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Biceps tenodesis in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 29828

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$8,9211.3×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,1721.2×32026-09-15
Lehigh Valley Hospital Allentown$19,6502.7×82026-07-01

CPT 23430

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$5,5670.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,8400.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$6,1970.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,6301.3×32026-09-15
Lehigh Valley Hospital Allentown$17,5002.4×82026-07-01

Questions

How much do insurers pay for biceps tenodesis in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for biceps tenodesis in their federal price-transparency files. For CPT 29828, hospital outpatient, the median across 5 hospitals is $8,921, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.