Rotator Cuff Surgery Cost in Virginia (2026): Average Prices & What You'll Pay
What does a rotator cuff surgery cost in Virginia?
You could pay $4,250 or $7,221 for the same rotator cuff surgery in Virginia - depending entirely on which facility you choose. The median cash price across 56 reporting hospitals is $5,758. This data comes directly from hospital price transparency files published under federal law.
Three low-priced facilities in Virginia, from hospital price files
- Inova Fair Oaks Hospital $3,469
- Inova Alexandria Hospital · Alexandria, VA $3,469
- Inova Mount Vernon Hospital · Alexandria, VA $3,469
All 56 facilities are listed below, free.
Where rotator cuff surgery costs vary in Virginia
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 Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($5,758) |
|---|---|---|---|---|
| 1 | Inova Fair Oaks Hospital | VA | $3,469 | $2,289 below |
| 2 | Inova Alexandria Hospital | Alexandria, VA | $3,469 | $2,289 below |
| 3 | Inova Mount Vernon Hospital | Alexandria, VA | $3,469 | $2,289 below |
| 4 | Inova Loudoun Hospital | Leesburg, VA | $3,469 | $2,289 below |
| 5 | Inova Fairfax Hospital | Falls Church, VA | $3,469 | $2,289 below |
| 6 | Virginia Hospital Center Arlington Health System | Arlington, VA | $3,975 | $1,783 below |
| 7 | Sentara Martha Jefferson Hospital | Charlottesville, VA | $4,007 | $1,751 below |
| 8 | Clinch Valley Health | VA | $4,044 | $1,714 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
- Inova Fair Oaks Hospital is the lowest-cost option at $3,469 - $2,289 below the median posted price ($5,758), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $5,758, 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 $884–$33,220
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $884–$4,573
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.
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Why prices vary - and what it means for your coverage
A small number of hospitals (9) report prices above $11,678, including BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC at $33,220, 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 $5,758 versus $3,469 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 | ~$5,758 |
| Deductible met - 20% coinsurance | ~$1,152 |
| Out-of-network provider | $12,668+ |
Frequently asked questions: rotator cuff surgery costs in Virginia
How much does a rotator cuff surgery cost in Virginia?
The typical insurer-negotiated rate is $4,250, with most facilities between $3,085 and $5,758 (based on 53 hospitals reporting negotiated rates). Posted cash prices start at $3,469, with a median of $5,758; 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 Virginia?
Based on declared prices, the lowest posted price in our Virginia data is Inova Fair Oaks Hospital at about $3,469. By metro, Alexandria has the lowest median ($3,469). 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 Virginia hospitals?
Typical prices vary about 1.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $5,758 versus a median negotiated rate of $4,250 - about 1.4× 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 Virginia?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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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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