CPT 29823 Surgery - Musculoskeletal

How Much Does Shoulder Arthroscopy with Extensive Debridement Cost?

Also known as: Sho arthrs srg xtnsv dbrdmt (CPT 29823)

Minimally invasive shoulder surgery to clean out damaged tissue, loose bodies, and scar tissue.

Shoulder Arthroscopy with Extensive Debridement (CPT 29823) costs $559 at Medicare rates. Hospital outpatient rate: $3.

Cost Comparison by Payer

How much Sho arthrs srg xtnsv dbrdmt costs across different settings and payers

Medicare
Facility rate
$559
Hospital Outpatient
OPPS rate
$3
Surgery Center
ASC rate
$1
Medicare (Facility)
$559
CMS PFS 2026 national rate
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$1
Ambulatory surgery center

Patient Guide: Shoulder Arthroscopy with Extensive Debridement

What you need to know before your appointment

What to Expect

Through small incisions, the surgeon uses a camera and tools to remove damaged tissue and clean up the joint.

How Long Does It Take?

30-60 minutes, same-day discharge

Common Reasons Doctors Order This

Shoulder arthritis, loose bodies in shoulder, shoulder stiffness, labral debridement

How to Prepare

Fast after midnight. Arrange a ride home. Prepare for a sling for 1-2 weeks.

Procedures Commonly Done Together

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Sho arthrs srg xtnsv dbrdmt Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $685 $890 — $1,370
AL — ALABAMA $508 $660 — $1,016
AR — ARKANSAS $501 $652 — $1,002
AZ — ARIZONA $546 $710 — $1,093
CA — BAKERSFIELD $570 $741 — $1,140
CA — CHICO $566 $735 — $1,131
CA — EL CENTRO $566 $736 — $1,132
CA — FRESNO $566 $735 — $1,131
CA — HANFORD-CORCORAN $566 $735 — $1,131
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $600 $780 — $1,200
CA — MADERA $566 $735 — $1,131
CA — MERCED $566 $735 — $1,131
CA — MODESTO $566 $735 — $1,131
CA — NAPA $631 $821 — $1,262
CA — OXNARD-THOUSAND OAKS-VENTURA $594 $773 — $1,189
CA — REDDING $566 $735 — $1,131
CA — REST OF CALIFORNIA $566 $735 — $1,131
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $582 $757 — $1,165
CA — SACRAMENTO-ROSEVILLE-FOLSOM $587 $763 — $1,174
CA — SALINAS $585 $760 — $1,170
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $594 $772 — $1,188
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $660 $858 — $1,320
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $658 $855 — $1,316
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $676 $878 — $1,351
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $668 $869 — $1,337

How to Reduce Your Cost for Sho arthrs srg xtnsv dbrdmt

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

    Medicare rates for this procedure range from $501 to $685 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $1, compared to $3 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

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.

7.78
Work RVU
7.39
Practice Expense RVU
1.56
Malpractice RVU
16.73
Total RVU

Payment = Total RVU (16.73) x CF ($33.40) = $559

Frequently Asked Questions

How much does Sho arthrs srg xtnsv dbrdmt cost?

The Medicare facility rate for Sho arthrs srg xtnsv dbrdmt is $559. In a hospital outpatient setting, the rate is $3. At an ambulatory surgery center, the rate is $1. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Sho arthrs srg xtnsv dbrdmt cost without insurance?

Without insurance, the cost of Sho arthrs srg xtnsv dbrdmt 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 Sho arthrs srg xtnsv dbrdmt?

Most commercial health insurance plans and Medicare cover Sho arthrs srg xtnsv dbrdmt 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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