Summary

12 facilities within 25 miles of Richmond publish prices for Rotator Cuff Repair. Cash prices range from $29,762 to $33,220 — a 1.1x difference for an identical procedure. The Virginia average is $20,480.

$29,762 lowest
$33,220 highest
Best Value

Bon Secours Memorial Regional Medical Center

Mechanicsville, VA · Bon Secours Mercy Health · 0.2 mi

$33,220 Cash price
4/5 CMS rating
65.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 65%. Cash price of $33,220 is near the statewide average of $20,480.

All facilities ranked by price

1
Bon Secours St Francis Medical Center 3★ · 0.2 mi · Nonprofit
$29,762
2
Bon Secours St Marys Hospital 3★ · 0.0 mi · Nonprofit
$31,102
3
Bon Secours Memorial Regional Medical Center 4★ · 0.2 mi · Nonprofit
$33,220
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian, VA · 0.2 mi $29,762 $49,604 1.67x 3/5 71.0% Nonprofit
2 Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi $31,102 $51,836 1.67x 3/5 66.0% Nonprofit
3 Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville, VA · 0.2 mi $33,220 $55,367 1.67x 4/5 65.0% Nonprofit
4 Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg, VA · 0.2 mi 4/5 79.0% Nonprofit
5 Riverside Walter Reed Hospital Riverside Health System Gloucester, VA · 0.2 mi 4/5 77.0% Nonprofit
6 Riverside Doctors' Hospital of Williamsburg Riverside Health System Williamsburg, VA · 0.2 mi 4/5 76.0% Nonprofit
7 Medical College of Virginia Hospitals VCU Health Richmond, VA · 0.0 mi 4/5 74.0% Local government
8 CJW Medical Center Richmond, VA · 0.0 mi 4/5 64.0% For-profit
9 Stafford Hospital, LLC Stafford, VA · 0.2 mi 3/5 70.0% Nonprofit
10 Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi 3/5 69.0% Nonprofit
11 Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi 3/5 61.0% For-profit
12 Mary Washington Hospital Mary Washington Healthcare Fredericksburg, VA · 0.2 mi 2/5 61.0% Nonprofit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Rotator Cuff Repair. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Bon Secours St Francis Medical Center

Cash: $29,762
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $7,080 -$22,683
Aetna $7,080 -$22,683
Humana $7,080 -$22,683
UnitedHealthcare $7,080 -$22,683
Aetna $7,080 -$22,683
Humana $7,221 -$22,541

Bon Secours St Marys Hospital

Cash: $31,102
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $7,280 -$23,822
Aetna $7,280 -$23,822
UnitedHealthcare $7,280 -$23,822
UnitedHealthcare $7,280 -$23,822
Aetna $7,280 -$23,822
Humana $7,426 -$23,676
Humana $7,426 -$23,676

Bon Secours Memorial Regional Medical Center

Cash: $33,220
Insurance Plan Negotiated Rate vs Cash
Aetna $7,280 -$25,940
UnitedHealthcare $7,280 -$25,940
Aetna $7,280 -$25,940
UnitedHealthcare $7,280 -$25,940
Humana $7,426 -$25,795
Humana $7,426 -$25,795

Sentara Williamsburg Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $7,221
Humana Medicare Managed Care Plan $7,292
Anthem Anthem Medicare Managed Care Plan $7,416
UnitedHealthcare Dsnp Medicare Managed Care Plan $7,434
Anthem Anthem Exchange $23,909
Anthem Anthem Hmo $25,571
UnitedHealthcare All Commercial Plans $26,537
Anthem Anthem Ppo $26,637
UnitedHealthcare Options Ppo $29,398

Riverside Walter Reed Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Humana Tricare $5,759
Johns Hopkins Health Plan Tricare $6,260
Molina Medicare Advantage $6,821
Veterans Administration Veterans Administration $6,821
UnitedHealthcare Medicare Advantage $6,957
Aetna Medicare Advantage $7,026
Anthem Medicare Advantage $7,026
Humana Medicare Advantage $7,026
Sentara Health Plans Medicare Advantage $7,162
Aetna Managed Medicaid $7,608
Molina Managed Medicaid $7,608
UnitedHealthcare Managed Medicaid $7,608
Sentara Health Plans Managed Medicaid $7,799
Humana Managed Medicaid $7,988
Anthem HMO Products $23,742

1 additional plans not shown.

