Last updated: March 2026
How Much Does Rotator Cuff Surgery Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Arthroscopic Rotator Cuff Repair | $8,000 – $25,000 | $1,500 – $4,500 |
| Open Rotator Cuff Repair | $10,000 – $30,000 | $2,000 – $5,000 |
| Mini-Open Rotator Cuff Repair | $9,000 – $27,000 | $1,800 – $4,800 |
CPT/ADA Code: 29827
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Medically necessary — covered after deductible; prior authorization typically required
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Rotator cuff repair costs $8,000 to $30,000 without insurance. Arthroscopic repair is generally less expensive than open surgery.
A sling is worn for 4-6 weeks. Physical therapy begins early and continues for 4-6 months. Full recovery takes 6-12 months.
Small tears may heal with physical therapy and conservative treatment. Large or complete tears generally require surgical repair for best outcomes.