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ACL reconstruction: what insurers pay

Arthroscopic anterior cruciate ligament reconstruction with a tendon graft. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29888: Acl Reconstruction

1146 hospitals in 81 markets. National Medicare rate $7,413, surgery center $4,817.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$7,084$7,984$9,545$3,284–$18,846
Alaska (statewide)4———$6,674–$17,288
Arizona (statewide)11$5,594$7,376$9,092$4,465–$10,720
Arkansas (statewide)11$6,272$6,819$7,944$3,834–$9,874
Atlanta GA6$7,045$7,045$9,575$7,045–$10,418
Austin TX13$5,743$8,204$9,128$5,743–$10,637
Boston MA13$8,473$9,855$10,976$5,130–$13,661
California (statewide)58$9,940$17,923$25,776$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL9$9,107$10,014$14,716$6,180–$16,851
Cleveland OH10$8,047$8,473$9,608$7,551–$14,416
Colorado (statewide)14$8,232$9,747$12,106$5,976–$18,697
Columbus OH1———$26,099–$26,099
Connecticut (statewide)1———$7,414–$7,414
Dallas-Fort Worth TX12$10,656$12,560$14,878$10,387–$26,538
Delaware (statewide)1———$19,720–$19,720
Denver CO15$9,534$10,408$16,062$7,200–$18,697
Detroit MI15$6,197$7,153$11,532$4,313–$14,336
Florida (statewide)67$10,334$11,356$13,970$4,014–$27,040
Georgia (statewide)27$7,350$10,348$11,527$4,141–$21,689
Hawaii (statewide)5$6,487$9,000$11,429$6,234–$12,114
Houston TX19$8,957$9,493$10,164$8,077–$13,850
Idaho (statewide)15$10,060$13,000$18,145$3,762–$21,676
Illinois (statewide)32$7,272$9,990$14,716$4,641–$21,223
Indiana (statewide)34$11,636$17,420$30,325$5,856–$50,276
Indianapolis IN3———$18,846–$32,564
Iowa (statewide)22$9,024$10,868$14,057$3,582–$22,020
Kansas (statewide)18$8,435$9,970$11,143$6,570–$17,288
Kentucky (statewide)14$4,912$8,612$9,352$3,467–$13,434
Las Vegas NV1———$8,487–$8,487
Los Angeles CA17$10,712$11,436$13,113$10,072–$28,632
Louisiana (statewide)25$7,441$8,260$10,714$5,982–$13,368
Maine (statewide)17$29,272$32,866$33,984$7,684–$42,727
Maryland (statewide)1———$8,530–$8,530
Massachusetts (statewide)7$6,847$7,859$10,032$6,518–$12,175
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)30$7,437$8,180$10,893$3,723–$13,621
Minneapolis-St. Paul MN7$8,996$8,997$9,068$8,818–$13,369
Minnesota (statewide)13$9,828$19,037$23,016$8,997–$31,617
Mississippi (statewide)16$8,420$9,052$9,811$5,856–$19,790
Missouri (statewide)20$8,102$12,820$13,948$5,638–$16,982
Montana (statewide)5$8,930$14,481$15,002$6,181–$21,584
Nashville TN6$7,374$7,374$11,994$7,374–$13,806
Nebraska (statewide)10$8,946$10,010$11,865$8,946–$18,020
Nevada (statewide)2———$11,158–$14,207
New Hampshire (statewide)6$17,779$21,542$28,147$12,993–$32,494
New Jersey (statewide)22$8,419$12,271$14,488$8,166–$14,930
New Mexico (statewide)8$7,711$11,715$15,298$7,171–$41,232
New York (statewide)29$8,454$11,182$15,542$5,833–$24,437
New York City8$8,454$8,454$9,857$7,945–$12,305
North Carolina (statewide)6$8,353$13,048$16,876$5,174–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,326–$16,346
Ohio (statewide)37$10,860$16,128$16,502$4,752–$27,890
Oklahoma (statewide)14$7,413$14,126$14,936$3,767–$42,384
Oregon (statewide)9$18,293$20,433$26,231$11,236–$33,060
Pennsylvania (statewide)36$7,419$10,726$14,962$4,583–$32,089
Philadelphia PA11$6,684$7,689$9,877$6,259–$11,208
Phoenix AZ6$7,282$7,282$9,115$7,282–$9,726
Pittsburgh PA10$5,818$12,562$14,836$5,031–$17,980
Portland OR9$16,131$16,131$24,555$14,746–$24,555
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$9,901–$12,586
Rio Grande Valley TX7$9,328$9,430$9,611$9,233–$15,308
Salt Lake City UT9$19,288$19,288$19,288$19,288–$19,288
San Antonio TX3———$7,778–$9,391
San Diego CA7$15,866$15,866$15,968$13,066–$17,210
San Francisco Bay Area CA5$10,713$11,254$12,808$8,476–$35,500
Seattle-Tacoma WA16$18,704$20,375$23,078$13,944–$25,561
South Carolina (statewide)19$9,272$14,554$15,196$5,118–$20,056
South Dakota (statewide)3———$11,089–$33,765
St. Louis MO4———$4,812–$5,226
Tampa FL6$13,658$13,658$13,926$13,658–$28,961
Tennessee (statewide)27$6,752$7,297$7,958$4,186–$14,573
Texas (statewide)75$7,778$10,169$13,880$4,299–$32,884
Utah (statewide)14$19,288$19,288$19,288$6,513–$25,202
Vermont (statewide)2———$8,393–$8,886
Virginia (statewide)17$15,043$20,635$24,050$13,296–$26,244
Washington (statewide)13$14,681$18,651$20,918$7,334–$33,206
Washington DC8$10,191$11,413$11,413$7,942–$11,413
West Virginia (statewide)3———$7,930–$48,308
Wisconsin (statewide)39$9,822$12,944$15,260$3,832–$31,695

