Removal of extensive shoulder joint tissue using an endoscope
Medicare pricing data for 11,575 providers across 52 states
This procedure has a 15.2x markup — hospitals charge $3,813 but Medicare allows only $250.49. Uninsured patients may face bills 15.2 times higher than what insurance negotiates. Prices vary significantly by location — from $95 in South Dakota to $341 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of extensive shoulder joint tissue using an endoscope (HCPCS code 29823) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $250.49, but hospitals typically charge $3,813 — a 15.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $250.49, your out-of-pocket cost would be approximately $50.10. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 15.2x more than what Medicare allows for this procedure. Medicare actually pays $199.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $341 | $7,069 | 39 | 111 | +36.2% |
| California | $326 | $4,226 | 890 | 6,219 | +30.0% |
| Washington | $320 | $2,619 | 285 | 1,541 | +27.6% |
| Tennessee | $315 | $4,379 | 264 | 1,728 | +25.6% |
| Delaware | $306 | $4,459 | 41 | 533 | +22.3% |
| Wyoming | $303 | $5,114 | 37 | 229 | +20.9% |
| Connecticut | $303 | $4,996 | 157 | 671 | +20.8% |
| Utah | $289 | $3,165 | 106 | 451 | +15.4% |
| Nevada | $281 | $3,861 | 111 | 1,515 | +12.4% |
| Maryland | $280 | $4,824 | 253 | 2,119 | +11.9% |
| New York | $274 | $4,789 | 679 | 3,147 | +9.3% |
| Oregon | $270 | $2,350 | 132 | 724 | +7.7% |
| New Mexico | $266 | $3,069 | 29 | 207 | +6.0% |
| Colorado | $265 | $3,801 | 297 | 1,482 | +5.9% |
| Virginia | $265 | $3,428 | 279 | 2,183 | +5.8% |
| Georgia | $262 | $4,712 | 368 | 1,976 | +4.4% |
| Michigan | $257 | $3,425 | 302 | 1,569 | +2.6% |
| New Hampshire | $257 | $5,331 | 81 | 515 | +2.5% |
| Minnesota | $257 | $3,307 | 188 | 595 | +2.5% |
| Missouri | $253 | $4,719 | 232 | 1,260 | +1.1% |
| Illinois | $252 | $4,965 | 458 | 2,124 | +0.4% |
| Arizona | $252 | $3,406 | 262 | 1,861 | +0.4% |
| Rhode Island | $249 | $2,742 | 50 | 247 | -0.7% |
| Pennsylvania | $245 | $3,058 | 457 | 2,322 | -2.3% |
| Ohio | $241 | $3,049 | 405 | 2,147 | -3.9% |
| Florida | $241 | $4,207 | 841 | 5,888 | -3.9% |
| Mississippi | $240 | $3,499 | 90 | 711 | -4.4% |
| District of Columbia | $239 | $2,860 | 15 | 105 | -4.4% |
| New Jersey | $237 | $7,415 | 348 | 1,568 | -5.5% |
| North Carolina | $235 | $3,638 | 382 | 2,466 | -6.0% |
| Iowa | $233 | $2,759 | 114 | 666 | -6.8% |
| Arkansas | $229 | $2,265 | 101 | 780 | -8.7% |
| Puerto Rico | $228 | $859 | 15 | 45 | -9.0% |
| North Dakota | $224 | $2,551 | 41 | 368 | -10.4% |
| Massachusetts | $224 | $4,074 | 286 | 1,974 | -10.6% |
| Indiana | $224 | $3,891 | 320 | 1,543 | -10.7% |
| South Carolina | $216 | $3,029 | 230 | 1,640 | -13.8% |
| Nebraska | $213 | $2,387 | 120 | 633 | -15.0% |
| Kansas | $209 | $3,217 | 148 | 804 | -16.5% |
| Hawaii | $208 | $1,618 | 33 | 227 | -17.0% |
| West Virginia | $207 | $2,743 | 60 | 207 | -17.6% |
| Alabama | $206 | $2,999 | 230 | 1,696 | -17.8% |
| Kentucky | $203 | $2,836 | 114 | 564 | -18.9% |
| Texas | $203 | $3,056 | 734 | 4,074 | -19.0% |
| Montana | $198 | $2,210 | 72 | 511 | -21.2% |
| Louisiana | $188 | $2,944 | 181 | 1,076 | -24.8% |
| Wisconsin | $183 | $6,151 | 257 | 896 | -26.8% |
| Idaho | $173 | $1,837 | 96 | 595 | -31.1% |
| Oklahoma | $154 | $1,465 | 152 | 766 | -38.7% |
| Vermont | $140 | $1,937 | 25 | 95 | -44.2% |
| Maine | $108 | $1,647 | 43 | 168 | -56.8% |
| South Dakota | $95 | $1,177 | 61 | 328 | -62.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber