Rotator Cuff Surgery Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a rotator cuff surgery cost in Wisconsin?
You could pay $3,112 or $6,936 for the same rotator cuff surgery in Wisconsin - depending entirely on which facility you choose. The median cash price across 114 reporting hospitals is $4,916. This data comes directly from hospital price transparency files published under federal law.
Three low-priced facilities in Wisconsin, from hospital price files
- ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS · Green Bay, WI $2,075
- ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS · Sheboygan, WI $2,075
- Gundersen Luthern Medical Center Inc · La Crosse, WI $2,076
All 114 facilities are listed below, free.
Where rotator cuff surgery costs vary in Wisconsin
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 Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($4,916) |
|---|---|---|---|---|
| 1 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS | Green Bay, WI | $2,075 | $2,841 below |
| 2 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | Sheboygan, WI | $2,075 | $2,841 below |
| 3 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $2,076 | $2,840 below |
| 4 | St Clare Memorial Hospital Inc | Oconto Falls, WI | $2,152 | $2,764 below |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $2,167 | $2,749 below |
| 6 | St Joseph’s Health Services Inc | Hillsboro, WI | $2,167 | $2,749 below |
| 7 | Memorial Hospital of Boscobel | Boscobel, WI | $2,167 | $2,749 below |
| 8 | Tri-County Memorial Hospital Inc | Whitehall, WI | $2,167 | $2,749 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
- ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS is the lowest-cost option at $2,075 - $2,841 below the median posted price ($4,916), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $4,916, 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 $1,516–$19,693
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,526–$4,301
- Professional fee $1,236–$4,264
Estimated from CMS fee schedules + commercial rate multipliers
Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $13,158, including Mercyhealth Hospital & Medical Center - Walworth at $19,693, 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 $4,916 versus $2,426 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.
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 | ~$4,916 |
| Deductible met - 20% coinsurance | ~$983 |
| Out-of-network provider | $10,815+ |
Frequently asked questions: rotator cuff surgery costs in Wisconsin
How much does a rotator cuff surgery cost in Wisconsin?
The typical insurer-negotiated rate is $3,080, with most facilities between $814 and $6,907 (based on 114 hospitals reporting negotiated rates). Posted cash prices start at $2,075, with a median of $4,916; 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 Wisconsin?
Based on declared prices, the lowest posted price in our Wisconsin data is ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS in Green Bay at about $2,075. By metro, Green Bay has the lowest median ($2,934). 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 Wisconsin hospitals?
Typical prices vary about 8.5× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $4,916 versus a median negotiated rate of $3,080 - about 1.6× 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 Wisconsin?
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
- 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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