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Biceps tenodesis: what insurers pay

Re-anchoring the long head of the biceps tendon, arthroscopic (29828) or open (23430). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29828: Biceps Tenodesis

1103 hospitals in 79 markets. National Medicare rate $7,413, surgery center $3,696.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$7,171$7,984$9,545$3,284–$18,846
Alaska (statewide)4———$6,256–$24,065
Arizona (statewide)11$5,990$7,053$9,498$4,656–$11,496
Arkansas (statewide)10$6,418$6,773$8,917$5,000–$9,874
Atlanta GA6$8,311$8,311$11,100$8,311–$12,029
Austin TX13$5,743$9,287$9,287$5,743–$10,892
Boston MA10$8,942$11,714$12,537$6,518–$14,320
California (statewide)56$9,832$18,962$24,807$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL9$9,107$10,014$14,716$4,191–$16,851
Cleveland OH10$7,994$8,698$11,591$6,400–$13,262
Colorado (statewide)14$9,053$11,840$12,962$7,144–$22,583
Columbus OH1———$26,099–$26,099
Connecticut (statewide)2———$5,370–$30,233
Dallas-Fort Worth TX12$10,846$11,700$14,580$9,880–$26,538
Delaware (statewide)1———$19,720–$19,720
Denver CO15$9,630$10,408$14,651$7,160–$17,156
Detroit MI8$6,290$8,570$9,407$5,388–$9,858
Florida (statewide)68$10,428$11,426$14,438$4,014–$27,040
Georgia (statewide)29$7,512$10,348$12,636$3,876–$27,088
Hawaii (statewide)4———$8,902–$19,608
Houston TX19$9,166$9,493$10,264$8,778–$13,850
Idaho (statewide)14$7,056$8,481$15,618$5,378–$23,990
Illinois (statewide)29$7,002$10,376$14,716$3,920–$21,223
Indiana (statewide)36$9,993$17,238$27,432$4,316–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)23$8,694$9,863$13,225$4,041–$22,020
Kansas (statewide)17$8,402$10,048$11,702$6,628–$24,065
Kentucky (statewide)16$6,044$8,612$10,414$3,467–$23,898
Las Vegas NV2———$7,328–$9,205
Los Angeles CA17$10,395$10,972$13,532$10,072–$28,632
Louisiana (statewide)23$6,530$6,955$7,754$5,564–$15,038
Maine (statewide)16$29,272$33,220$33,984$7,684–$42,727
Massachusetts (statewide)5$6,778$9,028$9,294$6,518–$10,267
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)16$5,943$7,032$8,025$4,056–$10,927
Minneapolis-St. Paul MN7$8,996$8,997$9,231$8,818–$13,369
Minnesota (statewide)13$9,828$19,037$23,016$8,997–$31,617
Mississippi (statewide)14$6,434$8,355$8,706$6,136–$19,790
Missouri (statewide)19$6,032$10,363$12,188$4,529–$16,982
Montana (statewide)5$8,930$14,481$15,002$6,181–$21,584
Nashville TN7$7,374$7,374$10,454$5,597–$13,806
Nebraska (statewide)11$8,946$9,296$11,429$7,328–$18,020
Nevada (statewide)5$6,156$6,156$7,328$4,377–$11,158
New Hampshire (statewide)6$15,572$20,634$23,741$12,993–$32,494
New Jersey (statewide)14$8,289$8,574$13,236$7,907–$14,827
New Mexico (statewide)8$7,085$10,262$15,052$3,949–$22,705
New York (statewide)29$8,284$10,729$15,566$5,014–$24,437
New York City8$5,139$6,146$12,928$5,139–$16,374
North Carolina (statewide)6$8,353$13,048$16,876$4,986–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,326–$16,346
Ohio (statewide)36$10,208$16,212$18,710$4,636–$27,890
Oklahoma (statewide)14$7,413$13,743$14,936$3,721–$29,816
Oregon (statewide)8$18,293$21,212$26,646$16,296–$33,060
Pennsylvania (statewide)39$7,336$14,544$21,219$4,305–$33,379
Philadelphia PA11$7,504$9,751$11,104$6,136–$13,220
Phoenix AZ8$5,946$5,994$6,296$5,946–$7,053
Pittsburgh PA12$6,328$10,548$14,617$4,864–$17,980
Portland OR9$17,690$17,690$27,900$16,931–$27,900
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$10,502–$11,469
Rio Grande Valley TX6$9,282$10,048$10,665$7,340–$14,029
Salt Lake City UT9$7,756$8,020$8,020$6,513–$8,285
San Antonio TX3———$8,570–$9,391
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA5$10,713$11,861$30,949$8,851–$32,856
Seattle-Tacoma WA16$19,055$20,274$23,078$13,944–$25,561
South Carolina (statewide)19$9,959$18,740$20,874$5,118–$34,118
South Dakota (statewide)5$5,914$11,089$11,570$5,807–$33,765
St. Louis MO4———$4,812–$5,226
Tampa FL6$13,658$13,658$13,926$13,658–$28,961
Tennessee (statewide)26$6,752$7,374$8,356$4,186–$14,573
Texas (statewide)76$8,106$9,880$13,865$4,467–$32,884
Utah (statewide)7$6,744$7,756$7,888$6,513–$25,202
Virginia (statewide)20$18,035$20,943$23,710$11,510–$26,244
Washington (statewide)11$17,612$20,414$21,760$7,334–$33,206
Washington DC9$9,728$11,070$11,070$8,498–$11,070
West Virginia (statewide)3———$7,930–$48,308
Wisconsin (statewide)34$12,996$12,997$15,252$4,218–$31,695

