Shaving of part of shoulder bone and repair of ligament using an endoscope
Medicare pricing data for 12,656 providers across 52 states
This procedure has a 14.8x markup — hospitals charge $1,742 but Medicare allows only $117.32. Uninsured patients may face bills 14.8 times higher than what insurance negotiates. Prices vary significantly by location — from $89 in Nebraska to $179 in District of Columbia. 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
Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS code 29826) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $117.32, but hospitals typically charge $1,742 — a 14.8x 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 $117.32, your out-of-pocket cost would be approximately $23.46. 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 14.8x more than what Medicare allows for this procedure. Medicare actually pays $93.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $179 | $2,174 | 18 | 104 | +52.7% |
| Puerto Rico | $170 | $961 | 19 | 49 | +45.3% |
| Alaska | $147 | $3,888 | 44 | 262 | +25.6% |
| New York | $140 | $3,480 | 750 | 3,878 | +19.4% |
| California | $136 | $1,383 | 899 | 6,672 | +16.0% |
| Hawaii | $135 | $1,167 | 28 | 202 | +15.0% |
| New Mexico | $134 | $1,572 | 55 | 309 | +14.0% |
| Maryland | $131 | $1,202 | 238 | 1,797 | +11.7% |
| Mississippi | $126 | $2,395 | 100 | 1,307 | +7.3% |
| Massachusetts | $125 | $2,967 | 308 | 2,374 | +6.1% |
| Georgia | $124 | $2,040 | 376 | 2,417 | +5.9% |
| Tennessee | $123 | $1,554 | 297 | 2,170 | +5.1% |
| Florida | $121 | $1,015 | 880 | 7,195 | +2.9% |
| Kentucky | $120 | $1,394 | 135 | 974 | +2.7% |
| Michigan | $120 | $1,066 | 362 | 2,372 | +2.6% |
| Virginia | $120 | $1,526 | 284 | 2,868 | +2.4% |
| Illinois | $120 | $3,468 | 487 | 3,133 | +2.3% |
| Connecticut | $120 | $2,285 | 183 | 803 | +2.3% |
| Ohio | $119 | $1,585 | 500 | 2,991 | +1.6% |
| Nevada | $118 | $2,441 | 107 | 1,366 | +0.8% |
| Texas | $118 | $1,186 | 810 | 6,223 | +0.7% |
| Oklahoma | $117 | $774 | 194 | 1,940 | +0.0% |
| South Carolina | $117 | $1,922 | 230 | 2,243 | -0.5% |
| Rhode Island | $117 | $1,259 | 51 | 280 | -0.5% |
| New Hampshire | $117 | $3,217 | 81 | 505 | -0.6% |
| Missouri | $116 | $1,909 | 256 | 1,670 | -0.8% |
| West Virginia | $116 | $1,222 | 56 | 284 | -0.8% |
| Wyoming | $116 | $2,468 | 42 | 298 | -1.3% |
| Arkansas | $115 | $967 | 116 | 1,155 | -2.4% |
| Pennsylvania | $114 | $1,921 | 527 | 3,271 | -3.0% |
| New Jersey | $114 | $6,129 | 388 | 1,895 | -3.2% |
| Louisiana | $112 | $1,516 | 180 | 1,078 | -4.4% |
| Washington | $111 | $956 | 294 | 2,010 | -5.7% |
| Delaware | $110 | $1,585 | 40 | 471 | -6.5% |
| North Carolina | $110 | $1,317 | 475 | 3,853 | -6.6% |
| Colorado | $107 | $1,270 | 311 | 2,148 | -8.5% |
| Oregon | $107 | $840 | 127 | 776 | -8.6% |
| Utah | $107 | $1,042 | 151 | 1,210 | -9.2% |
| Arizona | $105 | $961 | 274 | 2,281 | -10.5% |
| Alabama | $104 | $2,110 | 296 | 2,602 | -11.3% |
| Iowa | $104 | $1,089 | 113 | 862 | -11.5% |
| Minnesota | $103 | $953 | 281 | 1,152 | -11.8% |
| Indiana | $103 | $2,143 | 303 | 1,822 | -12.1% |
| Kansas | $101 | $1,117 | 146 | 1,368 | -14.1% |
| Montana | $98 | $594 | 76 | 855 | -16.3% |
| Idaho | $97 | $710 | 95 | 673 | -17.0% |
| Maine | $96 | $544 | 68 | 256 | -17.8% |
| Wisconsin | $96 | $3,271 | 267 | 1,313 | -18.5% |
| North Dakota | $96 | $617 | 50 | 333 | -18.5% |
| Vermont | $95 | $1,729 | 22 | 139 | -19.3% |
| South Dakota | $91 | $648 | 93 | 879 | -22.6% |
| Nebraska | $89 | $1,171 | 117 | 1,051 | -24.5% |
⚠️ 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
🏥 See Medicare hospital data on OpenMedicare