Repair of shoulder rotator cuff using an endoscope
Medicare pricing data for 14,623 providers across 52 states
This procedure has a 5.5x markup — hospitals charge $6,160 but Medicare allows only $1,113. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $578 in South Dakota to $1,480 in California. 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
Repair of shoulder rotator cuff using an endoscope (HCPCS code 29827) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,113, but hospitals typically charge $6,160 — a 5.5x 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 $1,113, your out-of-pocket cost would be approximately $222.62. 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 5.5x more than what Medicare allows for this procedure. Medicare actually pays $885.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $1,480 | $8,087 | 1,115 | 9,857 | +33.0% |
| Hawaii | $1,353 | $4,089 | 37 | 317 | +21.5% |
| Maryland | $1,342 | $8,571 | 285 | 2,744 | +20.5% |
| Connecticut | $1,285 | $8,034 | 207 | 1,301 | +15.4% |
| Delaware | $1,284 | $5,814 | 44 | 594 | +15.4% |
| District of Columbia | $1,276 | $5,750 | 18 | 107 | +14.6% |
| Nevada | $1,270 | $6,313 | 123 | 1,527 | +14.1% |
| Alaska | $1,260 | $11,041 | 52 | 381 | +13.2% |
| New Mexico | $1,241 | $5,287 | 62 | 447 | +11.5% |
| New York | $1,231 | $7,718 | 791 | 4,647 | +10.6% |
| Tennessee | $1,227 | $6,509 | 323 | 3,220 | +10.2% |
| Mississippi | $1,210 | $7,346 | 100 | 1,832 | +8.7% |
| Arizona | $1,191 | $6,747 | 321 | 3,313 | +7.0% |
| Florida | $1,188 | $7,364 | 1,001 | 9,218 | +6.7% |
| Virginia | $1,184 | $6,036 | 330 | 4,267 | +6.4% |
| New Hampshire | $1,171 | $8,604 | 108 | 800 | +5.2% |
| Washington | $1,166 | $4,034 | 379 | 3,127 | +4.7% |
| Georgia | $1,162 | $6,685 | 457 | 3,731 | +4.4% |
| Colorado | $1,134 | $6,605 | 379 | 3,172 | +1.8% |
| Michigan | $1,131 | $5,738 | 408 | 2,977 | +1.6% |
| Rhode Island | $1,121 | $4,891 | 58 | 356 | +0.7% |
| Oregon | $1,119 | $4,624 | 172 | 1,426 | +0.5% |
| Puerto Rico | $1,101 | $1,698 | 25 | 88 | -1.1% |
| Illinois | $1,095 | $7,890 | 546 | 4,119 | -1.7% |
| Minnesota | $1,087 | $5,623 | 314 | 1,567 | -2.4% |
| Missouri | $1,080 | $6,163 | 298 | 2,658 | -3.0% |
| Wyoming | $1,061 | $5,846 | 52 | 434 | -4.7% |
| North Carolina | $1,060 | $4,917 | 507 | 4,554 | -4.8% |
| Iowa | $1,059 | $4,743 | 137 | 1,189 | -4.9% |
| New Jersey | $1,055 | $11,240 | 448 | 2,494 | -5.2% |
| Utah | $1,042 | $4,804 | 175 | 1,599 | -6.4% |
| Pennsylvania | $1,040 | $4,642 | 600 | 4,145 | -6.6% |
| Texas | $1,025 | $5,641 | 971 | 8,159 | -7.9% |
| Indiana | $1,012 | $6,819 | 343 | 2,493 | -9.1% |
| Ohio | $1,010 | $4,228 | 569 | 3,965 | -9.3% |
| Massachusetts | $1,002 | $6,116 | 347 | 3,033 | -10.0% |
| Montana | $998 | $4,145 | 71 | 1,143 | -10.3% |
| South Carolina | $994 | $4,737 | 269 | 2,881 | -10.7% |
| Alabama | $956 | $3,741 | 321 | 2,904 | -14.1% |
| North Dakota | $924 | $3,389 | 59 | 455 | -17.0% |
| Louisiana | $911 | $4,760 | 235 | 1,919 | -18.2% |
| Arkansas | $895 | $3,732 | 125 | 1,406 | -19.6% |
| Kentucky | $894 | $4,318 | 161 | 1,256 | -19.7% |
| West Virginia | $877 | $4,554 | 61 | 366 | -21.2% |
| Oklahoma | $851 | $2,495 | 205 | 1,932 | -23.6% |
| Kansas | $844 | $5,025 | 206 | 2,072 | -24.2% |
| Wisconsin | $823 | $8,756 | 327 | 1,707 | -26.1% |
| Nebraska | $787 | $3,856 | 130 | 1,221 | -29.3% |
| Idaho | $745 | $4,005 | 123 | 979 | -33.0% |
| Maine | $679 | $2,143 | 85 | 442 | -39.0% |
| Vermont | $633 | $2,661 | 23 | 126 | -43.2% |
| South Dakota | $578 | $2,374 | 84 | 779 | -48.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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