Rotator Cuff Surgery Cost in Massachusetts (2026): Average Prices & What You'll Pay
What does a rotator cuff surgery cost in Massachusetts?
You could pay $2,948 or $4,921 for the same rotator cuff surgery in Massachusetts - depending entirely on which facility you choose. The median cash price across 29 reporting hospitals is $3,880. This data comes directly from hospital price transparency files published under federal law.
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Where rotator cuff surgery costs vary in Massachusetts
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a rotator cuff surgery depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Rotator Cuff Surgery Providers in Massachusetts
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,880) |
|---|---|---|---|---|
| 1 | Anna Jaques Hospital | Newburyport, MA | $1,720 | $2,160 below |
| 2 | Holyoke Medical Center | Holyoke, MA | $2,012 | $1,868 below |
| 3 | Lahey Hospital & Medical Center, Burlington | Burlington, MA | $2,522 | $1,358 below |
| 4 | HENRY HEYWOOD MEMORIAL HOSPITAL | Gardner, MA | $2,660 | $1,220 below |
| 5 | Beth Israel Deaconess Hospital-Milton Inc | Milton, MA | $2,847 | $1,033 below |
| 6 | Beth Israel Deaconess Hospital - Plymouth | Plymouth, MA | $2,940 | $940 below |
| 7 | New England Baptist Hospital | Boston, MA | $2,960 | $920 below |
| 8 | Merrimack Health Methuen Hospital |Merrimack Health Haverhill Hospital | MA | $2,967 | $913 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
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Quick take
- Anna Jaques Hospital is the lowest-cost option at $1,720 - $2,160 below the median posted price ($3,880), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,880, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for rotator cuff surgery
The same rotator cuff surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,513–$33,066
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,012–$4,237
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost states.
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Why prices vary - and what it means for your coverage
A small number of hospitals (5) report prices above $9,570, including HealthAlliance - Clinton Hospital at $33,066, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $3,880 versus $4,133 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$3,880 |
| Deductible met - 20% coinsurance | ~$776 |
| Out-of-network provider | $8,536+ |
Frequently asked questions: rotator cuff surgery costs in Massachusetts
How much does a rotator cuff surgery cost in Massachusetts?
The typical insurer-negotiated rate is $2,121, with most facilities between $811 and $2,966 (based on 28 hospitals reporting negotiated rates). Posted cash prices start at $1,720, with a median of $3,880; outlier facilities are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a rotator cuff surgery in Massachusetts?
Based on declared prices, the lowest posted price in our Massachusetts data is Anna Jaques Hospital in Newburyport at about $1,720. By metro, Boston has the lowest median ($3,424). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a rotator cuff surgery so much cheaper at some Massachusetts hospitals?
Typical prices vary about 3.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Massachusetts, the median cash (self-pay) price is $3,880 versus a median negotiated rate of $2,121 - about 1.8× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a rotator cuff surgery in Massachusetts?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- Understanding your UnitedHealthcare EOB
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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