CPT 23430 Surgery

Repair biceps tendon Cost

Q: How much does Repair biceps tendon cost?

The Medicare facility rate for Repair biceps tendon (CPT 23430) is variable. Commercial insurance rates typically range from 150% to 250% of Medicare. Hospital outpatient rate: $7.

Q: How much does Repair biceps tendon cost without insurance?

Without insurance, Repair biceps tendon 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
AK — ALASKA	$856	$1,113 — $1,712
AL — ALABAMA	$633	$823 — $1,267
AR — ARKANSAS	$625	$813 — $1,250
AZ — ARIZONA	$681	$885 — $1,362
CA — BAKERSFIELD	$709	$922 — $1,418
CA — CHICO	$703	$914 — $1,407
CA — EL CENTRO	$704	$915 — $1,407
CA — FRESNO	$703	$914 — $1,407
CA — HANFORD-CORCORAN	$703	$914 — $1,407
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)	$746	$970 — $1,492
CA — MADERA	$703	$914 — $1,407
CA — MERCED	$703	$914 — $1,407
CA — MODESTO	$703	$914 — $1,407
CA — NAPA	$783	$1,018 — $1,567
CA — OXNARD-THOUSAND OAKS-VENTURA	$739	$960 — $1,477
CA — REDDING	$703	$914 — $1,407
CA — REST OF CALIFORNIA	$703	$914 — $1,407
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO	$725	$942 — $1,450
CA — SACRAMENTO-ROSEVILLE-FOLSOM	$730	$949 — $1,460
CA — SALINAS	$727	$945 — $1,454

Frequently Asked Questions

How much does Repair biceps tendon 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: $4.

How much does Repair biceps tendon 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.