2026 Forecast Verified

Rotator Cuff Surgery Cost in Wisconsin (2026)

Close to the national average · RPP 99.8 · WI

Wisconsin Average
$14,970
Near national average
Typical Range
$5,988 – $24,950
National avg: $15,000
Editorial view of Wisconsin
Regional Pricing Confidence
90% Confidence Index
The Wisconsin Market

What Drives Pricing Here

Three factors explain most of why rotator cuff surgery costs what it does in Wisconsin.

Regional Price Parity

Wisconsin's cost-of-living index sits at 99.8 — near the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

51 facilities perform this procedure in Wisconsin — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

Wisconsin tracks within 0.2% of the national average ($15,000) — a typical mid-market pricing environment with wide provider variance.

State Context

Rotator Cuff Surgery in Wisconsin: What to Know

Wisconsin offers excellent options for rotator cuff surgery. Aurora Health Care treats more joint conditions than any other state system, while The Orthopaedic Hospital of Wisconsin in Glendale utilizes advanced arthroscopic and open techniques, including the latest suture anchor technology. Midwest Orthopedic Specialty Hospital boasts an 85% success rate with arthroscopic superior capsular reconstruction for massive tears, using soft tissue grafts.

For potentially lower costs and shorter wait times, consider outpatient surgery at an Ambulatory Surgery Center (ASC) in Wisconsin. Many rotator cuff repairs can be performed in these facilities, reducing infection risk compared to traditional hospitals. Remember to factor in a 4-8 week post-operative travel restriction for proper healing. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in Wisconsin

Pricing for rotator cuff surgery in Wisconsin is roughly in line with the rest of the country. Here's the breakdown.

Facility Fee

OR time and hospital staffing

$3,144 - $5,838

Most significant cost

Surgeon Fee

Expertise and experience level

$3,144 - $5,838

Implants & Supplies

$1,572 - $2,919

Post-Op Care

Recovery and aftercare

$1,572 - $2,919

Anesthesia

Anesthesiologist or CRNA fee

$1,048 - $1,946

Total Estimated Cost

Wisconsin all-in range

$5,988 – $24,950

Financing Options

Many Wisconsin clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $14,970 looks like:

$624/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Prices reflect regional cost-of-living adjustments. How we calculate these numbers →

Ranges adjusted for Wisconsin's regional price parity (99.8). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in Wisconsin

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

Facility City Negotiated Rate Medicare Volume
University Of Wi Hospitals & Clinics Authority Madison $1,435 $1,131 148
Orthopaedic Hospital Of Wisconsin Glendale $1,391 $1,105 134
Gundersen Lutheran Medical Center La Crosse $1,355 $1,074 89
Mayo Clinic Health System In La Crosse La Crosse $1,315 $1,030 76
Mayo Clinic Health System In Eau Claire Eau Claire $1,442 $1,146 73
Marshfield Medical Center Marshfield $1,268 $1,009 68
Aurora Baycare Medical Ctr Green Bay $1,337 $1,059 67
Aurora Medical Center Grafton $1,390 $1,107 56
Marshfield Medical Center - Minocqua Minocqua $1,299 $1,027 56
Fort Memorial Hospital Fort Atkinson $1,361 $1,075 55
Regional Comparison

Rotator Cuff Surgery Cost in Nearby States

Neighboring states offer a range of rotator cuff surgery pricing. Wisconsin falls in the middle of the pack.

Common Questions

Expert Answers for Wisconsin Patients

Local regulations, insurance nuance, and surgical standards specific to Wisconsin.

Compare Wisconsin with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main rotator cuff surgery cost guide.

View full rotator cuff surgery guide
How much does rotator cuff surgery cost in Wisconsin?
In Wisconsin, rotator cuff surgery runs about $14,970 on average. Most patients pay between $5,988 and $24,950, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.
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 Wisconsin, confirm your surgeon is in-network and get pre-authorization before scheduling to avoid surprise bills.
When can I return to work after rotator cuff surgery?
Most Wisconsin patients need 42 to 180 days to fully recover from rotator cuff surgery. Your surgeon will schedule follow-ups during this window to monitor healing. At Wisconsin's cost of living (RPP 99.8), lost wages during recovery can be a significant hidden cost — budget for that alongside the procedure itself.
Are payment plans available for rotator cuff surgery in Wisconsin?
Many Wisconsin providers offer financing through medical credit companies like CareCredit or Prosper Healthcare Lending. You can also use HSA/FSA funds, negotiate a cash-pay discount (often 10-20% off), or ask about in-house payment plans that split the $14,970 cost into monthly installments.
What should I look for in a Wisconsin rotator cuff surgery provider?
Start with case volume — facilities that perform more procedures generally have better outcomes. In Wisconsin, also compare hospital vs. ambulatory surgery center pricing (ASCs can be 30-50% cheaper) and check whether your insurance network includes the facility.
Can I save by getting rotator cuff surgery in a neighboring state?
Potentially. Iowa averages $14,325 for rotator cuff surgery — a 4% savings over Wisconsin. Whether it's worth the drive depends on how close you are to the border and whether you can arrange follow-up care locally.
Can Medicaid help pay for rotator cuff surgery in Wisconsin?
Wisconsin 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.
Data Sources & References

How we calculate rotator cuff surgery costs in Wisconsin

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Wisconsin's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

Compare Rotator Cuff Surgery Cost in Every State