Rotator Cuff Surgery Cost in North Carolina (2026): Average Prices & What You'll Pay
What does a rotator cuff surgery cost in North Carolina?
The same rotator cuff surgery in North Carolina might cost you $4,197 at one facility and $7,050 at another - the building you walk into drives the difference. The median cash price across 58 reporting hospitals is $6,930. These figures come straight from hospital price transparency files published under federal law.
Three low-priced facilities in North Carolina, from hospital price files
- Watauga Medical Center, Inc · Boone, NC $2,944
- Blue Ridge HealthCare Hospitals, Inc · Morganton, NC $2,944
- Caldwell Memorial Hospital · Lenoir, NC $2,944
All 58 facilities are listed below, free.
Where rotator cuff surgery costs vary in North Carolina
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 North Carolina
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($6,930) |
|---|---|---|---|---|
| 1 | Watauga Medical Center, Inc | Boone, NC | $2,944 | $3,986 below |
| 2 | Blue Ridge HealthCare Hospitals, Inc | Morganton, NC | $2,944 | $3,986 below |
| 3 | Caldwell Memorial Hospital | Lenoir, NC | $2,944 | $3,986 below |
| 4 | Henderson County Hospital Corporation | Hendersonville, NC | $2,944 | $3,986 below |
| 5 | UNC Rockingham Health Care | Eden, NC | $2,955 | $3,975 below |
| 6 | Lenoir Memorial Hospital | Kinston, NC | $2,964 | $3,966 below |
| 7 | Wayne Memorial Hospital | Goldsboro, NC | $3,021 | $3,909 below |
| 8 | University of North Carolina Hospitals at Chapel Hill | Chapel Hill, NC | $3,054 | $3,876 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?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Watauga Medical Center, Inc is the lowest-cost option at $2,944 - $3,986 below the median posted price ($6,930), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $6,930, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether 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 $1,501–$97,499
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $97,499–$97,499
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $12,968, including Wilson Medical Center at $11,562, 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 $6,930 versus $97,499 inpatient (about 14.1× more), 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.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$6,930 |
| Deductible met - 20% coinsurance | ~$1,386 |
| Out-of-network provider | $15,246+ |
Frequently asked questions: rotator cuff surgery costs in North Carolina
How much does a rotator cuff surgery cost in North Carolina?
The typical insurer-negotiated rate is $6,820, with most facilities between $3,007 and $7,037 (based on 58 hospitals reporting negotiated rates). Posted cash prices start at $2,944, with a median of $6,930; 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 North Carolina?
Based on declared prices, the lowest posted price in our North Carolina data is Watauga Medical Center, Inc in Boone at about $2,944. By metro, Raleigh has the lowest median ($2,311). 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 North Carolina hospitals?
Typical prices vary about 2.3× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $6,930 versus a median negotiated rate of $6,820 - about 1× 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 North Carolina?
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
- How to read a Medicare Summary Notice
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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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