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,2840.5×12026-04-30
Usa Health University HospitalAlabama (statewide)$3,4640.5×12026-04-30
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
Cass County Memorial HospitalIowa (statewide)$3,5820.5×12026-06-01
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$3,7230.5×12026-05-01
Steele Memorial Medical CenterIdaho (statewide)$3,7620.5×12026-02-26
Newman Memorial HospitalOklahoma (statewide)$3,7670.5×12026-07-10
Ascension Columbia St Mary'S Hospital Milwaukee CaWisconsin (statewide)$3,8320.5×22026-01-01
Mercy Hospital Fort SmithArkansas (statewide)$3,8340.6×62026-06-08
Thedacare Regional Medical Center - Neenah IncWisconsin (statewide)$3,9520.6×12026-08-08
Chi Saint Joseph Berea NfKentucky (statewide)$3,9750.6×12026-02-28
Bradley County Medical CenterArkansas (statewide)$4,0000.6×12026-04-08
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Stanford Health CareSan Francisco Bay Area CA$35,5003.3×42026-04-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Memorial Medical CenterNew Mexico (statewide)$41,2325.7×12026-07-10
Mangum Regional Medical CenterOklahoma (statewide)$42,3846.1×52026-09-23
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Franciscan Health Michigan CityIndiana (statewide)$46,8416.1×32026-01-01
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01
Franciscan Health LafayetteIndiana (statewide)$50,2766.5×32026-01-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for acl reconstruction?

Across 1146 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29888, hospital outpatient is $11,029, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $8,218 to $16,075. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for acl reconstruction?

Medicare's national hospital outpatient rate for CPT 29888 is $7,413 and its surgery-center rate is $4,817, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for acl reconstruction?

Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,467). Highest: Franciscan Health Lafayette ($50,276), Logan Regional Medical Center ($48,308), Franciscan Health Michigan City ($46,841). Coverage: every hospital whose price file we could read.