The average cost of arthroscopic shoulder surgery in the United States is $25,925, although prices can range from $6,900 to $31,650.
One factor that can greatly affect the cost of arthroscopic shoulder surgery is whether the procedure is performed in an inpatient facility, such as a hospital, or in an outpatient surgery center. Whether or not you can have outpatient shoulder surgery depends on your overall health.
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Outpatient centers are just as safe as hospitals, but they can save you thousands of dollars on your medical bill.
According to our data, the target fair price for arthroscopic shoulder surgery is $14,050, whether you have insurance or not.
- national average: $25,925
- national range: $6,900 – $31,650+
- Average Outpatient Facility: $16,150
- average inpatient facility: $26,875
- target fair price: $14,050
- Facility Environment: The location where the medical procedure is performed affects the cost. Having arthroscopic shoulder surgery in a hospital as an inpatient costs much more than having the same procedure done in an outpatient setting. Since inpatient facilities tend to cost more to run, patients end up paying more for care.
- with insurance or without insurance: the price of arthroscopic shoulder surgery can vary between insurance providers. the change in price largely depends on how much, if any, of the procedure your insurance plan will cover. If you do not have health insurance, you can expect to pay the full cost of the procedure out of pocket.
- Location: The region, state, and even city you live in can affect the cost of arthroscopic shoulder surgery. If you live in a rural area with fewer facilities to choose from, you can expect to pay more than you would if you lived in a city with many providers. Traveling for a medical procedure can be a great way to save money.
- prescriptions: A doctor may prescribe pain relievers or antibiotics after the procedure. To avoid high prescription prices, make sure the prescriptions you receive are covered by your insurance policy. You can also ask if there is a generic version of the same drug, which can help lower the cost.
- Additional Office Visits: In some cases, you may be charged an additional fee for an initial consultation with the surgeon prior to surgery. Your doctor will want to see you for follow-up appointments during the first year after surgery, usually at three, six, and nine months. patients often see their doctor once a year after that, unless problems arise. ask if these follow-up visits are included in the total cost of your procedure.
- Physical Therapy/Rehabilitation: A physical therapy regimen, tailored to the surgical procedures performed, will play a critical role in regaining strength and mobility in the shoulder that underwent surgery. The time required will vary depending on the extent of the surgery, but your continued effort in rehabilitating your shoulder will contribute to the success of the surgery.
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Next, you’ll learn what factors influence the cost of arthroscopic shoulder surgery and how to find a fair price for your surgery.
cost averages for arthroscopic shoulder surgery throughout the country
What factors affect the cost of arthroscopic shoulder surgery?
Many things can affect the cost of health care, regardless of the type of procedure you receive. In general, there are three factors that cause health care costs to vary:
cost differences between inpatients and outpatients
The cost of your arthroscopic shoulder surgery will vary greatly between inpatient and outpatient centers. the national average cost of a shoulder arthroscopy in hospital centers is $26,875, while the same procedure in outpatient centers averaged $16,150.
cost differences between insured and uninsured
Historically, insured patients have paid less than uninsured patients for arthroscopic shoulder surgery, especially when they remain in-network. when a patient has insurance, she shares responsibility for payment with her insurance company. For patients who do not have health insurance, the cost of their arthroscopic shoulder surgery falls on them and ultimately costs more.
in-network and out-of-network cost differences
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In-network refers to a health care provider or facility that has a contracted rate with a health insurance company. This rate is usually much lower than what someone would pay out of pocket; In-network providers are almost always cheaper than out-of-network providers. this does not apply to patients who do not have insurance; Without insurance, you bear the entire cost of your medical procedure.
responsibility for payment
Almost everyone who has arthroscopic shoulder surgery will have to pay part of the cost out of pocket. patients without insurance will be responsible for the full cost of their surgery.
Patients who do have health insurance will be responsible for paying their deductible, copay, and coinsurance amounts. the amount of each of these costs depends on your health plan.
more factors that affect the cost of your arthroscopic shoulder surgery
Your Arthroscopic Shoulder Surgery Checklist
1. review the total cost of your arthroscopic shoulder surgery with your surgeon. ask them to explain what each cost is for and keep a record. If you receive a medical bill that is higher than you expected, this information will be helpful. 2. Ask your surgeon if you can perform the procedure in an outpatient setting. 3. Verify that all providers are in-network. sometimes a provider treating you will be out of network (this is often the case with anesthesiologists). You can avoid this by asking your surgeon if all the providers that will treat you are in your insurance network. 4. Ask what the typical cost is if the surgeon finds other areas that need to be repaired during your procedure.
find a fair price for your arthroscopic shoulder surgery
The national average for arthroscopic shoulder surgery is $25,925, but the fair price is $14,050. Still feeling out of reach? New Choice Health’s Orthopedic Surgery Patient Assistance Program offers uninsured patients cash discounts and special financing options for shoulder surgery. you could pay as little as $10,500 for your shoulder surgery – significant savings! learn more about patient care today.
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