CPT 29828 Surgery - Musculoskeletal

How Much Does Shoulder Arthrs Srg Bicp Tenodsis Cost?

Also known as: Sho arthrs srg bicp tenodsis (CPT 29828)

Arthroscopic shoulder surgery to reattach or secure the biceps tendon (biceps tenodesis).

The total estimated cost of Shoulder Arthrs Srg Bicp Tenodsis (CPT 29828) is $2,835 to $5,316, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $844.

Total Estimated Cost of Care

$2,835 — $5,316

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$844
Hospital Facility Fee
$2,531
Anesthesia (est.)
$169
Important: The physician fee of $844 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$844
Physician component only — CMS PFS 2026

Patient Guide: Shoulder Arthrs Srg Bicp Tenodsis

What you need to know before your appointment

What to Expect

Through small incisions, the surgeon reattaches the biceps tendon to a new position to relieve pain, often using a small screw or button.

How Long Does It Take?

1-1.5 hours of surgery

Common Reasons Doctors Order This

Biceps tendon tear at the shoulder, biceps tendinitis not responding to treatment, SLAP tear with biceps involvement

How to Prepare

Fast after midnight. Arrange help at home. Expect to wear a sling for 4-6 weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Sho arthrs srg bicp tenodsis

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How to Reduce Your Cost for Sho arthrs srg bicp tenodsis

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.

12.83
Work RVU
9.85
Practice Expense RVU
2.58
Malpractice RVU
25.26
Total RVU

Payment = Total RVU (25.26) x CF ($33.40) = $844

Frequently Asked Questions

How much does Sho arthrs srg bicp tenodsis cost?

The Medicare facility rate for Sho arthrs srg bicp tenodsis is $844. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Sho arthrs srg bicp tenodsis cost without insurance?

Without insurance, the cost of Sho arthrs srg bicp tenodsis 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 bicp tenodsis?

Most commercial health insurance plans and Medicare cover Sho arthrs srg bicp tenodsis 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.

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