Rotator Cuff Surgery Cost in Virginia (2026)

Moderately higher pricing · Regional price parity: 103.2 · VA

Virginia Average
$15,480
Typical Range
$6,192 – $25,800
National Average
$15,000
▲ +3.2% above national average

Rotator Cuff Surgery in Virginia: What to Know

Virginia offers comprehensive rotator cuff surgery options, with MedStar Health performing nearly 500 procedures annually across its Virginia facilities. Minimally invasive arthroscopic repair is commonly available, including at Jordan-Young Institute in Virginia Beach and Prince William Orthopaedics in Manassas/Fairfax. Tidewater Orthopaedics in Hampton, Newport News, and Williamsburg further emphasizes fellowship-trained surgeons specializing exclusively in shoulder conditions for optimal care.

For potential cost savings, consider an Ambulatory Surgical Center (ASC) in Virginia, which can significantly reduce expenses compared to hospital settings. Carilion Clinic in Roanoke has even researched safe driving post-surgery, especially relevant for patients in Southwest Virginia with limited public transportation. Verify current pricing directly with providers.

Estimated Cost Breakdown in Virginia

Expect to pay moderately more for rotator cuff surgery in Virginia. These are the cost components driving the total.

ComponentEstimated Range
Facility Fee $3,251 - $6,037
Surgeon Fee $3,251 - $6,037
Implants Supplies $1,625 - $3,019
Post Op Care $1,625 - $3,019
Anesthesia $1,084 - $2,012
Total Estimated Cost $6,192 – $25,800

Based on CMS Medicare data and regional price parities. Learn about our methodology →

Ranges adjusted for Virginia's regional price parity (103.2). See the national percentage breakdown →

Facility Costs in Virginia

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

Facility City Negotiated Rate Medicare Payment Volume
Carilion Roanoke Memorial Hospital Roanoke $944 $750 336
Sentara Rmh Medical Center Harrisonburg $1,493 $1,183 187
University Of Virginia Medical Center Charlottesville $1,323 $1,041 162
Sentara Leigh Hospital Norfolk $1,325 $1,052 154
Henrico Doctors' Hospital Richmond $1,315 $1,042 100
Bon Secours Mary Immaculate Hospital Newport News $1,305 $1,029 92
Inova Fairfax Hospital Falls Church $1,438 $1,143 80
Augusta Health Fishersville $1,500 $1,194 75
Cjw Medical Center Richmond $1,322 $1,046 75
Bon Secours Memorial Regional Medical Center Mechanicsville $1,390 $1,105 71

Rotator Cuff Surgery Cost in Neighboring States

See how Virginia's rotator cuff surgery costs compare to neighboring states. Prices can vary significantly even across state lines.

West Virginia
$13,470
-10.2% vs national
Kentucky
$13,845
-7.7% vs national
Tennessee
$14,130
-5.8% vs national
North Carolina
$14,820
-1.2% vs national
Maryland
$16,020
+6.8% vs national
District of Columbia
$16,575
+10.5% vs national

Rotator Cuff Surgery in Virginia: Common Questions

What should I expect to pay for rotator cuff surgery in Virginia?
The average cost of rotator cuff surgery in Virginia is $15,480. Prices typically range from $6,192 to $25,800, depending on the facility, provider, and your specific case.
Will my health insurance pay for rotator cuff surgery?
Insurance typically picks up most of the tab for rotator cuff surgery when it's medically indicated. In Virginia, confirm your surgeon is in-network and get pre-authorization before scheduling to avoid surprise bills.
What's the recovery time for 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. Virginia patients should also budget for post-op care costs — follow-up visits, pain management, and any required imaging or lab work.
How can I finance rotator cuff surgery in Virginia?
Most Virginia surgeons work with financing companies that offer monthly payment plans. CareCredit and Prosper are the most common. You might also ask about cash-pay pricing — some providers knock 10-20% off the $15,480 sticker price when you pay upfront.
How do I choose a rotator cuff surgery facility in Virginia?
Focus on three things: the facility's rotator cuff surgery case volume, its accreditation status, and the out-of-pocket cost at your insurance tier. Virginia has both hospital and outpatient options — outpatient centers typically offer significant savings.
Is it worth traveling to another state for rotator cuff surgery?
West Virginia runs $2,010 cheaper for rotator cuff surgery than Virginia. For patients near the state line, that 13% difference can justify the trip. Ask your Virginia surgeon if they coordinate with out-of-state providers for post-op monitoring.
Is rotator cuff surgery covered under Virginia's Medicaid program?
Virginia Medicaid may cover rotator cuff surgery when it's medically necessary and your doctor provides supporting documentation. Coverage details vary by managed care plan, so check directly with your Medicaid provider for pre-authorization steps.

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