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Ankle arthroscopy: what insurers pay

Arthroscopic clean-out of the ankle: extensive (29898) or limited (29897). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29898: Ankle Arthroscopy

1046 hospitals in 78 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)11$3,304$3,900$5,444$3,030–$8,476
Alaska (statewide)3———$2,030–$15,319
Arizona (statewide)9$3,364$3,842$5,534$2,104–$6,047
Arkansas (statewide)9$2,937$3,075$3,788$2,512–$4,000
Atlanta GA6$5,828$5,886$5,886$5,809–$5,886
Austin TX13$2,628$4,948$6,556$2,628–$6,556
Boston MA10$4,116$4,438$5,106$2,812–$6,288
California (statewide)50$5,958$9,573$12,278$2,753–$16,060
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,624$6,227$9,402$3,985–$10,219
Cleveland OH11$3,405$3,902$5,370$2,453–$5,514
Colorado (statewide)13$5,248$6,168$6,500$1,858–$11,229
Columbus OH1———$13,816–$13,816
Connecticut (statewide)2———$7,414–$30,233
Dallas-Fort Worth TX12$6,295$7,074$8,590$6,093–$14,496
Denver CO15$4,248$6,819$7,035$3,920–$7,350
Detroit MI14$3,773$3,935$3,935$1,743–$6,690
Florida (statewide)62$8,004$9,200$10,082$2,285–$27,040
Georgia (statewide)27$4,872$5,809$7,530$2,515–$17,296
Hawaii (statewide)4———$4,038–$8,080
Houston TX19$4,732$5,849$6,030$4,004–$6,245
Idaho (statewide)13$5,198$7,629$8,241$2,589–$10,646
Illinois (statewide)27$4,131$5,282$7,822$2,505–$10,219
Indiana (statewide)34$5,193$9,118$15,925$1,905–$27,105
Indianapolis IN1———$10,380–$10,380
Iowa (statewide)18$4,904$6,032$7,361$2,552–$8,645
Kansas (statewide)17$4,984$5,397$6,478$2,250–$15,319
Kentucky (statewide)15$3,610$4,264$4,444$1,845–$6,462
Las Vegas NV2———$2,586–$3,010
Los Angeles CA15$6,152$7,812$9,038$4,792–$20,636
Louisiana (statewide)22$3,065$3,434$4,798$2,596–$9,620
Maine (statewide)16$13,295$15,088$15,435$3,465–$19,406
Massachusetts (statewide)4———$2,655–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)22$2,626$3,211$3,856$1,645–$4,680
Minneapolis-St. Paul MN7$5,287$5,340$5,368$3,190–$6,072
Minnesota (statewide)12$5,419$8,865$10,565$4,871–$14,305
Mississippi (statewide)13$4,736$4,882$6,011$3,116–$8,923
Missouri (statewide)16$4,755$6,552$7,455$2,866–$9,560
Montana (statewide)5$6,181$6,562$6,814$4,984–$9,713
Nashville TN8$3,893$4,670$5,179$1,869–$6,688
Nebraska (statewide)11$8,098$8,645$9,314$2,586–$18,020
Nevada (statewide)4———$2,531–$4,892
New Hampshire (statewide)6$9,241$10,474$11,260$8,425–$14,652
New Jersey (statewide)21$7,338$8,060$8,289$5,550–$12,670
New Mexico (statewide)7$4,848$8,715$11,842$3,424–$16,255
New York (statewide)28$3,802$5,812$7,066$2,343–$11,332
New York City8$3,632$4,810$7,037$3,008–$12,245
North Carolina (statewide)3———$5,102–$8,674
North Dakota (statewide)5$5,716$5,926$7,395$5,613–$8,002
Ohio (statewide)39$3,931$6,862$9,543$1,699–$12,576
Oklahoma (statewide)11$3,798$6,702$8,498$1,861–$14,374
Oregon (statewide)7$8,308$9,228$12,190$7,348–$14,924
Pennsylvania (statewide)29$3,514$5,847$8,205$2,148–$16,920
Philadelphia PA11$5,720$6,011$7,420$5,032–$11,208
Phoenix AZ8$3,033$3,065$3,211$2,936–$3,648
Pittsburgh PA8$4,900$6,235$6,868$2,860–$8,166
Portland OR9$10,801$10,801$13,575$10,537–$13,575
Rhode Island (statewide)4———$4,393–$9,813
Richmond VA3———$7,051–$7,130
Rio Grande Valley TX5$4,416$7,227$7,455$4,291–$14,988
Salt Lake City UT9$3,576$3,698$3,698$2,947–$3,819
San Antonio TX3———$4,213–$5,880
San Diego CA2———$7,246–$7,760
San Francisco Bay Area CA5$7,162$7,399$8,660$7,115–$26,573
Seattle-Tacoma WA16$9,166$9,510$11,436$8,518–$12,938
South Carolina (statewide)19$8,123$11,918$14,808$5,044–$15,537
South Dakota (statewide)3———$5,017–$16,579
St. Louis MO4———$4,812–$5,226
Tampa FL6$7,308$7,308$7,308$5,998–$13,033
Tennessee (statewide)22$3,117$3,466$4,496$2,520–$6,760
Texas (statewide)73$4,020$5,880$7,436$2,104–$20,580
Utah (statewide)6$3,003$3,374$3,576$2,947–$3,698
Virginia (statewide)17$9,305$10,068$11,675$6,054–$16,749
Washington (statewide)12$8,413$9,456$11,156$3,318–$17,714
Washington DC9$6,726$6,895$6,895$4,169–$6,895
West Virginia (statewide)3———$3,602–$21,783
Wisconsin (statewide)38$6,421$9,738$9,760$1,721–$12,908

