CPT 23412 Surgery

Repair rotator cuff chronic Cost

Q: How much does Repair rotator cuff chronic cost?

The Medicare facility rate for Repair rotator cuff chronic (CPT 23412) is variable. Commercial insurance rates typically range from 150% to 250% of Medicare. Hospital outpatient rate: $7.

Q: How much does Repair rotator cuff chronic cost without insurance?

Without insurance, Repair rotator cuff chronic typically costs between 150% and 250% of the Medicare rate. The Medicare baseline is variable. Costs vary significantly by geographic location and facility.

Body System: Musculoskeletal

Hospital Outpatient

OPPS rate

Surgery Center (ASC)

ASC rate

Cost by Location

Location	Medicare Rate	Est. Commercial
US — Carrier 01112 Locality 05	$919	$1,379 — $2,298
US — Carrier 01112 Locality 09	$933	$1,400 — $2,333
US — Carrier 01112 Locality 51	$883	$1,325 — $2,209
US — Carrier 01112 Locality 52	$922	$1,383 — $2,305
US — Carrier 01112 Locality 53	$879	$1,319 — $2,199
US — Carrier 01112 Locality 54	$802	$1,204 — $2,006
US — Carrier 01112 Locality 55	$796	$1,194 — $1,989
US — Carrier 01112 Locality 56	$796	$1,194 — $1,989
US — Carrier 01112 Locality 57	$796	$1,194 — $1,989
US — Carrier 01112 Locality 58	$796	$1,194 — $1,989
US — Carrier 01112 Locality 59	$796	$1,194 — $1,989
US — Carrier 01112 Locality 60	$796	$1,194 — $1,989
US — Carrier 01112 Locality 61	$796	$1,194 — $1,989
US — Carrier 01112 Locality 62	$822	$1,233 — $2,055
US — Carrier 01112 Locality 63	$825	$1,237 — $2,062
US — Carrier 01112 Locality 64	$822	$1,233 — $2,054
US — Carrier 01112 Locality 65	$944	$1,416 — $2,361
US — Carrier 01112 Locality 66	$836	$1,254 — $2,090
US — Carrier 01112 Locality 67	$844	$1,265 — $2,109
US — Carrier 01112 Locality 68	$796	$1,194 — $1,989

Frequently Asked Questions

How much does Repair rotator cuff chronic cost?

The Medicare facility rate is variable. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $3.

How much does Repair rotator cuff chronic cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is variable.