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Rotator cuff repair: what insurers pay

Arthroscopic repair of a torn rotator cuff tendon. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29827: Rotator Cuff Repair

1177 hospitals in 81 markets. National Medicare rate $7,413, surgery center $3,696.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)15$7,676$8,193$9,888$3,284–$18,846
Alaska (statewide)4———$7,305–$25,875
Arizona (statewide)11$5,496$6,142$8,476$4,656–$10,200
Arkansas (statewide)11$6,483$6,819$8,703$3,834–$9,874
Atlanta GA6$7,774$7,774$10,113$7,774–$10,893
Austin TX13$5,743$9,287$9,287$5,743–$10,637
Boston MA12$8,410$11,164$12,439$5,130–$14,320
California (statewide)58$9,832$18,588$25,084$5,458–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL9$8,382$10,014$14,716$8,167–$16,851
Cleveland OH11$6,509$7,376$9,250$4,118–$12,191
Colorado (statewide)15$9,002$10,198$11,391$7,144–$22,583
Columbus OH2———$26,099–$26,099
Connecticut (statewide)2———$7,783–$30,233
Dallas-Fort Worth TX12$10,642$11,960$14,776$9,417–$26,538
Delaware (statewide)1———$19,720–$19,720
Denver CO15$9,895$10,541$13,682$7,160–$15,141
Detroit MI14$6,197$6,362$9,246$5,729–$12,419
Florida (statewide)67$10,334$11,356$14,377$4,014–$27,040
Georgia (statewide)29$7,455$10,348$12,636$4,141–$23,806
Hawaii (statewide)4———$8,135–$14,320
Houston TX19$8,126$9,136$9,755$6,456–$13,850
Idaho (statewide)15$7,056$10,731$15,628$3,997–$23,990
Illinois (statewide)32$7,589$9,990$14,716$7,055–$21,223
Indiana (statewide)36$11,372$17,796$27,432$5,186–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)25$7,413$10,441$13,895$3,855–$22,020
Kansas (statewide)18$7,948$9,782$10,984$5,202–$25,875
Kentucky (statewide)17$7,235$8,612$9,893$4,124–$24,477
Las Vegas NV2———$3,978–$9,205
Los Angeles CA17$10,761$13,065$13,487$9,490–$29,009
Louisiana (statewide)24$6,738$6,936$8,138$5,470–$13,368
Maine (statewide)17$29,272$32,866$33,984$7,684–$42,727
Maryland (statewide)1———$12,622–$12,622
Massachusetts (statewide)6$6,939$8,348$8,894$6,518–$10,267
Miami-Fort Lauderdale FL1———$12,334–$12,334
Michigan (statewide)25$6,197$7,046$9,275$3,696–$10,740
Minneapolis-St. Paul MN7$8,906$8,997$8,997$6,330–$13,369
Minnesota (statewide)14$9,885$17,770$22,780$8,997–$31,617
Mississippi (statewide)16$8,490$9,697$10,354$6,757–$19,790
Missouri (statewide)20$6,437$9,536$10,462$4,194–$16,982
Montana (statewide)6$10,318$14,742$16,061$8,204–$21,584
Nashville TN8$6,856$7,374$8,659$3,649–$13,534
Nebraska (statewide)11$11,294$11,297$12,872$3,978–$23,542
Nevada (statewide)6$5,665$8,412$13,148$3,978–$14,602
New Hampshire (statewide)6$15,935$18,149$22,868$12,993–$32,494
New Jersey (statewide)22$8,194$8,413$12,344$7,806–$16,438
New Mexico (statewide)8$6,282$9,965$14,938$3,949–$22,705
New York (statewide)29$8,454$9,873$14,597$5,014–$24,437
New York City8$5,139$7,074$11,364$5,139–$15,218
North Carolina (statewide)7$7,094$12,296$15,851$3,614–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,698–$16,346
Ohio (statewide)38$7,961$16,084$18,658$3,960–$27,890
Oklahoma (statewide)14$7,413$14,192$14,977$4,676–$29,816
Oregon (statewide)10$18,293$21,212$25,622$12,860–$33,060
Pennsylvania (statewide)37$7,455$10,934$14,618$5,022–$32,089
Philadelphia PA11$7,376$9,079$10,252$6,757–$12,874
Phoenix AZ8$5,173$5,454$5,508$4,330–$5,669
Pittsburgh PA12$5,903$9,880$14,617$4,136–$17,980
Portland OR9$16,131$16,131$25,775$16,076–$25,775
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$9,483–$10,476
Rio Grande Valley TX7$9,328$9,430$9,611$9,233–$16,019
Salt Lake City UT9$15,125$15,125$15,125$15,125–$15,125
San Antonio TX3———$8,570–$8,720
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA4———$10,066–$45,198
Seattle-Tacoma WA16$18,704$20,274$23,078$13,944–$25,561
South Carolina (statewide)19$10,540$19,780$21,358$5,118–$23,229
South Dakota (statewide)3———$11,089–$33,765
St. Louis MO4———$4,812–$5,226
Tampa FL6$13,658$13,658$13,926$13,658–$28,961
Tennessee (statewide)27$6,520$7,164$7,958$3,894–$12,896
Texas (statewide)79$7,664$10,153$13,850$4,467–$32,884
Utah (statewide)14$15,125$15,125$15,125$6,513–$25,202
Vermont (statewide)2———$5,431–$6,927
Virginia (statewide)20$15,946$20,943$23,710$8,919–$26,244
Washington (statewide)11$17,612$20,414$20,993$7,617–$33,380
Washington DC9$9,889$11,413$11,413$7,890–$11,413
West Virginia (statewide)5$12,121$12,221$28,922$7,930–$48,308
Wisconsin (statewide)42$7,808$12,997$14,623$3,784–$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
Chatham Hospital IncNorth Carolina (statewide)$3,6140.5×52026-04-01
Ascension Saint Thomas RutherfordNashville TN$3,6490.5×12026-01-01
Helen Newberry Joy HospitalMichigan (statewide)$3,6960.5×12026-09-02
Tomah Memorial HospitalWisconsin (statewide)$3,7840.5×12026-06-30
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$3,8250.5×22026-01-01
Ascension Calumet HospitalWisconsin (statewide)$3,8250.5×22026-01-01
Mercy Hospital Fort SmithArkansas (statewide)$3,8340.6×62026-06-08
Cass County Memorial HospitalIowa (statewide)$3,8550.6×12026-06-01
Ascension St Francis HospitalWisconsin (statewide)$3,8580.5×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph CampusWisconsin (statewide)$3,8580.5×12026-01-01
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
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
Stanford Health CareSan Francisco Bay Area CA$45,1984.2×42026-04-01
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 rotator cuff repair?

Across 1177 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29827, hospital outpatient is $10,721, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,803 to $15,444. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for rotator cuff repair?

Medicare's national hospital outpatient rate for CPT 29827 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 rotator cuff repair?

Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), Chatham Hospital Inc ($3,614). Highest: Logan Regional Medical Center ($48,308), Stanford Health Care ($45,198), Mainehealth Lincoln Hospital ($42,727). Coverage: every hospital whose price file we could read.