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,2840.5×12026-04-30
Usa Health University HospitalAlabama (statewide)$3,4640.5×12026-04-30
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
St Mary'S Regional Medical CenterOklahoma (statewide)$3,7210.5×12026-09-01
Adventhealth GordonGeorgia (statewide)$3,8760.6×22026-04-01
Northwestern Medicine Mchenry HospitalIllinois (statewide)$3,9200.5×12026-04-01
Northwestern Lake Forest HospitalIllinois (statewide)$3,9200.5×12026-04-01
Northwestern Medicine Delnor Community HospitalIllinois (statewide)$3,9200.5×12026-04-01
Cibola General HospitalNew Mexico (statewide)$3,9490.6×12026-09-27
Chi Saint Joseph Berea NfKentucky (statewide)$3,9750.6×12026-02-28
Baptist HospitalFlorida (statewide)$4,0140.5×82025-12-23
Manning Regional Healthcare CenterIowa (statewide)$4,0410.6×12026-07-01
Northern Light Mercy HospitalMaine (statewide)$33,9844.6×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Mcleod Medical Center - DillonSouth Carolina (statewide)$34,1185.1×12026-07-20
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 23430: Biceps Tenodesis

1060 hospitals in 78 markets. National Medicare rate $7,413, surgery center $4,677.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)10$7,463$7,864$8,486$6,272–$17,968
Alaska (statewide)4———$5,072–$19,552
Arizona (statewide)10$5,648$7,125$8,284$4,656–$9,254
Arkansas (statewide)8$5,978$6,596$7,397$5,000–$9,874
Atlanta GA6$6,989$6,989$8,602$6,989–$9,139
Austin TX13$5,743$7,799$7,799$5,743–$10,637
Boston MA10$9,536$11,714$12,772$6,518–$14,320
California (statewide)55$10,049$17,830$25,549$6,637–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL8$8,476$10,112$11,066$6,180–$15,611
Cleveland OH10$6,200$7,554$11,319$5,380–$13,262
Colorado (statewide)15$8,149$11,232$12,206$4,950–$22,583
Columbus OH2———$27,371–$27,896
Connecticut (statewide)2———$6,002–$44,142
Dallas-Fort Worth TX12$9,880$10,642$12,327$8,072–$20,551
Denver CO15$8,525$9,940$13,197$7,617–$14,161
Detroit MI14$6,106$6,150$8,165$5,438–$10,010
Florida (statewide)57$7,778$9,566$12,016$5,078–$16,822
Georgia (statewide)28$7,047$8,920$10,013$3,567–$23,376
Hawaii (statewide)4———$6,585–$12,698
Houston TX19$7,906$8,217$10,096$5,172–$13,850
Idaho (statewide)14$8,840$15,950$18,145$4,470–$21,676
Illinois (statewide)23$7,052$10,326$11,490$5,580–$21,223
Indiana (statewide)32$11,942$21,046$31,199$5,814–$44,859
Indianapolis IN3———$17,968–$44,859
Iowa (statewide)17$8,358$9,875$12,555$7,413–$17,545
Kansas (statewide)14$6,858$8,738$10,368$4,100–$19,552
Kentucky (statewide)13$6,707$8,465$9,134$3,764–$11,978
Las Vegas NV2———$7,352–$9,205
Los Angeles CA17$9,636$11,608$13,065$7,730–$25,517
Louisiana (statewide)23$6,626$7,462$10,952$5,698–$12,962
Maine (statewide)17$29,272$32,866$33,984$7,684–$42,727
Massachusetts (statewide)5$7,756$8,493$9,070$6,518–$10,392
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)17$6,063$7,230$7,866$4,056–$11,029
Minneapolis-St. Paul MN8$5,938$6,087$7,881$5,444–$15,377
Minnesota (statewide)12$9,574$19,543$23,350$5,900–$31,617
Mississippi (statewide)13$8,001$8,546$10,321$5,527–$19,790
Missouri (statewide)16$8,900$9,536$11,248$3,678–$13,429
Montana (statewide)4———$14,481–$21,846
Nashville TN7$3,911$4,082$8,944$3,880–$13,925
Nebraska (statewide)11$9,822$9,875$11,050$7,352–$20,585
Nevada (statewide)4———$7,352–$13,354
New Hampshire (statewide)6$14,467$19,286$23,067$12,671–$32,494
New Jersey (statewide)22$8,320$10,182$14,450$7,914–$21,338
New Mexico (statewide)8$6,784$11,794$15,681$3,768–$21,664
New York (statewide)27$9,272$11,020$15,070$5,547–$24,437
New York City8$10,518$11,020$12,286$5,547–$19,778
North Carolina (statewide)5$7,186$10,761$12,166$6,530–$17,486
