How Much Does Shoulder Arthroscopy with Decompression Cost?
Also known as: Sho arthrs srg decompression (CPT 29826)
Arthroscopic subacromial decompression surgery to create more space for the rotator cuff tendons.
The total estimated cost of Shoulder Arthroscopy with Decompression (CPT 29826) is $496 to $931, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $148.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Shoulder Arthroscopy with Decompression
What you need to know before your appointment
What to Expect
Through small incisions, the surgeon shaves bone from the underside of the acromion (roof of the shoulder) and removes inflamed bursa to reduce pinching of the rotator cuff.
How Long Does It Take?
30-60 minutes
Common Reasons Doctors Order This
Shoulder impingement syndrome, rotator cuff bursitis, bone spur on the acromion, shoulder pain with overhead activities
How to Prepare
Fast after midnight. Arrange a ride home. Have a sling ready. Plan for 2-3 months of rehabilitation.
Procedures Commonly Done Together
These procedures are frequently performed alongside Sho arthrs srg decompression
How to Reduce Your Cost for Sho arthrs srg decompression
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
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
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.
Payment = Total RVU (4.42) x CF ($33.40) = $148
Related Procedures
Similar procedures in the same category or body system
Consider These Alternatives
Depending on your clinical situation, these alternatives may be appropriate and could save you money.
Note: Alternative procedures may not be clinically appropriate for all patients. Always consult your physician to determine the best option for your specific situation.
Frequently Asked Questions
How much does Sho arthrs srg decompression cost?
The Medicare facility rate for Sho arthrs srg decompression is $148. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Sho arthrs srg decompression cost without insurance?
Without insurance, the cost of Sho arthrs srg decompression 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 decompression?
Most commercial health insurance plans and Medicare cover Sho arthrs srg decompression 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.