Riverside Doctors' Hospital of Williamsburg

Cash: N/A
Insurance Plan Negotiated Rate
Humana Tricare $5,759
Johns Hopkins Health Plan Tricare $6,260
Veterans Administration Veterans Administration $6,821
UnitedHealthcare Medicare Advantage $6,957
Aetna Medicare Advantage $7,026
Anthem Medicare Advantage $7,026
Humana Medicare Advantage $7,026
Sentara Health Plans Medicare Advantage $7,162
Aetna Managed Medicaid $7,608
Anthem Managed Medicaid $7,608
UnitedHealthcare Managed Medicaid $7,608
Sentara Health Plans Managed Medicaid $7,799
Humana Managed Medicaid $7,988
Aetna All Commerical Products $8,442
UnitedHealthcare Non-Options Products $20,312

2 additional plans not shown.

Medical College of Virginia Hospitals

Cash: N/A
Insurance Plan Negotiated Rate
CLEAR SPRING MEDICARE ADVANTAGE $6,396
MOLINA MEDICARE ADVANTAGE $6,396
Aetna MEDICARE ADVANTAGE $6,821
Anthem MEDICARE ADVANTAGE $6,821
Cigna MEDICARE ADVANTAGE $6,889
SENTARA MEDICARE ADVANTAGE $6,903
UnitedHealthcare MEDICARE ADVANTAGE DSNP $7,094
Humana MEDICARE ADVANTAGE $7,162
Anthem MANAGED MEDICAID $8,236
SENTARA MANAGED MEDICAID $8,236
Aetna MANAGED MEDICAID $8,319
UnitedHealthcare MANAGED MEDICAID $8,401
MOLINA MANAGED MEDICAID $8,648

CJW Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Bright Health COMM $4,278
Lifeworks MCR $4,950
Oscar COMM $6,238
Cigna IFP $6,287
Optima Health HMO $8,718
Optima Health POS $8,718
Optima Health PPO $8,718
Anthem HIX $8,728
Cigna HMO $9,483
Cigna PPO $9,483
Aetna SharedSavings $9,620
Anthem HPN $11,074
UnitedHealthcare NavigateCorePayer $11,586
Anthem HMO $12,004

5 additional plans not shown.

Henrico Doctors' Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Bright Health COMM $4,278
Lifeworks MCR $4,950
Oscar COMM $6,238
Cigna IFP $6,287
Optima Health HMO $8,718
Optima Health POS $8,718
Optima Health PPO $8,718
Cigna HMO $9,483
Cigna PPO $9,483
Aetna SharedSavings $9,620
Anthem HIX $10,419
UnitedHealthcare NavigateCorePayer $11,586
Anthem HPN $13,223
UnitedHealthcare NewBusiness $13,876

5 additional plans not shown.

Spotsylvania Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Cigna IFP $4,108
Bright Health COMM $4,278
Lifeworks MCR $4,950
Cigna HMO $6,587
Cigna PPO $6,587
Anthem HIX $7,142
UnitedHealthcare AllPayerAppendix $7,385
Optima Health HMO $8,718
Optima Health POS $8,718
Optima Health PPO $8,718
Aetna Broad $8,900
Anthem HMO $9,823
Anthem HPN $9,823
Anthem PPO $9,823

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Rotator Cuff Repair (CPT 29827). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Bon Secours St Francis Medical Center Nonprofit Call billing, request Financial Assistance application
Bon Secours St Marys Hospital Nonprofit Call billing, request Financial Assistance application
Bon Secours Memorial Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Sentara Williamsburg Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Riverside Walter Reed Hospital Nonprofit Call billing, request Financial Assistance application
Riverside Doctors' Hospital of Williamsburg Nonprofit Call billing, request Financial Assistance application
Medical College of Virginia Hospitals Local government N/A (for-profit)
CJW Medical Center For-profit N/A (for-profit)
Stafford Hospital, LLC Nonprofit Call billing, request Financial Assistance application
Henrico Doctors' Hospital Nonprofit Call billing, request Financial Assistance application
Spotsylvania Regional Medical Center For-profit N/A (for-profit)
Mary Washington Hospital Nonprofit Call billing, request Financial Assistance application

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.