cash / self-pay
$5,862
Insurer-negotiated
$6,914
Medicare pays
$624
$1,227$18,791
Median cash $5,862  ·  Medicare $624  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,862 — about 9.4× the Medicare rate ($624). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,249).

💡 Asking for the cash price instead of the $9,450 list price could save about $3,588 (38%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Family Health West Hospital Fruita, CO $929 $5,231 — — 15.2%
Prosser Memorial Hospital Prosser, WA $933 $756 ★ 3/5 126 min 15.2%
Boone Hospital Center Columbia, MO $937 — ★ 4/5 176 min 13.6%
Weeks Medical Center Lancaster, NH $937 $725 — 106 min 14.6%
Children's Mercy South Overland Park, KS $940 $1,194 — — —
The Children's Mercy Hospital Kansas City, MO $940 $1,194 — — —
Alice Peck Day Memorial Hospital Lebanon, NH $947 $1,358 ★ 4/5 120 min 15.3%
Red Bud Regional Hospital Red Bud, IL $948 $1,625 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $948 $846 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $948 $948 ★ 5/5 128 min —
Deaconess Henderson Hospital Henderson, KY $948 $958 ★ 2/5 127 min 15.1%
Ellis Hospital Schenectady, NY $978 $1,030 ★ 3/5 232 min 14.9%
Copley Hospital Morrisville, VT $987 $659 ★ 2/5 136 min 14.9%
Regional West Medical Center Scottsbluff, NE $992 $1,260 ★ 2/5 201 min 14.9%
Prowers Medical Center Lamar, CO $998 — — 133 min —
M Health Fairview Ridges Hospital Burnsville, MN $1,017 $1,951 ★ 4/5 193 min 13.8%
Ochsner Laird Hospital Union, MS $1,037 $834 — 101 min 15.4%
San Juan Hospital Monticello, UT $1,042 $1,339 — 122 min 14.9%
University of Texas Medical Branch Galveston Galveston, TX $1,043 $2,399 ★ 3/5 191 min 16.0%
York Hospital York, ME $1,061 — ★ 4/5 172 min 14.8%
Ascension Calumet Hospital Chilton, WI $1,069 $693 — 83 min —
Rochester General Hospital Rochester, NY $1,069 $706 ★ 2/5 237 min 15.8%
Ochsner Scott Regional Morton, MS $1,071 $834 — 79 min 14.9%
St Gabriels Hospital Little Falls, MN $1,096 $1,077 ★ 4/5 139 min 14.7%
Calais Community Hospital Calais, ME $1,106 $1,170 — 160 min 15.0%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Achilles tendon repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $5,862; Medicare pays $624.

InsurerHospitalsNegotiated median
Medicaid 156
$215
$34 – $736
Medicare 277
$280
$45 – $7,343
Univera 13
$546
$79 – $804
AmeriHealth 122
$608
$88 – $8,851
Geisinger 38
$608
$122 – $7,420
Tricare / VA 188
$635
$50 – $8,454
Highmark 91
$733
$51 – $14,193
Independent Health 21
$832
$342 – $1,687
MVP Health Care 50
$923
$212 – $9,552
Sanford Health Plan 30
$1,409
$499 – $11,848
Workers' Comp / No-Fault 50
$1,574
$1,574 – $11,008
UCare 34
$1,630
$465 – $7,502
Priority Health 38
$1,689
$429 – $6,967
Bright Health 39
$1,714
$1,257 – $5,995
HealthPartners 101
$1,795
$215 – $9,200
Blue Cross Blue Shield 815
$2,031
$57 – $15,254
Health Net 135
$2,140
$59 – $14,839
Centene / Ambetter 516
$2,160
$51 – $10,737
Medica 67
$2,227
$605 – $7,537
Harvard Pilgrim 22
$2,361
$776 – $6,805
MultiPlan / PHCS network 276
$2,470
$195 – $11,472
Amerigroup 115
$2,518
$405 – $7,219
Molina Healthcare 399
$2,638
$236 – $7,936
Security Health Plan 24
$2,711
$335 – $11,256
UPMC Health Plan 50
$2,734
$471 – $16,739
Anthem 352
$3,266
$57 – $10,063
Humana 636
$3,514
$317 – $8,628
Aetna 839
$4,638
$600 – $9,388
SelectHealth 31
$5,307
$1,339 – $11,432
Coventry 64
$5,705
$161 – $14,418
Cigna 658
$6,010
$1,350 – $14,433
Kaiser Permanente 146
$6,353
$70 – $17,695
UnitedHealthcare 950
$6,690
$572 – $13,913
AvMed 34
$7,042
$440 – $11,304
Devoted Health 91
$7,164
$1,555 – $8,032
Healthcare Highways 34
$7,300
$6,326 – $8,569
Oscar Health 138
$8,212
$3,549 – $14,192
EmblemHealth 36
$14,026
$1,944 – $57,245

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Vermont$1,055
New Hampshire$1,294
Maine$1,379
Kentucky$1,434
North Dakota$1,522
Iowa$1,768

Prices by city

Chicago, ILAustin, TXDallas, TXFort Worth, TXPhiladelphia, PAHouston, TXKansas City, MONew York, NYPittsburgh, PASacramento, CASan Antonio, TXCharlotte, NCCincinnati, OHLos Angeles, CAPlano, TXArlington, TXBronx, NYBrooklyn, NYNashville, TNOmaha, NERochester, NYSan Francisco, CAAurora, COColorado Springs, CO

Prices by state

TexasCaliforniaOhioWisconsinFloridaNew YorkPennsylvaniaIllinoisNorth CarolinaMinnesotaColoradoMichiganTennesseeLouisianaIowaIndianaNew JerseyWashingtonGeorgiaArizonaMaineMissouriKansasMississippiVirginiaNebraskaWest VirginiaMassachusettsArkansasSouth CarolinaKentuckyIdahoOklahomaUtahAlabamaNew HampshireConnecticutNevadaMontanaNorth DakotaWyomingOregonNew MexicoSouth DakotaHawaiiVermontDelawareAlaskaMaryland

About these prices

Based on prices published by 1478 US hospitals across 52 states, the typical (median) cash price is $5,862, versus a chargemaster (list) price around $9,450, a median insurer-negotiated rate of $6,914, a Medicare rate of about $624. Most cash prices fall between $1,227 and $18,791 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Achilles tendon repair cost without insurance?
The median cash (self-pay) price across 1478 US hospitals is $5,862. Most hospitals fall between $1,227 and $18,791. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Achilles tendon repair?
Medicare pays about $624. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Achilles tendon repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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