How Much Does Rotator Cuff Repair Cost?
Without Insurance
$15,000 - $40,000
With Insurance
$2,000 - $5,000
Medicare Covered
Cost Overview
Rotator cuff repair surgery fixes torn tendons in the shoulder. Most repairs are performed arthroscopically (minimally invasive), though larger tears may require open surgery. Cost depends on the tear size, surgical technique, and whether the procedure is done at a hospital or outpatient center.
Cost Breakdown
| Item | Estimated Range |
|---|---|
| Surgeon fee | $3,500 - $8,000 |
| Facility fee | $8,000 - $20,000 |
| Anesthesia | $1,500 - $3,000 |
| Implants (anchors/sutures) | $1,000 - $3,000 |
| Physical therapy (3-6 months) | $2,000 - $5,000 |
| Imaging and pre-op tests | $500 - $1,500 |
| Total (estimated) | $15,000 - $40,000 |
Insurance Coverage
Rotator cuff repair is covered by most insurance plans when conservative treatment (PT, injections, rest) has failed. Pre-authorization and MRI documentation are typically required. Recovery requires 3-6 months of physical therapy.
Financing Options
- Covered by Medicare and most commercial plans
- Outpatient arthroscopic repair costs less than open surgery
- HSA/FSA eligible for all out-of-pocket costs
- Hospital payment plans available
- Some facilities offer bundled surgical pricing
Frequently Asked Questions
How much does rotator cuff surgery cost?
Rotator cuff repair costs $15,000-$40,000 before insurance. Arthroscopic repair is generally less expensive than open surgery. With insurance, most patients pay $2,000-$5,000 out of pocket.
Does insurance cover rotator cuff repair?
Yes. Insurance covers rotator cuff repair when the tear causes pain and functional limitations, and conservative treatments (physical therapy, cortisone injections) have failed. An MRI confirming the tear and documentation of failed conservative care are typically required.
Is arthroscopic rotator cuff repair cheaper?
Yes. Arthroscopic repair is usually performed at an outpatient surgery center, which has lower facility fees than a hospital. The procedure also has shorter surgical time and faster recovery, reducing overall costs.
How much does shoulder PT cost after rotator cuff surgery?
Post-surgical physical therapy for rotator cuff repair lasts 3-6 months and costs $2,000-$5,000 total. With insurance copays of $20-$50 per visit, expect to pay $600-$1,500 out of pocket for PT.
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Cost estimates are based on national averages and may vary by location, provider, and insurance plan. Contact your provider and insurer for personalized estimates.