Shoulder arthroscopy Cost (2026) — Compare Hospital Prices

Shoulder arthroscopy is a surgical procedure. Prices are from 1502 US hospitals across 52 states, from their machine-readable files.

$5,806median cash price · 1502 hospitals, 52 statestypically $1,618–$20,320 depending on the hospital

≈ 6.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$9,128

Cash / self-pay

$5,806

Insurer-negotiated

$7,149

Medicare pays

$962

$1,618$20,320

Median cash $5,806 · Medicare $962 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $5,806 — about 6.0× the Medicare rate ($962). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,925).

💡 Asking for the cash price instead of the $9,128 list price could save about $3,321 (36%).

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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Pratt Regional Medical Center	Pratt, KS	$879	$2,441	★ 4/5	99 min	14.2%
Bassett Healthcare	Cooperstown, NY	$966	$1,028	★ 2/5	199 min	15.6%
Livingston Hospital and Healthcare Services, Inc	Salem, KY	$980	$736	★ 4/5	103 min	15.6%
Hospital Pavia Caguas	Caguas, PR	$1,000	$689	—	—	17.1%
Canton-Potsdam Hospital	Potsdam, NY	$1,011	$1,016	★ 2/5	137 min	15.6%
Southwestern Vermont Medical Center	Bennington, VT	$1,041	—	★ 3/5	196 min	15.8%
Red Bud Regional Hospital	Red Bud, IL	$1,064	$1,714	★ 4/5	121 min	15.6%
Braxton County Memorial Hospital, Inc	Gassaway, WV	$1,095	—	—	102 min	15.0%
St Joseph's Hospital of Buckhannon, Inc	Buckhannon, WV	$1,095	—	★ 3/5	142 min	16.4%
Summersville Regional Medical Center	Summersville, WV	$1,117	—	★ 2/5	140 min	15.1%
Ste Genevieve County Memorial Hospital	Sainte Genevieve, MO	$1,135	$926	★ 4/5	111 min	14.5%
Cameron Memorial Community Hospital Inc	Angola, IN	$1,137	$1,094	★ 3/5	166 min	14.3%
San Juan Hospital	Monticello, UT	$1,146	$1,067	—	122 min	14.9%
Potomac Valley Hospital	Keyser, WV	$1,151	—	★ 1/5	118 min	15.5%
Harrison Community Hospital	Cadiz, OH	$1,163	—	—	84 min	15.2%
Barnesville Hospital Association, Inc	Barnesville, OH	$1,163	$4,513	—	113 min	15.0%
Kau Hospital	Pahala, HI	$1,170	—	—	83 min	—
Hugh Chatham Memorial Hospital	Elkin, NC	$1,178	$1,166	★ 3/5	171 min	15.1%
Grove Hill Memorial Hospital	Grove Hill, AL	$1,262	$6,698	—	162 min	—
Artesia General Hospital	Artesia, NM	$1,296	$3,990	—	101 min	15.0%
Jackson General Hospital	Ripley, WV	$1,310	—	★ 3/5	133 min	14.8%
Deaconess Hospital Inc	Evansville, IN	$1,313	$1,309	★ 2/5	189 min	15.3%
The Women's Hospital	Newburgh, IN	$1,313	$2,715	★ 5/5	128 min	—
Deaconess Henderson Hospital	Henderson, KY	$1,313	$4,609	★ 2/5	127 min	15.1%
North Central Surgical Center Llp	Dallas, TX	$1,355	$7,795	—	107 min	14.2%

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 July 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 Shoulder arthroscopy

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: $5,806; Medicare pays $962.