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Helen Newberry Joy HospitalMichigan (statewide)$1,6450.5×12026-09-02
Nationwide Children'S HospitalOhio (statewide)$1,6990.5×12026-04-01
Stoughton HospitalWisconsin (statewide)$1,7210.5×42026-06-11
Henry Ford Health -St John HospitalDetroit MI$1,7430.5×22026-01-01
Jackson Purchase Medical CenterKentucky (statewide)$1,8450.6×12026-07-10
Montrose Regional HealthColorado (statewide)$1,8580.5×12026-07-13
St Mary'S Regional Medical CenterOklahoma (statewide)$1,8610.6×12026-09-01
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Columbus Regional HospitalIndiana (statewide)$1,9050.5×12026-04-01
Community Hospital Of Bremen IncIndiana (statewide)$1,9050.6×22026-01-01
Alaska Native Medical CenterAlaska (statewide)$2,0300.6×12026-08-20
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$2,0390.6×22026-01-01
Parkview Wabash Hospital, IncIndiana (statewide)$20,3685.9×12026-09-01
Parkview Regional Medical CenterIndiana (statewide)$20,5805.9×12026-09-01
Parkview HospitalTexas (statewide)$20,5806.3×12026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6364.9×32025-11-26
Logan Regional Medical CenterWest Virginia (statewide)$21,7836.9×12026-04-01
Franciscan Health Crown PointIndiana (statewide)$25,2317.3×32026-01-01
Franciscan Health MunsterIndiana (statewide)$25,9657.5×32026-01-01
Franciscan Health Michigan CityIndiana (statewide)$26,4747.7×32026-01-01
Stanford Health CareSan Francisco Bay Area CA$26,5735.5×32026-04-01
Ascension St Vincent'S SouthsideFlorida (statewide)$27,0407.9×12026-01-01
Saint Joseph Regional Medical Center - PlymouthIndiana (statewide)$27,1057.8×252026-03-31
Saint Francis Hospital & Medical CenterConnecticut (statewide)$30,2337.6×192026-03-31

