Rotator cuff repair Cost (2026) — Compare Hospital Prices

Rotator cuff repair is a surgical procedure. Prices are from 1603 US hospitals across 52 states, from their machine-readable files.

$5,501median cash price · 1603 hospitals, 52 statestypically $1,379–$19,182 depending on the hospital

≈ 6.9× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$8,428

Cash / self-pay

$5,501

Insurer-negotiated

$7,155

Medicare pays

$792

$1,379$19,182

Median cash $5,501 · Medicare $792 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $5,501 — about 6.9× the Medicare rate ($792). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,583).

💡 Asking for the cash price instead of the $8,428 list price could save about $2,927 (35%).

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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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Baptist Health Medical Center Heber Springs	Heber Springs, AR	$853	$10,592	★ 3/5	115 min	15.2%
Rochester General Hospital	Rochester, NY	$861	$1,086	★ 2/5	237 min	15.8%
Avera Queen of Peace	Mitchell, SD	$886	$2,307	★ 4/5	103 min	14.4%
Mon Health Medical Center	Morgantown, WV	$887	$1,565	★ 4/5	195 min	15.5%
Mon Health Marion	Whitehall, WV	$887	$1,565	—	90 min	15.1%
Braxton County Memorial Hospital, Inc	Gassaway, WV	$898	—	—	102 min	15.0%
St Joseph's Hospital of Buckhannon, Inc	Buckhannon, WV	$898	—	★ 3/5	142 min	16.4%
Ste Genevieve County Memorial Hospital	Sainte Genevieve, MO	$910	$715	★ 4/5	111 min	14.5%
Vanderbilt Bedford Hospital	Shelbyville, TN	$911	$1,497	★ 4/5	123 min	13.6%
Vanderbilt Tullahoma-Harton Hospital	Tullahoma, TN	$911	$1,440	★ 3/5	173 min	15.1%
Cameron Memorial Community Hospital Inc	Angola, IN	$928	$969	★ 3/5	166 min	14.3%
Potomac Valley Hospital	Keyser, WV	$938	—	★ 1/5	118 min	15.5%
Harrison Community Hospital	Cadiz, OH	$956	—	—	84 min	15.2%
Barnesville Hospital Association, Inc	Barnesville, OH	$956	$4,513	—	113 min	15.0%
Kau Hospital	Pahala, HI	$956	—	—	83 min	—
Southwestern Vermont Medical Center	Bennington, VT	$960	—	★ 3/5	196 min	15.8%
Ashtabula County Medical Center	Ashtabula, OH	$975	$3,004	★ 3/5	191 min	16.8%
Niagara Falls Memorial Medical Center	Niagara Falls, NY	$1,004	$9,013	★ 1/5	236 min	15.3%
King's Daughters Medical Center-Brookhaven	Brookhaven, MS	$1,007	$9,001	★ 3/5	136 min	15.3%
Hospital Pavia Caguas	Caguas, PR	$1,008	$491	—	—	17.1%
Grove Hill Memorial Hospital	Grove Hill, AL	$1,011	$6,698	—	162 min	—
Hugh Chatham Memorial Hospital	Elkin, NC	$1,041	$1,139	★ 3/5	171 min	15.1%
Regions Hospital	Saint Paul, MN	$1,042	$7,063	★ 3/5	226 min	14.1%
Artesia General Hospital	Artesia, NM	$1,050	$2,061	—	101 min	15.0%
Island Hospital	Anacortes, WA	$1,101	$4,241	★ 4/5	193 min	14.8%

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 August 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 Rotator cuff 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: $5,501; Medicare pays $792.

Insurer	Hospitals	Negotiated median
Medicaid	174	$300 $50 – $1,102
Medicare	305	$395 $69 – $6,984
Univera	14	$696 $102 – $1,139
Tricare / VA	202	$819 $80 – $8,454
AmeriHealth	133	$845 $122 – $13,315
Highmark	99	$914 $80 – $12,318
Geisinger	41	$1,007 $168 – $7,216
Independent Health	28	$1,073 $452 – $4,094
MVP Health Care	54	$1,086 $425 – $13,020
Sanford Health Plan	35	$1,138 $180 – $12,000
Priority Health	43	$1,563 $180 – $7,085
Blue Cross Blue Shield	870	$1,685 $115 – $15,619
Health Net	153	$1,901 $174 – $14,786
HealthPartners	117	$1,956 $180 – $9,333
Workers' Comp / No-Fault	54	$2,100 $1,861 – $12,850
UCare	41	$2,184 $570 – $7,661
Centene / Ambetter	554	$2,369 $120 – $10,737
Molina Healthcare	432	$2,399 $191 – $8,332
MultiPlan / PHCS network	250	$2,470 $180 – $11,472
Amerigroup	119	$2,518 $756 – $7,214
Bright Health	39	$2,720 $1,876 – $8,846
Coventry	60	$2,750 $180 – $11,606
Anthem	405	$2,798 $134 – $16,686
Harvard Pilgrim	30	$3,052 $773 – $12,375
Medica	79	$3,390 $768 – $8,467
UPMC Health Plan	66	$4,473 $712 – $16,739
Humana	708	$4,955 $443 – $14,540
SelectHealth	36	$5,307 $1,246 – $10,653
Aetna	930	$5,650 $759 – $12,431
Kaiser Permanente	154	$5,666 $134 – $21,078
UnitedHealthcare	1033	$6,664 $709 – $14,420
Security Health Plan	29	$6,866 $304 – $13,221
Devoted Health	107	$7,127 $3,228 – $7,915
Cigna	702	$7,321 $1,569 – $17,004
AvMed	36	$8,338 $558 – $24,023
Healthcare Highways	34	$8,398 $6,326 – $9,372
Oscar Health	145	$8,970 $3,485 – $14,192
EmblemHealth	43	$13,837 $2,139 – $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

State	Median cash
Vermont	$1,355
Puerto Rico	$2,004
Maine	$2,112
New Hampshire	$2,181
New York	$2,205
Maryland	$2,252

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Larry Field, MD	Orthopedic Surgery	Jackson, MS	136
Jesse West, M.D.	Orthopedic Surgery	Asheville, NC	113
Travis Snyder, PA-C	Physician Assistant	Asheville, NC	110
Peter Simonian, M.D.	Orthopedic Surgery	Fresno, CA	103
Robert Mckay, MD	Orthopedic Surgery	Olympia, WA	88
Brent Stephens, MD	Orthopedic Surgery	Melbourne, FL	83
Roger Chams, MD	Orthopedic Surgery	Libertyville, IL	83
Kevin Bonner, M.D.	Orthopedic Surgery	Virginia Beach, VA	79
Robert Stchur, MD	Orthopedic Surgery	Port Charlotte, FL	79
Howard Harris, MD	Orthopedic Surgery	Bedford, TX	77
Derek Cuff, M.D.	Orthopedic Surgery	Venice, FL	76
Kirstin Pickens, PA	Physician Assistant	Bedford, TX	75

Browse doctors by specialty & city →

Does Medicare cover Rotator cuff repair?

Yes — Medicare generally covers Rotator cuff repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $792. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $158 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1603 US hospitals across 52 states, the typical (median) cash price is $5,501, versus a chargemaster (list) price around $8,428, a median insurer-negotiated rate of $7,155, a Medicare rate of about $792. Most cash prices fall between $1,379 and $19,182 — 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 Rotator cuff repair cost without insurance?

The median cash (self-pay) price across 1603 US hospitals is $5,501. Most hospitals fall between $1,379 and $19,182. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Rotator cuff repair?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $792). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Rotator cuff repair?

Medicare pays about $792. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Rotator cuff 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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