Cost analysis for CPT 29827 — Repair of shoulder rotator cuff using an endoscope
Average Medicare Payment
$879.43
2023 data
Total Payments (2023)
$79.3M
Services (2023)
78.2K
Price Change (2014–2023)
+8.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $812.81 | $64.9M | 72.4K | — |
| 2015 | $802.33 | $68.3M | 76.7K | -1.3% |
| 2016 | $806.62 | $73.4M | 81.3K | +0.5% |
| 2017 | $823.79 | $79.0M | 84.6K | +2.1% |
| 2018 | $830.29 | $83.7M | 88.7K | +0.8% |
| 2019 | $844.02 | $87.0M | 91.0K | +1.7% |
| 2020 | $886.72 | $75.5M | 75.6K | +5.1% |
| 2021 | $895.91 | $78.5M | 76.8K | +1.0% |
| 2022 | $900.69 | $78.4M | 76.8K | +0.5% |
| 2023 | $879.43 | $79.3M | 78.2K | -2.4% |
The most expensive state pays 3.1x more than the cheapest for this procedure. NM averages $1527.16 vs SD at $500.06.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NM | $1527.16 | $279.5K | 183 | 5 |
| CT | $1354.40 | $949.4K | 701 | 32 |
| MN | $1322.31 | $727.3K | 550 | 29 |
| CA | $1315.87 | $8.7M | 6.6K | 286 |
| NY | $1252.34 | $2.9M | 2.3K | 106 |
| AK | $1213.72 | $227.0K | 187 | 8 |
| MD | $1202.28 | $2.4M | 2.0K | 78 |
| HI | $1186.72 | $250.4K | 211 | 8 |
| NH | $1142.14 | $561.9K | 492 | 23 |
| WA | $1129.18 | $2.4M | 2.1K | 91 |
| NV | $1115.97 | $1.3M | 1.2K | 43 |
| DE | $1115.70 | $564.5K | 506 | 20 |
| GA | $1112.78 | $2.5M | 2.3K | 114 |
| CO | $1110.65 | $2.3M | 2.0K | 91 |
| TN | $1104.82 | $2.5M | 2.3K | 94 |
| RI | $1102.99 | $233.8K | 212 | 11 |
| MI | $1053.43 | $1.9M | 1.8K | 75 |
| FL | $1052.50 | $6.7M | 6.4K | 258 |
| OR | $1049.28 | $958.0K | 913 | 43 |
| AZ | $1025.81 | $2.5M | 2.5K | 99 |
| IL | $1023.39 | $2.4M | 2.3K | 106 |
| VA | $1014.63 | $3.4M | 3.4K | 118 |
| MS | $1007.75 | $1.6M | 1.6K | 49 |
| NC | $995.24 | $3.0M | 3.0K | 121 |
| MO | $977.26 | $1.7M | 1.7K | 69 |
| IA | $967.35 | $777.8K | 804 | 43 |
| NJ | $956.62 | $1.1M | 1.1K | 59 |
| PA | $956.25 | $2.3M | 2.4K | 117 |
| OH | $952.57 | $2.2M | 2.3K | 117 |
| WY | $951.05 | $252.0K | 265 | 13 |
| MA | $921.10 | $1.8M | 1.9K | 84 |
| UT | $919.32 | $1.0M | 1.1K | 52 |
| IN | $897.92 | $1.1M | 1.2K | 66 |
| SC | $877.17 | $1.9M | 2.1K | 93 |
| AL | $876.86 | $1.6M | 1.9K | 85 |
| TX | $875.21 | $4.6M | 5.2K | 240 |
| MT | $866.74 | $800.9K | 924 | 30 |
| ND | $859.41 | $269.9K | 314 | 13 |
| WV | $836.67 | $148.9K | 178 | 11 |
| LA | $774.47 | $958.0K | 1.2K | 64 |
| KY | $772.57 | $604.9K | 783 | 40 |
| AR | $768.11 | $824.2K | 1.1K | 50 |
| KS | $763.68 | $1.1M | 1.4K | 62 |
| WI | $759.05 | $560.2K | 738 | 44 |
| OK | $724.39 | $933.7K | 1.3K | 64 |
| NE | $651.19 | $567.2K | 871 | 40 |
| ME | $634.06 | $83.1K | 131 | 8 |
| ID | $622.98 | $371.9K | 597 | 32 |
| SD | $500.06 | $292.5K | 585 | 32 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $328.6K | 220 | $1493.73 |
| Surgical Center At Columbia Orthopaedic Group Llc | Ambulatory Surgical Center | MO | $322.4K | 187 | $1724.15 |
| Boston Out-Patient Surgical Suites, Llc | Ambulatory Surgical Center | MA | $307.8K | 151 | $2038.34 |
| Chippenham Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | VA | $294.2K | 132 | $2228.47 |
| Sequoia Surgical Center Lp | Ambulatory Surgical Center | CA | $291.0K | 99 | $2939.28 |
| Orthopaedic Surgery Center Of Raleigh Llc | Ambulatory Surgical Center | NC | $281.7K | 137 | $2055.94 |
| North Valley Orthopedic Surgery Center Llc | Ambulatory Surgical Center | AZ | $279.4K | 132 | $2116.42 |
| Leigh Orthopedic Surgery Center, Llc | Ambulatory Surgical Center | VA | $275.8K | 174 | $1585.20 |
| Specialists One- Day Surgery Llc | Ambulatory Surgical Center | NY | $266.5K | 131 | $2034.49 |
| Surgery Center Jv | Ambulatory Surgical Center | AL | $259.7K | 139 | $1868.26 |
| Usc, Llc | Ambulatory Surgical Center | MI | $256.6K | 126 | $2036.80 |
| Orthopaedic Surgery Center Of San Antonio Lp | Ambulatory Surgical Center | TX | $250.4K | 155 | $1615.53 |
| Santa Rosa Surgery Center L P | Ambulatory Surgical Center | CA | $245.8K | 87 | $2825.42 |
| Specialty Asc Llc | Ambulatory Surgical Center | NV | $239.5K | 96 | $2494.70 |
| Musculoskeletal Ambulatory Surgery Center Inc | Ambulatory Surgical Center | FL | $230.7K | 101 | $2283.81 |
| Northwest Orthopaedic Specialists, P.S. | Ambulatory Surgical Center | WA | $218.0K | 111 | $1963.99 |
| Knoxville Orthopaedic Surgery Center Llc | Ambulatory Surgical Center | TN | $211.9K | 124 | $1708.47 |
| Beacon Orthopaedics Surgery Center, Llc | Ambulatory Surgical Center | OH | $203.4K | 104 | $1955.47 |
| Prescott Outpatient Surgical Center Llc | Ambulatory Surgical Center | AZ | $202.6K | 94 | $2155.41 |
| Roanoke Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | VA | $200.7K | 119 | $1686.40 |
The data suggests significant pricing inconsistencies for CPT 29827. With a 3.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.