Procedure price report · Other therapeutic procedures on muscles and tendons

Tendon repair with muscle transfer, elbow to shoulder

CPT code CPT 24320the billing code this page is about

Reconstruction of a tendon using a muscle transfer somewhere between the elbow and the shoulder, done in a single stage.

Hospitals typically charge $3,864 cash for this outpatient procedure — the median across 226 hospitals that filed a usable cash price; the average of the middle 60% is $4,220. Most fall between $1,290 and $9,058 (20th–80th percentile).

Hospitals
226
States
38
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 226 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
$936$1,412$3,864$8,454$10,035

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($936 vs $10,035).

How the prices are spread

$684 – $899: 11 hospitals$684$899 – $1,181: 15 hospitals$1,181 – $1,551: 32 hospitals$1,181$1,551 – $2,038: 23 hospitals$2,038 – $2,676: 9 hospitals$2,038$2,676 – $3,516: 8 hospitals$3,516 – $4,618: 12 hospitals$3,516$4,618 – $6,067: 26 hospitals$6,067 – $7,969: 15 hospitals$6,067$7,969 – $10,468: 53 hospitals$7,969median $3,864price bands are equal on a log scale
Hospitals per price band (204 of 226 — the bands cover the 5th to 95th percentile)
FromToHospitals
$684$89911
$899$1,18115
$1,181$1,55132
$1,551$2,03823
$2,038$2,6769
$2,676$3,5168
$3,516$4,61812
$4,618$6,06726
$6,067$7,96915
$7,969$10,46853

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,864
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 $3,864.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,454 across 11 hospitalsIL$1,454Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $8,454 across 22 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,919 across 14 hospitalsIA$1,919Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,824 across 10 hospitalsOH$2,824Pennsylvania: median $275 across 13 hospitalsPA$275New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $10,035 across 22 hospitalsCA$10,035Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,290 across 12 hospitalsOK$1,290Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $5,487 across 19 hospitalsTX$5,487Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,864. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$10,035+160%$10,035 – $10,035
New York NY22$8,454+119%$2,348 – $8,454
New Jersey NJ22$6,311+63%$4,881 – $7,914
Texas TX19$5,487+42%$2,597 – $5,887
Ohio OH10$2,824−27%$1,916 – $2,911
Iowa IA14$1,919−50%$1,919 – $1,919
Illinois IL11$1,454−62%$1,132 – $1,783
Oklahoma OK12$1,290−67%$1,290 – $1,290
Pennsylvania PA13$275−93%$232 – $8,376
Wisconsin WI8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Washington WA1not 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 $3,864.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care194$3,986$1,290 – $9,058
Children’s7fewer than 20 hospitals
Critical access25$3,864$1,132 – $14,738
Ownership
For-profit25$3,688$1,132 – $10,468
Government28$2,234$1,412 – $8,454
Non-profit173$3,864$1,290 – $8,613
System affiliation
Part of a system187$4,350$1,290 – $9,063
Independent39$2,011$1,245 – $7,171

Cash price vs list price

Median list price (chargemaster)$3,197
Median cash price$3,864
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

134 hospitals filed a usable inpatient cash price for this code. The median is $1,919 and the average of the middle 60% is $2,737; most fall between $1,132 and $7,907.

Cash price percentiles, inpatient, across 134 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
$731$1,132$1,919$5,887$10,035

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($731 vs $10,035).

Of the 143 hospitals that filed this code inpatient, 134 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

226 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 241 hospitals that filed this code at all gave us
Usable cash price — counted226
Cash price carrying a plausibility flag — shown on the compare tool, excluded here12
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code241

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Tenoplasty Elbow to Shoulder Single.

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, “Tendon repair with muscle transfer, elbow to shoulder (CPT 24320) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-24320-tendon-repair-with-muscle-transfer-elbow-to-shoulder