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Procedure price report · Other therapeutic procedures on muscles and tendons

Cutting of one tendon in the shoulder area

CPT 23405the billing code this page is about

Open surgery to divide a single tendon in the shoulder or upper arm to release tightness.

Hospitals typically charge $3,886 cash for this outpatient procedure — the median across 767 hospitals that filed a usable cash price; the average of the middle 60% is $4,176. Most fall between $1,239 and $8,636 (20th–80th percentile).

Hospitals
767
States
46
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 767 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$869$1,439$3,886$7,861$15,246

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($869 vs $15,246).

How the prices are spread

$647 – $917: 45 hospitals$647$917 – $1,301: 82 hospitals$1,301 – $1,846: 91 hospitals$1,301$1,846 – $2,619: 60 hospitals$2,619 – $3,716: 51 hospitals$2,619$3,716 – $5,272: 82 hospitals$5,272 – $7,480: 113 hospitals$5,272$7,480 – $10,612: 99 hospitals$10,612 – $15,055: 28 hospitals$10,612$15,055 – $21,360: 48 hospitals$15,055median $3,886price bands are equal on a log scale
Hospitals per price band (699 of 767 — the bands cover the 5th to 95th percentile)
FromToHospitals
$647$91745
$917$1,30182
$1,301$1,84691
$1,846$2,61960
$2,619$3,71651
$3,716$5,27282
$5,272$7,480113
$7,480$10,61299
$10,612$15,05528
$15,055$21,36048

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,886
Cash as a multiple of Medicare0.52×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,886.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,261 across 26 hospitalsWA$3,261Idaho: median $4,230 across 13 hospitalsID$4,230Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,538 across 36 hospitalsMN$3,538Illinois: median $5,414 across 35 hospitalsIL$5,414Wisconsin: median $3,770 across 54 hospitalsWI$3,770Michigan: median $1,439 across 31 hospitalsMI$1,439New York: median $7,413 across 40 hospitalsNY$7,413Massachusetts: median $21,431 across 14 hospitalsMA$21,431Oregon: median $1,143 across 13 hospitalsOR$1,143Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,529 across 28 hospitalsIA$1,529Indiana: median $2,711 across 23 hospitalsIN$2,711Ohio: median $7,861 across 60 hospitalsOH$7,861Pennsylvania: median $8,573 across 50 hospitalsPA$8,573New Jersey: median $6,839 across 36 hospitalsNJ$6,839Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,376 across 38 hospitalsCA$5,376Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $6,391 across 18 hospitalsCO$6,391Nebraska: median $2,096 across 18 hospitalsNE$2,096Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $676 across 14 hospitalsWV$676Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $4,849 across 10 hospitalsNC$4,849South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,019 across 14 hospitalsOK$1,019Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,905 across 12 hospitalsGA$6,905Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 29 hospitalsTX$5,887Florida: median $4,881 across 17 hospitalsFL$4,881
Cash price by state, most expensive first. National median $3,886. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA14$21,431+451%$6,554 – $21,431
Pennsylvania PA50$8,573+121%$807 – $20,543
Ohio OH60$7,861+102%$2,463 – $21,360
New York NY40$7,413+91%$1,020 – $8,640
Georgia GA12$6,905+78%$6,905 – $23,258
New Jersey NJ36$6,839+76%$3,986 – $9,388
Colorado CO18$6,391+64%$1,316 – $17,062
Texas TX29$5,887+51%$4,786 – $9,082
Illinois IL35$5,414+39%$934 – $6,385
California CA38$5,376+38%$1,802 – $7,933
Florida FL17$4,881+26%$4,881 – $23,268
North Carolina NC10$4,849+25%$1,589 – $5,342
Idaho ID13$4,230+9%$1,249 – $12,106
Wisconsin WI54$3,770−3%$2,037 – $4,506
Minnesota MN36$3,538−9%$1,626 – $6,922
Washington WA26$3,261−16%$1,529 – $8,429
Indiana IN23$2,711−30%$849 – $3,693
Nebraska NE18$2,096−46%$922 – $3,439
Iowa IA28$1,529−61%$1,310 – $2,635
Michigan MI31$1,439−63%$1,427 – $4,524
Oregon OR13$1,143−71%$1,143 – $1,806
Oklahoma OK14$1,019−74%$1,019 – $8,909
West Virginia WV14$676−83%$647 – $4,933
Missouri MO9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,886.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care574$5,172$1,353 – $9,067
Children’s12fewer than 20 hospitals
Critical access177$1,812$999 – $4,462
Ownership
For-profit70$4,933$1,252 – $11,713
Government113$1,872$1,272 – $8,454
Non-profit580$3,966$1,168 – $8,613
System affiliation
Part of a system630$4,627$1,353 – $8,887
Independent137$1,802$1,090 – $6,703

Cash price vs list price

Median list price (chargemaster)$5,295
Median cash price$3,886
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

487 hospitals filed a usable inpatient cash price for this code. The median is $4,501 and the average of the middle 60% is $4,412; most fall between $1,329 and $8,748.

Cash price percentiles, inpatient, across 487 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$932$1,577$4,501$7,861$16,701

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($932 vs $16,701).

Of the 522 hospitals that filed this code inpatient, 487 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

767 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 836 hospitals that filed this code at all gave us
Usable cash price — counted767
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded13
Hospitals that filed this code836

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other therapeutic procedures on muscles and tendons family.

Hospitals file this code under descriptions such as Tenotomy Shoulder Area 1 Tendon.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Cutting of one tendon in the shoulder area (CPT 23405) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23405-cutting-of-one-tendon-in-the-shoulder-area