Achilles tendon repair Cost by Hospital

Achilles tendon repair is a surgical procedure. Prices are from 1523 US hospitals across 52 states, from their machine-readable files.

$5,965median cash price · 1523 hospitals, 52 statestypically $1,220–$17,595 depending on the hospital
≈ 9.6× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$9,450
Cash / self-pay
$5,965
Insurer-negotiated
$6,871
Medicare pays
$624
$1,220$17,595
Median cash $5,965  ·  Medicare $624  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,965 — about 9.6× 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 $3,485 (37%).

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 — 48 min —
Prosser Memorial Hospital Prosser, WA $933 $756 ★ 3/5 112 min —
Boone Hospital Center Columbia, MO $937 — ★ 4/5 175 min —
Weeks Medical Center Lancaster, NH $937 $725 — 107 min —
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 ★ 4/5 118 min —
Red Bud Regional Hospital Red Bud, IL $948 $1,625 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $948 $846 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $948 $948 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $948 $958 ★ 2/5 127 min —
Ellis Hospital Schenectady, NY $978 $1,030 ★ 3/5 232 min —
Copley Hospital Morrisville, VT $987 $659 ★ 2/5 132 min —
Regional West Medical Center Scottsbluff, NE $992 $1,260 ★ 2/5 202 min —
Prowers Medical Center Lamar, CO $998 — — 118 min —
M Health Fairview Ridges Hospital Burnsville, MN $1,017 $1,951 ★ 4/5 190 min —
Ochsner Laird Hospital Union, MS $1,037 $834 — 102 min —
San Juan Hospital Monticello, UT $1,042 $1,339 — 128 min —
University of Texas Medical Branch Galveston Galveston, TX $1,043 $2,399 ★ 3/5 190 min —
York Hospital York, ME $1,061 — ★ 4/5 166 min —
Ascension Calumet Hospital Chilton, WI $1,069 $693 — 86 min —
Rochester General Hospital Rochester, NY $1,069 $706 ★ 2/5 233 min —
Ochsner Scott Regional Morton, MS $1,071 $834 — 82 min —
Southwest General Health Center Middleburg Heights, OH $1,088 $621 ★ 4/5 199 min —
St Gabriels Hospital Little Falls, MN $1,096 $1,077 ★ 4/5 141 min —

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 October 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: $5,965; Medicare pays $624.

InsurerHospitalsNegotiated median
Medicaid 161
$215
$34 – $752
Medicare 281
$284
$45 – $7,364
Univera 13
$546
$79 – $804
AmeriHealth 136
$608
$88 – $8,606
Geisinger 38
$608
$122 – $7,420
Tricare / VA 191
$645
$50 – $8,454
Highmark 97
$733
$51 – $14,089
Independent Health 22
$832
$342 – $8,758
MVP Health Care 50
$923
$212 – $9,594
Sanford Health Plan 30
$1,409
$499 – $11,848
Workers' Comp / No-Fault 50
$1,574
$1,574 – $11,008
UCare 35
$1,630
$465 – $7,501
Priority Health 37
$1,687
$429 – $6,967
Bright Health 39
$1,714
$1,257 – $5,995
HealthPartners 103
$1,810
$215 – $9,066
Blue Cross Blue Shield 823
$2,044
$57 – $15,254
Health Net 138
$2,140
$63 – $15,007
Centene / Ambetter 533
$2,160
$52 – $10,737
Medica 68
$2,202
$618 – $7,537
Harvard Pilgrim 21
$2,361
$776 – $6,853
MultiPlan / PHCS network 287
$2,470
$200 – $11,472
Amerigroup 119
$2,518
$432 – $7,239
Molina Healthcare 421
$2,638
$278 – $7,819
UPMC Health Plan 64
$2,734
$471 – $12,395
Security Health Plan 25
$3,009
$335 – $11,162
Anthem 388
$3,322
$59 – $10,063
Humana 664
$3,514
$319 – $8,664
Aetna 878
$4,336
$604 – $9,376
Coventry 66
$4,692
$236 – $13,336
AvMed 38
$5,095
$627 – $12,418
SelectHealth 31
$5,307
$1,339 – $11,432
Cigna 688
$6,010
$1,252 – $14,364
Kaiser Permanente 146
$6,353
$70 – $19,654
UnitedHealthcare 992
$6,539
$572 – $13,781
Devoted Health 105
$7,135
$1,555 – $8,032
Healthcare Highways 34
$7,300
$6,326 – $8,569
Oscar Health 155
$8,477
$3,542 – $14,192
EmblemHealth 48
$12,590
$2,131 – $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
Kentucky$1,434
Maine$1,652
Iowa$1,768
West Virginia$1,772

Prices by city

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

Prices by state

TexasCaliforniaOhioWisconsinFloridaPennsylvaniaNew YorkIllinoisNorth CarolinaMinnesotaColoradoMichiganTennesseeLouisianaIowaNew JerseyIndianaWashingtonArizonaGeorgiaKansasMaineMissouriMississippiNebraskaVirginiaWest VirginiaMassachusettsArkansasSouth CarolinaKentuckyIdahoOklahomaUtahAlabamaConnecticutNew HampshireNevadaMontanaOregonWyomingNew MexicoSouth DakotaNorth DakotaHawaiiVermontDelawareAlaskaMaryland

Does Medicare cover Achilles tendon repair?

Yes — Medicare generally covers Achilles tendon repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $624. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $125 — 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 1523 US hospitals across 52 states, the typical (median) cash price is $5,965, versus a chargemaster (list) price around $9,450, a median insurer-negotiated rate of $6,871, a Medicare rate of about $624. Most cash prices fall between $1,220 and $17,595 — 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 1523 US hospitals is $5,965. Most hospitals fall between $1,220 and $17,595. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Achilles tendon repair?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $624). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
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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