Rotator Cuff Surgery Cost in Rhode Island (2026)

Above-average costs · 4.8% over the US mean · RI

Rhode Island Average

$15,720

Typical Range

$6,288 – $26,200

National Average

$15,000

▲ +4.8% above national average

Rotator Cuff Surgery in Rhode Island: What to Know

Rhode Island offers advanced rotator cuff surgery options. Rhode Island Hospital's Shoulder and Elbow Service performs over 450 shoulder and elbow surgeries annually, encompassing arthroscopic, open, and revision procedures. Ortho Rhode Island, with its Surgery Center in Warwick, was the first in the state to utilize the Stryker InSpace Balloon implant for irreparable tears and also offers the Arthrex CuffMend Rotator Cuff Augmentation System.

For potential cost savings, consider outpatient procedures at Ambulatory Surgery Centers (ASCs) like Ortho RI Surgery Center, which typically offer lower costs and same-day discharge compared to hospital-based procedures. University Orthopedics in Providence is a regional referral center offering a full spectrum of non-operative treatments as well. Verify current pricing directly with providers.

Estimated Cost Breakdown in Rhode Island

Rhode Island runs somewhat above the national average for rotator cuff surgery. Here's where the extra cost comes from.

Component	Estimated Range
Facility Fee	$3,301 - $6,131
Surgeon Fee	$3,301 - $6,131
Implants Supplies	$1,651 - $3,065
Post Op Care	$1,651 - $3,065
Anesthesia	$1,100 - $2,044
Total Estimated Cost	$6,288 – $26,200

Cost estimates are adjusted for regional pricing. See how we calculate state-level costs →

Ranges adjusted for Rhode Island's regional price parity (104.8). See the national percentage breakdown →

Facility Costs in Rhode Island

Here are the highest-volume rotator cuff surgery providers in Rhode Island. All rates come from CMS Medicare claims data — actual payments, not list prices.

Facility	City	Negotiated Rate	Medicare Payment	Volume
Rhode Island Hospital	Providence	$1,457	$1,154	61
Kent County Memorial Hospital	Warwick	$1,527	$1,216	44
The Miriam Hospital	Providence	$1,527	$1,216	35
Newport Hospital	Newport	$1,527	$1,216	34

Rotator Cuff Surgery Cost in Neighboring States

Among its neighbors, Rhode Island offers the best pricing for rotator cuff surgery. If you're already local, you're in a good spot cost-wise.

Rotator Cuff Surgery in Rhode Island: Common Questions

How much does rotator cuff surgery cost in Rhode Island?

Expect to budget around $15,720 for rotator cuff surgery in Rhode Island. The typical range spans $6,288 to $26,200 — where you land depends on your provider, whether you choose a hospital or outpatient center, and the specifics of your case.

Will my health insurance pay for rotator cuff surgery?

Most insurance plans cover rotator cuff surgery when it's deemed medically necessary. You'll typically need pre-authorization from your insurer, and staying in-network with a Rhode Island provider will minimize your out-of-pocket share.

When can I return to work after rotator cuff surgery?

The recovery timeline for rotator cuff surgery is 42 to 180 days. Here's the general pattern: days 1-42 involve significant rest, days 42-180 are a gradual return to activity. Rhode Island patients should also budget for post-op care costs — follow-up visits, pain management, and any required imaging or lab work.

What payment options exist for rotator cuff surgery in Rhode Island?

You have several options to cover the $15,720 average in Rhode Island. Third-party financing (CareCredit, Alphaeon) offers 0% intro APR periods up to 24 months. Many surgeons also accept direct payment plans or offer discounts of 10-20% for paying in full upfront.

Can Medicaid help pay for rotator cuff surgery in Rhode Island?

Medicaid coverage for rotator cuff surgery in Rhode Island depends on medical necessity. If your doctor documents that rotator cuff surgery is required for your health, Rhode Island Medicaid may cover part or all of the cost. Pre-authorization is typically required. Contact Rhode Island's Medicaid office or your managed care plan for specific coverage details.

Is rotator cuff surgery eligible for HSA/FSA funds?

HSA and FSA accounts work for rotator cuff surgery as long as there's medical necessity. Given Rhode Island's $15,720 average, pre-tax payment through your health savings account is worth pursuing — the tax benefit alone could cover your follow-up care costs.

What does the rotator cuff surgery cost in Rhode Island include?

A typical rotator cuff surgery quote in Rhode Island bundles three main charges: the surgeon's professional fee, anesthesia, and the facility/OR fee. What's often missing from the quote: pre-op labs, post-surgery medications, compression garments, and any follow-up visits after the first one.

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