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

CPT 29897: Ankle Arthroscopy

1001 hospitals in 77 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)11$3,278$3,532$5,444$3,030–$10,380
Alaska (statewide)3———$4,861–$15,112
Arizona (statewide)9$3,364$3,842$5,534$2,104–$6,047
Arkansas (statewide)7$2,728$3,027$3,454$2,512–$4,000
Atlanta GA6$5,828$5,886$5,886$5,809–$5,886
Austin TX13$2,628$4,948$6,556$2,628–$6,556
Boston MA10$4,116$4,438$5,106$2,812–$6,288
California (statewide)54$5,730$9,573$12,278$2,753–$16,060
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,582$6,227$9,402$3,930–$10,219
Cleveland OH11$3,384$3,650$4,830$2,453–$5,497
Colorado (statewide)13$5,164$6,196$6,880$3,261–$11,229
Connecticut (statewide)2———$7,414–$30,233
Dallas-Fort Worth TX12$6,295$7,074$8,590$6,093–$14,496
Denver CO15$4,248$6,819$7,035$3,920–$7,350
Detroit MI15$3,678$3,935$3,935$1,743–$6,690
Florida (statewide)62$8,004$9,200$10,082$2,285–$27,040
Georgia (statewide)26$4,647$5,809$7,539$2,515–$17,296
Hawaii (statewide)2———$4,038–$4,456
Houston TX19$4,732$5,849$6,030$4,004–$6,245
Idaho (statewide)12$5,040$7,935$8,277$2,977–$12,371
Illinois (statewide)28$4,146$5,282$7,768$2,210–$10,219
Indiana (statewide)25$3,502$6,993$14,851$1,894–$27,105
Indianapolis IN1———$10,380–$10,380
Iowa (statewide)17$4,995$5,702$7,205$1,753–$9,929
Kansas (statewide)14$4,326$5,012$6,253$2,014–$15,112
Kentucky (statewide)14$3,868$4,282$4,469$2,152–$6,462
Las Vegas NV2———$2,586–$3,010
Los Angeles CA17$6,580$8,398$9,288$4,792–$20,636
Louisiana (statewide)22$3,065$3,434$4,798$2,596–$9,620
Maine (statewide)16$13,295$15,088$15,435$3,465–$19,406
Massachusetts (statewide)3———$2,655–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)19$2,076$3,260$3,896$1,829–$4,680
Minneapolis-St. Paul MN7$5,287$5,340$5,368$3,190–$6,072
Minnesota (statewide)11$6,456$9,106$10,716$5,340–$14,305
Mississippi (statewide)12$4,252$4,827$5,014$1,894–$8,923
Missouri (statewide)15$5,030$7,185$7,516$3,137–$9,560
Montana (statewide)4———$4,294–$9,713
Nashville TN8$3,893$4,670$5,179$1,869–$6,688
Nebraska (statewide)11$7,468$8,645$8,772$2,586–$18,020
Nevada (statewide)4———$2,531–$6,228
New Hampshire (statewide)6$8,809$10,474$11,260$7,981–$14,652
New Jersey (statewide)14$3,765$5,928$8,098$3,765–$12,670
New Mexico (statewide)7$4,548$7,748$11,730$3,424–$16,255
New York (statewide)27$3,017$4,452$6,998$2,077–$11,332
New York City8$3,635$5,074$8,156$3,008–$12,267
North Carolina (statewide)2———$5,102–$8,674
North Dakota (statewide)5$5,716$5,926$7,395$5,613–$8,002
Ohio (statewide)36$4,726$7,450$10,186$2,359–$12,576
Oklahoma (statewide)10$6,702$7,326$8,780$1,861–$14,374
Oregon (statewide)7$8,308$9,228$12,190$7,348–$14,924
Pennsylvania (statewide)25$4,108$6,420$8,628$2,147–$14,470
Philadelphia PA11$5,720$6,011$7,420$5,032–$11,208
Phoenix AZ8$3,033$3,065$3,211$2,936–$3,648
Pittsburgh PA8$4,900$6,235$6,868$1,936–$8,166
Portland OR9$10,801$10,801$13,575$10,537–$13,575
Rhode Island (statewide)4———$4,393–$9,813
Richmond VA3———$7,051–$7,130
Rio Grande Valley TX5$4,416$7,227$7,455$4,291–$15,136
Salt Lake City UT9$3,576$3,698$3,698$2,947–$3,819
San Antonio TX3———$4,213–$5,880
San Diego CA6$7,365$7,365$7,365$7,246–$7,760
San Francisco Bay Area CA4———$7,162–$26,573
Seattle-Tacoma WA16$9,166$9,510$11,436$8,518–$12,938
South Carolina (statewide)19$8,123$11,918$14,808$5,044–$15,537
South Dakota (statewide)2———$5,017–$5,716
St. Louis MO1———$4,812–$4,812
Tampa FL6$7,308$7,308$7,308$5,998–$13,033
Tennessee (statewide)20$3,117$3,466$4,288$2,520–$6,860
Texas (statewide)72$4,016$5,691$7,921$2,104–$20,580
Utah (statewide)6$3,003$3,374$3,576$2,947–$3,698
Virginia (statewide)20$9,356$10,742$13,982$6,054–$16,749
Washington (statewide)12$8,413$9,456$11,156$3,318–$17,714
Washington DC5$4,691$6,144$6,726$4,169–$6,750
West Virginia (statewide)3———$3,602–$21,783
Wisconsin (statewide)36$6,500$9,760$9,760$1,592–$12,908

