Price Checker / CPT 23430
How much does Repair Biceps Tendon cost?
CPT 23430 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 35x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,050–$2,100
What this should cost
With insurance
~$4,250
Typical out-of-pocket
Overcharged if over
$2,650
Push back above this
The average hospital charge of $55,626 is $54,026 over the fair price (about 35x the fair rate).
What hospitals charge for Repair Biceps Tendon
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Lafayette LAFAYETTE, IN | $156,542 | $40,231 | 22378% |
| Franciscan Health Munster MUNSTER, IN | $100,332 | $26,789 | 14307% |
| WellSpan Good Samaritan Hospital Lebanon, PA | — | — | 12468% |
| Franciscan Health Orthopedic-Carmel , IN | $82,124 | $21,599 | 11693% |
| Stony Brook Eastern Long Island Hospital , NY | $35,450 | — | 10818% |
| SOUTHSIDE MEDICAL CENTER Petersburg, VA | $58,733 | — | 9363% |
| INTEGRIS Health Baptist Medical Center Oklahoma City, OK | — | — | 9279% |
| INTEGRIS Health Baptist Medical Center Portland Ave Oklahoma City, OK | — | — | 9279% |
| INTEGRIS Health Canadian Valley Hospital Yukon, OK | — | — | 9279% |
| INTEGRIS Health Cancer Institute Hospital Oklahoma City, OK | — | — | 9279% |
| INTEGRIS Health Edmond Hospital Edmond, OK | — | — | 9279% |
| INTEGRIS Health Enid Hospital Enid, OK | — | — | 9279% |
| INTEGRIS Health Grove Hospital Grove, OK | — | — | 9279% |
| INTEGRIS Health Health Woodward Hospital Woodward, OK | — | — | 9279% |
| INTEGRIS Health Jim Thorpe Rehabilitation Oklahoma City, OK | — | — | 9279% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Repair Biceps Tendon
CPT code 23430 refers to repair biceps tendon (billing description: "Repair biceps tendon"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $696 in a facility (hospital or surgery center) and $696 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.