CPT 27650 Surgery - Musculoskeletal

How Much Does Repair Achilles Tendon Cost?

Also known as: Repair achilles tendon (CPT 27650)

Surgical repair of a torn Achilles tendon (the large tendon at the back of your ankle).

The total estimated cost of Repair Achilles Tendon (CPT 27650) is $2,098 to $3,933, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $624.

Total Estimated Cost of Care

$2,098 — $3,933

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$624
Hospital Facility Fee
$1,873
Anesthesia (est.)
$125
Important: The physician fee of $624 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$624
Physician component only — CMS PFS 2026

Patient Guide: Repair Achilles Tendon

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon makes an incision at the back of your ankle and sews the torn Achilles tendon back together. You will be in a cast or boot for several weeks.

How Long Does It Take?

1-2 hours of surgery

Common Reasons Doctors Order This

Achilles tendon rupture from sports or sudden movement, chronic Achilles tendon tear

How to Prepare

Fast after midnight. Arrange help at home for several weeks. Get crutches fitted. You will not be able to drive for 6-8 weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Repair achilles tendon

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How to Reduce Your Cost for Repair achilles tendon

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

8.98
Work RVU
8.26
Practice Expense RVU
1.45
Malpractice RVU
18.69
Total RVU

Payment = Total RVU (18.69) x CF ($33.40) = $624

Frequently Asked Questions

How much does Repair achilles tendon cost?

The Medicare facility rate for Repair achilles tendon is $624. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Repair achilles tendon cost without insurance?

Without insurance, the cost of Repair achilles tendon can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Repair achilles tendon?

Most commercial health insurance plans and Medicare cover Repair achilles tendon when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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