Anchoring of biceps tendon
Medicare pricing data for 7,753 providers across 51 states
This procedure has a 5.3x markup — hospitals charge $4,068 but Medicare allows only $762.78. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $213 in South Dakota to $1,561 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Anchoring of biceps tendon (HCPCS code 23430) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $762.78, but hospitals typically charge $4,068 — a 5.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $762.78, your out-of-pocket cost would be approximately $152.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $607.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,561 | $9,675 | 49 | 351 | +104.7% |
| Mississippi | $1,217 | $8,257 | 56 | 479 | +59.5% |
| Wyoming | $1,156 | $5,304 | 41 | 148 | +51.6% |
| Oregon | $1,140 | $3,522 | 90 | 407 | +49.5% |
| Hawaii | $1,069 | $5,042 | 20 | 82 | +40.1% |
| Montana | $1,058 | $3,188 | 69 | 444 | +38.7% |
| North Dakota | $1,045 | $3,079 | 18 | 94 | +37.0% |
| Illinois | $1,022 | $6,123 | 294 | 1,174 | +34.0% |
| Minnesota | $1,009 | $4,306 | 187 | 451 | +32.3% |
| New Hampshire | $1,008 | $5,693 | 55 | 253 | +32.2% |
| Virginia | $991 | $4,325 | 178 | 981 | +29.9% |
| Connecticut | $985 | $5,664 | 129 | 585 | +29.1% |
| California | $928 | $4,167 | 659 | 3,216 | +21.7% |
| Colorado | $924 | $4,250 | 256 | 1,358 | +21.2% |
| Maryland | $919 | $4,949 | 164 | 849 | +20.5% |
| Indiana | $917 | $5,475 | 196 | 753 | +20.2% |
| Georgia | $900 | $4,446 | 196 | 954 | +18.0% |
| Utah | $866 | $3,519 | 111 | 361 | +13.5% |
| Washington | $823 | $2,824 | 262 | 1,242 | +7.9% |
| Tennessee | $793 | $3,637 | 174 | 913 | +4.0% |
| West Virginia | $770 | $4,550 | 29 | 110 | +1.0% |
| Michigan | $728 | $3,080 | 158 | 633 | -4.6% |
| Missouri | $727 | $4,561 | 151 | 758 | -4.7% |
| Iowa | $715 | $3,426 | 79 | 261 | -6.2% |
| North Carolina | $704 | $3,033 | 270 | 1,249 | -7.7% |
| Rhode Island | $699 | $3,027 | 34 | 174 | -8.3% |
| Nebraska | $699 | $2,968 | 68 | 450 | -8.4% |
| Nevada | $698 | $3,031 | 63 | 641 | -8.4% |
| Texas | $698 | $3,727 | 544 | 2,901 | -8.6% |
| Ohio | $694 | $2,845 | 300 | 1,298 | -9.1% |
| Arizona | $690 | $3,460 | 202 | 1,051 | -9.5% |
| New Jersey | $674 | $8,216 | 230 | 1,114 | -11.6% |
| Florida | $659 | $4,296 | 461 | 2,446 | -13.6% |
| Pennsylvania | $657 | $3,335 | 242 | 766 | -13.9% |
| South Carolina | $640 | $3,188 | 138 | 888 | -16.1% |
| Alabama | $608 | $2,652 | 150 | 643 | -20.3% |
| Kansas | $598 | $3,430 | 93 | 455 | -21.6% |
| New Mexico | $595 | $2,659 | 35 | 198 | -22.0% |
| New York | $568 | $5,226 | 337 | 1,505 | -25.5% |
| Idaho | $561 | $2,462 | 99 | 718 | -26.5% |
| Oklahoma | $546 | $1,840 | 109 | 467 | -28.4% |
| Kentucky | $513 | $2,240 | 85 | 445 | -32.8% |
| Massachusetts | $504 | $3,176 | 166 | 663 | -33.9% |
| Arkansas | $489 | $2,146 | 71 | 382 | -35.8% |
| Wisconsin | $465 | $5,665 | 131 | 466 | -39.0% |
| District of Columbia | $464 | $2,753 | 9 | 18 | -39.1% |
| Louisiana | $460 | $2,683 | 99 | 410 | -39.7% |
| Maine | $303 | $1,869 | 30 | 124 | -60.3% |
| Delaware | $276 | $2,212 | 36 | 334 | -63.9% |
| Vermont | $272 | $2,722 | 19 | 120 | -64.4% |
| South Dakota | $213 | $1,320 | 39 | 246 | -72.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber