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Related Experiment Video

Updated: May 18, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Cost of shoulder surgery.

J C Milne1, G M Gartsman

  • 1From the Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Tex.

Journal of Shoulder and Elbow Surgery
|September 11, 2012
PubMed
Summary

This study analyzed the direct costs of four common shoulder surgeries. Open rotator cuff repair averaged $9444, instability repair $8675, arthroscopic decompression $7246, and shoulder arthroplasty $16,323.

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Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...

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Area of Science:

  • Orthopedic Surgery
  • Health Economics

Background:

  • Shoulder procedures are common, but patient and payer costs vary significantly.
  • Understanding the direct financial implications of different surgical approaches is crucial for healthcare decision-making.

Purpose of the Study:

  • To conduct a cost analysis of four prevalent shoulder surgical procedures.
  • To provide data for patients, payers, and future cost-benefit analyses.
  • To inform decision-making in the evolving healthcare landscape.

Main Methods:

  • A cohort study evaluating 200 patients (50 per group) undergoing distinct shoulder procedures.
  • Procedures included: open rotator cuff repair, open anterior instability repair, arthroscopic subacromial decompression, and shoulder arthroplasty (hemiarthroplasty or total).
  • Data collected encompassed surgical, anesthetic, hospital, and consultation fees to determine total direct costs.

Main Results:

  • Average costs were: open rotator cuff repair ($9444), open instability repair ($8675), arthroscopic decompression ($7246), and shoulder arthroplasty ($16,323).
  • Average lengths of stay varied from 0 days (decompression) to 5 days (arthroplasty).
  • Patient demographics and insurance types (worker's compensation, private, Medicare) differed across procedure groups.

Conclusions:

  • Significant cost variations exist among common shoulder surgical procedures.
  • The findings offer essential direct cost data for shoulder surgery in a private healthcare setting.
  • This information supports informed financial planning for patients and healthcare providers.

Related Experiment Videos

Last Updated: May 18, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011