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stoughton HospitalWisconsin (statewide)$1,5920.5×12026-06-11
Henry Ford Health -St John HospitalDetroit MI$1,7430.5×22026-01-01
Cass County Memorial HospitalIowa (statewide)$1,7530.6×12026-06-01
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$1,8050.6×22026-01-01
Ascension Calumet HospitalWisconsin (statewide)$1,8050.6×22026-01-01
Oaklawn HospitalMichigan (statewide)$1,8290.6×22026-03-27
Corewell Health Zeeland HospitalMichigan (statewide)$1,8360.6×12026-05-01
Corewell Health Big Rapids HospitalMichigan (statewide)$1,8360.6×12026-05-01
Corewell Health Gerber HospitalMichigan (statewide)$1,8360.6×12026-05-01
Corewell Health Pennock HospitalMichigan (statewide)$1,8360.6×12026-05-01
Ascension St Francis HospitalWisconsin (statewide)$1,8540.6×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph CampusWisconsin (statewide)$1,8540.6×12026-01-01
Ascension St Vincent'S RiversideFlorida (statewide)$20,2925.9×12026-01-01
Ascension St Vincent'S St Johns CountyFlorida (statewide)$20,2925.9×12026-01-01
Ascension St Vincent ClayIndiana (statewide)$20,2925.9×12026-01-01
Parkview Wabash Hospital, IncIndiana (statewide)$20,3685.9×12026-09-01
Parkview Regional Medical CenterIndiana (statewide)$20,5805.9×12026-09-01
Parkview HospitalTexas (statewide)$20,5806.3×12026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6364.9×32025-11-26
Logan Regional Medical CenterWest Virginia (statewide)$21,7836.9×12026-04-01
Stanford Health CareSan Francisco Bay Area CA$26,5735.5×32026-04-01
Ascension St Vincent'S SouthsideFlorida (statewide)$27,0407.9×12026-01-01
Saint Joseph Regional Medical CenterIndiana (statewide)$27,1057.8×252026-03-31
Saint Francis Hospital & Medical CenterConnecticut (statewide)$30,2337.6×192026-03-31

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 ankle arthroscopy?

Across 1046 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29898, hospital outpatient is $6,295, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,175 to $9,250. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ankle arthroscopy?

Medicare's national hospital outpatient rate for CPT 29898 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ankle arthroscopy?

Lowest medians: Helen Newberry Joy Hospital ($1,645), Nationwide Children'S Hospital ($1,699), Stoughton Hospital ($1,721). Highest: Saint Francis Hospital & Medical Center ($30,233), Saint Joseph Regional Medical Center - Plymouth ($27,105), Ascension St Vincent'S Southside ($27,040). Coverage: every hospital whose price file we could read.