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Package

Shoulder repair with ligament release - arthroscopic

Package

Shoulder repair with ligament release - arthroscopic

Arthroscopic shoulder repair with ligament release treats shoulder stiffness or limited range of motion caused by tight or scarred ligaments. Using small incisions and a camera, the surgeon carefully cuts or releases the restricted tissue to restore mobility. This procedure may be performed alongside other repairs and is done under anesthesia as an outpatient. Recovery focuses on gradually restoring motion through guided physical therapy, with timelines varying based on what was repaired.
You'd pay up to
$23,766 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$23,766

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$11,507
Highest
$35,397
Cash price
up to $23,766

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Shoulder repair with ligament release - arthroscopic Standard Service Package (SSP MS004). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS C1713 Facility Fee Implantable Anchor/Screw for Bone-to-bone/soft Tissue-to-bone Fixation
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS J0690 Facility Fee Intramuscular injection cefazolin sodium, 500mg
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS J2704 Facility Fee Intramuscular injection of 10mg propofol
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS 29827 Facility Fee Arthroscopic Shoulder Surgery with Rotator Cuff Repair
HCPCS 29826 Facility Fee Arthroscopic Shoulder Decompression with Partial Acromioplasty, Ligament Release
HCPCS 29826 Professional Fee Arthroscopic Shoulder Decompression with Partial Acromioplasty, Ligament Release
HCPCS 29827 Professional Fee Arthroscopic Shoulder Surgery with Rotator Cuff Repair

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$23,766 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Shoulder repair with ligament release - arthroscopic
Service Codes HCPCS C1713, HCPCS J1100, HCPCS J0690, HCPCS J3010, HCPCS J2704
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Shoulder repair with ligament release - arthroscopic I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS C1713, HCPCS J1100, HCPCS J0690, HCPCS J3010, HCPCS J2704. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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