Price Checker / CPT 23412
CPT 23412 — Repair rotator cuff chronic
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$792
What Medicare pays in a hospital/ASC setting
$792
What Medicare pays in a physician's office
$30,814
Based on 14 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 23412
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ST RITA'S MEDICAL CENTER Lima, OH | $232,911 | — | 12632% |
| Astera Health , MN | $45,069 | $32,540 | 5593% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $38,932 | — | 4474% |
| Hampshire Memorial Hospital, Inc. , WV | $20,350 | — | 2471% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 2454% |
| Hills and Dales General Hospital , MI | $14,791 | $3,402 | 1768% |
| Hills and Dales General Hospital Cass City, MI | $14,791 | — | 1694% |
| Klickitat County Public Hospital District No 1 Goldendale, WA | $13,000 | — | 1542% |
| Klickitat County Public Hospital District No 1 , WA | $13,000 | $10,400 | 1542% |
| Ashley County Medical Center Crossett, AR | $1,930 | — | 750% |
| Cedar County Memorial Hospital , MO | $2,475 | — | 636% |
| Kansas Spine & Specialty Hospital , KS | $9,195 | — | 357% |
| Fulton County Medical Center , CO | $2,942 | — | 296% |
| Harbor Beach Community Hospital , MI | $1,790 | — | 119% |
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About CPT 23412
CPT code 23412 refers to “Repair rotator cuff chronic”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $792 in a facility (hospital or ambulatory surgery center) and $792in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.