Price Checker / CPT 29806

CPT 29806Sho arthrs srg capsulorraphy

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$973

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$973

What Medicare pays in a physician's office

Avg Hospital Charge

$33,366

Based on 25 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 29806

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
SOUTHSIDE MEDICAL CENTER

Petersburg, VA

$58,7336673%
ST RITA'S MEDICAL CENTER

Lima, OH

$137,5466566%
Bourbon Community Hospital

, KY

$55,6145616%
Highpoint Health - Sewanee with Ascension Saint Thomas

, TN

$55,0845561%
Highpoint Health - Winchester with Ascension Saint Thomas

, TN

$55,0845561%
Memorial Medical Center

, NM

$50,1945059%
WILLARD HOSPITAL

Willard, OH

$53,1784629%
Meadowview Regional Medical Center

, KY

$43,5184373%
Harris Regional Hospital

, NC

$40,5254065%
Georgetown Community Hospital

, KY

$33,6013353%
Fauquier Health

, VA

$32,1683206%
Southern Tennessee Regional Health System - Pulaski

, TN

$25,6362535%
Lake Cumberland Regional Hospital

, CO

$22,6262225%
Middle Park Health Granby

, CO

$22,064$17,6512168%
Middle Park Health Kremmling

, CO

$22,064$22,0642168%

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About CPT 29806

CPT code 29806 refers to “Sho arthrs srg capsulorraphy”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $973 in a facility (hospital or ambulatory surgery center) and $973in 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

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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