Insurer	Hospitals	Negotiated median
Medicaid	145	$398 $66 – $974
Medicare	250	$498 $81 – $7,511
Univera	14	$854 $124 – $1,284
Tricare / VA	167	$1,028 $466 – $8,454
AmeriHealth	128	$1,143 $166 – $13,315
Geisinger	38	$1,146 $229 – $7,527
Independent Health	21	$1,299 $511 – $4,094
Highmark	83	$1,355 $422 – $14,497
MVP Health Care	48	$1,393 $745 – $12,361
Bright Health	36	$1,714 $1,257 – $5,995
Sanford Health Plan	26	$1,919 $778 – $12,650
Priority Health	38	$2,155 $805 – $6,967
Workers' Comp / No-Fault	41	$2,202 $2,169 – $13,155
HealthPartners	100	$2,391 $467 – $11,038
Centene / Ambetter	515	$2,394 $431 – $10,883
Amerigroup	114	$2,518 $721 – $7,247
Molina Healthcare	398	$2,638 $488 – $8,745
MultiPlan / PHCS network	212	$3,250 $467 – $11,743
UPMC Health Plan	57	$3,468 $873 – $16,739
Health Net	132	$3,554 $385 – $16,280
Harvard Pilgrim	24	$3,669 $1,206 – $12,808
Blue Cross Blue Shield	799	$3,679 $431 – $16,869
Medica	62	$4,168 $974 – $10,876
Coventry	52	$4,605 $1,080 – $11,624
SelectHealth	33	$5,307 $1,978 – $12,599
Aetna	861	$6,194 $994 – $13,140
UCare	35	$6,273 $781 – $12,385
Humana	641	$6,552 $945 – $19,994
Anthem	359	$6,818 $479 – $16,686
Cigna	647	$6,865 $1,732 – $22,301
Security Health Plan	25	$7,111 $948 – $13,221
Devoted Health	103	$7,124 $6,542 – $7,887
UnitedHealthcare	929	$7,151 $934 – $16,517
Kaiser Permanente	140	$7,179 $467 – $21,078
Oscar Health	133	$8,970 $3,549 – $14,192
Healthcare Highways	34	$8,991 $8,517 – $9,565
EmblemHealth	39	$14,026 $2,157 – $57,245
AvMed	33	$19,079 $1,497 – $27,374

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
Puerto Rico	$1,000
New Hampshire	$1,626
Vermont	$1,631
New York	$2,295
Michigan	$2,524
Arkansas	$2,675

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
Calvin Oishi, M.D.	Orthopedic Surgery	Aiea, HI	40
David Higgins, M.D.	Orthopedic Surgery	Olney, MD	33
David Higgins, M.D.	Orthopedic Surgery	Olney, MD	33
Kevin Murphy, MD	Orthopedic Surgery	Jacksonville, FL	26
Jon Orjala, D.O.	Orthopedic Surgery	Owasso, OK	26
Greer Noonburg, MD	Orthopedic Surgery	Savannah, GA	23
Richard Harrison, M.D.	Hand Surgery	Melbourne, FL	23
David Gotham, DO	Orthopedic Surgery	Rocklin, CA	19
Todd Horton, MD	Orthopedic Surgery	Kingsport, TN	18
Ralph Garretson, MD	Orthopedic Surgery	Warrenton, VA	16
Andrew Millis, M.D.	Orthopedic Surgery	Cincinnati, OH	14
Danya Julson, D.O.	Orthopedic Surgery	Tulsa, OK	13

Browse doctors by specialty & city →

Does Medicare cover Shoulder arthroscopy?

Yes — Medicare generally covers Shoulder arthroscopy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $962. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $192 — 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 1502 US hospitals across 52 states, the typical (median) cash price is $5,806, versus a chargemaster (list) price around $9,128, a median insurer-negotiated rate of $7,149, a Medicare rate of about $962. Most cash prices fall between $1,618 and $20,320 — 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 Shoulder arthroscopy cost without insurance?

The median cash (self-pay) price across 1502 US hospitals is $5,806. Most hospitals fall between $1,618 and $20,320. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Shoulder arthroscopy?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $962). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Shoulder arthroscopy?

Medicare pays about $962. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Shoulder arthroscopy 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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