North Dakota (statewide)5$10,326$12,358$12,633$8,927–$16,346
Ohio (statewide)36$9,582$14,735$16,582$4,550–$27,896
Oklahoma (statewide)10$8,585$13,478$15,414$3,900–$29,816
Oregon (statewide)9$18,293$21,990$26,231$16,268–$33,060
Pennsylvania (statewide)40$9,848$13,858$18,224$3,862–$33,379
Philadelphia PA11$5,810$7,717$8,754$5,527–$13,320
Phoenix AZ8$5,336$5,642$5,927$4,420–$6,781
Pittsburgh PA10$5,671$11,240$14,118$3,869–$17,980
Portland OR9$16,131$16,131$22,663$15,321–$22,663
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$8,702–$9,000
Rio Grande Valley TX7$9,230$9,328$9,430$8,385–$16,820
Salt Lake City UT9$7,756$8,020$8,020$6,513–$8,285
San Antonio TX3———$6,170–$8,720
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA4———$9,212–$35,334
Seattle-Tacoma WA16$18,215$19,470$25,275$16,482–$28,676
South Carolina (statewide)19$11,260$13,613$18,906$7,778–$20,079
South Dakota (statewide)3———$9,642–$26,013
Tampa FL6$10,864$10,864$11,764$10,864–$15,523
Tennessee (statewide)24$4,500$5,952$7,871$3,647–$14,573
Texas (statewide)77$7,269$9,415$13,429$4,467–$32,884
Utah (statewide)7$7,032$7,756$7,888$6,513–$25,202
Vermont (statewide)2———$5,358–$5,560
Virginia (statewide)17$13,913$20,635$21,639$9,156–$24,592
Washington (statewide)11$18,241$20,803$26,056$7,370–$37,385
Washington DC9$8,773$9,511$9,511$6,312–$9,511
West Virginia (statewide)5$7,930$12,121$28,922$6,185–$48,308
Wisconsin (statewide)34$10,542$12,371$13,408$5,907–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Adventhealth GordonGeorgia (statewide)$3,5670.6×12026-04-01
Adventhealth MurrayGeorgia (statewide)$3,5670.5×12026-04-01
Starr Regional Medical Center AthensTennessee (statewide)$3,6470.6×12026-07-10
Southern Tennessee Regional Health System LawrenceTennessee (statewide)$3,6470.6×12026-07-14
Nkc HealthMissouri (statewide)$3,6780.5×32026-03-06
King'S Daughters' Medical CenterKentucky (statewide)$3,7640.6×22026-09-25
Cibola General HospitalNew Mexico (statewide)$3,7680.5×12026-09-27
Livingston Regional HospitalTennessee (statewide)$3,7930.6×12026-04-01
Chi Saint Joseph Berea NfKentucky (statewide)$3,8150.6×12026-02-28
Upmc KanePennsylvania (statewide)$3,8620.6×12026-03-06
Upmc PassavantPittsburgh PA$3,8690.6×12026-03-07
TriStar Skyline Medical CenterNashville TN$3,8800.6×52026-09-01
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Stanford Health CareSan Francisco Bay Area CA$35,3343.3×42026-04-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Mary Bridge Children'S HospitalWashington (statewide)$37,3854.4×52026-08-27
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Franciscan Health Rensselaer, IncIndiana (statewide)$42,5625.5×32026-01-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Saint Francis Hospital & Medical CenterConnecticut (statewide)$44,1425.0×32026-03-31
Franciscan Health MooresvilleIndianapolis IN$44,8595.8×12026-01-01
Franciscan Health LafayetteIndiana (statewide)$44,8595.8×12026-01-01
Franciscan Health IndianapolisIndianapolis IN$44,8595.8×12026-01-01
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for biceps tenodesis?

Across 1103 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29828, hospital outpatient is $10,855, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,996 to $16,243. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for biceps tenodesis?

Medicare's national hospital outpatient rate for CPT 29828 is $7,413 and its surgery-center rate is $3,696, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for biceps tenodesis?

Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,467). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Parkview Wabash Hospital, Inc ($38,188). Coverage: every hospital whose price file we could read.