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Distal biceps tendon repair: what insurers pay

Reattaching a torn biceps tendon at the elbow. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 24342: Distal Biceps Tendon Repair

1049 hospitals in 79 markets. National Medicare rate $7,413, surgery center $3,696.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)10$7,463$7,864$8,486$6,272–$17,968
Alaska (statewide)4———$5,292–$16,311
Arizona (statewide)10$6,042$6,918$8,382$4,656–$9,254
Arkansas (statewide)8$5,303$6,268$7,397$4,000–$9,874
Atlanta GA6$6,285$6,285$8,208$6,285–$8,849
Austin TX13$5,743$7,799$7,799$5,743–$10,637
Boston MA11$9,308$11,502$12,645$6,518–$14,320
California (statewide)57$9,832$15,964$22,950$5,367–$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$6,350$7,554$9,715$5,302–$14,416
Colorado (statewide)14$7,899$10,626$11,485$7,144–$14,318
Columbus OH1———$26,099–$26,099
Connecticut (statewide)1———$5,370–$5,370
Dallas-Fort Worth TX12$8,529$10,642$11,352$8,048–$20,551
Denver CO15$8,525$10,070$13,794$7,200–$14,161
Detroit MI15$5,132$5,539$7,906$4,863–$9,088
Florida (statewide)57$10,559$11,310$12,558$5,078–$18,426
Georgia (statewide)27$6,542$8,849$10,826$3,567–$21,689
Hawaii (statewide)4———$6,234–$8,080
Houston TX19$8,274$8,330$10,510$7,383–$13,850
Idaho (statewide)14$8,366$12,699$18,145$3,590–$21,676
Illinois (statewide)23$6,952$9,345$11,447$4,750–$21,223
Indiana (statewide)30$10,337$16,609$28,861$5,584–$38,188
Indianapolis IN1———$17,968–$17,968
Iowa (statewide)17$8,358$10,441$13,045$7,413–$17,545
Kansas (statewide)14$5,079$5,975$7,413$3,813–$16,311
Kentucky (statewide)13$4,396$8,612$9,425$3,467–$13,434
Las Vegas NV2———$7,352–$10,009
Los Angeles CA17$9,136$10,103$12,514$7,919–$22,055
Louisiana (statewide)24$6,714$8,118$10,040$5,210–$12,908
Maine (statewide)16$29,272$33,220$33,984$15,489–$42,727
Maryland (statewide)1———$7,174–$7,174
Massachusetts (statewide)6$6,682$7,834$8,926$5,995–$10,392
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)26$4,639$5,986$7,739$4,056–$9,863
Minneapolis-St. Paul MN7$5,897$6,087$6,790$5,286–$15,377
Minnesota (statewide)13$10,057$19,037$23,016$5,944–$31,617
Mississippi (statewide)13$7,528$8,540$9,746$3,201–$19,790
Missouri (statewide)15$6,290$9,341$12,005$5,478–$13,922
Montana (statewide)4———$6,181–$21,584
Nashville TN6$3,864$4,645$10,932$3,603–$13,806
Nebraska (statewide)11$8,645$8,645$10,066$7,352–$18,020
Nevada (statewide)4———$7,352–$14,207
New Hampshire (statewide)6$13,255$16,466$22,868$12,671–$32,494
New Jersey (statewide)22$8,320$8,734$12,256$8,289–$14,827
New Mexico (statewide)6$10,532$13,690$18,844$7,538–$21,664
New York (statewide)28$8,583$11,101$14,833$5,547–$24,437
New York City8$6,642$10,172$11,318$5,547–$12,305
North Carolina (statewide)5$6,465$12,166$16,161$6,041–$17,486
North Dakota (statewide)5$10,326$12,358$12,633$8,927–$16,346
Ohio (statewide)36$8,783$13,918$16,162$4,120–$27,890
Oklahoma (statewide)11$9,538$13,573$14,733$3,900–$17,467
Oregon (statewide)8$18,293$21,212$26,646$16,268–$33,060
Pennsylvania (statewide)34$7,159$12,578$15,818$4,020–$32,089
Philadelphia PA11$7,485$7,689$8,256$4,689–$11,208
Phoenix AZ6$4,839$4,839$5,767$4,839–$6,076
Pittsburgh PA10$5,818$11,240$14,118$5,031–$17,980
Portland OR9$16,131$16,131$22,663$14,746–$22,663
Rhode Island (statewide)3———$13,890–$15,049
Richmond VA3———$7,130–$7,208
Rio Grande Valley TX4———$9,131–$11,108
Salt Lake City UT9$7,756$8,020$8,020$6,513–$8,285
San Antonio TX3———$6,870–$9,391
San Diego CA7$16,202$16,332$16,332$13,066–$17,210
San Francisco Bay Area CA4———$8,476–$31,275
Seattle-Tacoma WA16$18,215$19,727$25,275$16,482–$28,676
South Carolina (statewide)19$12,807$14,603$17,868$10,544–$20,850
South Dakota (statewide)3———$9,642–$31,387
Tampa FL6$10,864$10,864$10,864$10,426–$12,064
Tennessee (statewide)24$4,317$6,913$7,504$3,603–$14,573
Texas (statewide)75$7,365$9,049$13,429$4,299–$32,884
Utah (statewide)7$6,744$7,756$7,888$6,513–$25,202
Vermont (statewide)1———$8,086–$8,086
Virginia (statewide)20$14,088$21,156$21,811$8,366–$24,592
Washington (statewide)12$16,600$20,608$23,562$5,868–$37,385
Washington DC9$7,472$8,272$8,272$7,208–$8,942
West Virginia (statewide)4———$6,185–$48,308
Wisconsin (statewide)30$11,774$11,774$13,408$4,959–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Greene County HospitalMississippi (statewide)$3,2010.5×12026-06-05
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
Adventhealth GordonGeorgia (statewide)$3,5670.6×12026-04-01
Adventhealth MurrayGeorgia (statewide)$3,5670.5×12026-04-01
North Canyon Medical CenterIdaho (statewide)$3,5900.5×52026-04-13
Tristar Horizon Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$3,6030.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
Southern Tennessee Regional Health System PulaskiTennessee (statewide)$3,6470.6×12026-07-14
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
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
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
Mary Bridge Children'S HospitalWashington (statewide)$37,3854.4×52026-08-27
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.

Questions

How much do commercial insurers pay hospitals for distal biceps tendon repair?

Across 1049 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 24342, hospital outpatient is $10,226, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,477 to $14,374. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for distal biceps tendon repair?

Medicare's national hospital outpatient rate for CPT 24342 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 distal biceps tendon repair?

Lowest medians: Greene County Hospital ($3,201), King'S Daughters' Medical Center ($3,467), Adventhealth Gordon ($3,567). 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.