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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.

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CPT 29898: Ankle Arthroscopy/Surgery

90 hospitals in 31 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,886–$5,886
Austin TX2———$2,628–$8,322
Boston MA7$3,552$4,183$4,340$2,441–$4,536
California (statewide)1———$11,855–$11,855
Chicago IL5$4,035$4,820$6,180$3,985–$9,130
Cleveland OH5$5,867$6,702$7,589$3,650–$7,701
Columbus OH1———$8,625–$8,625
Dallas-Fort Worth TX4———$6,497–$12,286
Denver CO7$4,220$5,402$5,632$3,048–$6,866
Detroit MI5$3,935$3,935$3,935$3,727–$6,690
Georgia (statewide)1———$5,843–$5,843
Houston TX1———$4,093–$4,093
Indianapolis IN1———$10,380–$10,380
Kansas (statewide)1———$6,541–$6,541
Las Vegas NV2———$2,531–$3,595
Los Angeles CA2———$13,113–$20,636
Minneapolis-St. Paul MN1———$3,190–$3,190
Nashville TN4———$1,869–$5,818
New York City3———$5,779–$12,211
Ohio (statewide)1———$7,479–$7,479
Philadelphia PA5$5,760$7,409$9,172$5,401–$11,208
Phoenix AZ3———$3,065–$3,648
Portland OR6$10,801$10,801$15,595$10,801–$17,193
Richmond VA2———$7,051–$7,051
San Antonio TX1———$5,940–$5,940
San Francisco Bay Area CA2———$26,573–$27,479
Seattle-Tacoma WA6$10,046$10,872$13,228$8,834–$14,460
St. Louis MO3———$6,624–$6,624
Tampa FL2———$5,998–$7,308
Washington DC4———$4,041–$6,895
Wisconsin (statewide)1———$6,484–$6,484
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,4410.6×32026-04-01
Henderson HospitalLas Vegas NV$2,5310.7×42026-09-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5820.8×22026-01-01
Ascension Seton Medical Center AustinAustin TX$2,6280.8×12026-01-01
Adventhealth PorterDenver CO$3,0480.9×42026-04-01
Adventhealth ParkerDenver CO$3,0480.9×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0650.9×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0650.9×52026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$3,1900.9×32026-03-31
Vanderbilt University Medical CenterNashville TN$3,2121.0×72025-10-01
Winchester HospitalBoston MA$3,5180.9×42026-04-01
Beverly Hospital CorporationBoston MA$3,5860.9×52026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,5951.0×72026-07-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,6481.0×42026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$3,6501.2×42026-07-14
Henry Ford Health Rochester HospitalDetroit MI$3,7271.1×12026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$3,9351.2×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$3,9351.2×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$3,9351.2×12026-05-01
Endeavor Health Edward HospitalChicago IL$3,9851.1×22026-04-01
Endeavor Health Northwest Community HospitalChicago IL$4,0351.1×32026-04-01
George Washington Univ HospitalWashington DC$4,0411.1×32026-09-01
Houston Methodist HospitalHouston TX$4,0931.3×62026-04-01
New England Baptist HospitalBoston MA$4,1831.1×42026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$4,3121.1×22026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4,3681.1×32026-04-01
Anna Jaques HospitalBoston MA$4,5361.2×42026-04-01
Endeavor Health Elmhurst HospitalChicago IL$4,8201.4×22026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$5,3921.6×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$5,4011.6×22026-04-01
HCA HealthONE SwedishDenver CO$5,4021.6×42026-09-01
HCA HealthONE Sky RidgeDenver CO$5,6221.6×42026-09-01
Hca Healthone RoseDenver CO$5,6421.6×42026-09-01
Bryn Mawr HospitalPhiladelphia PA$5,7601.7×22026-04-01
Montefiore Medical CenterNew York City$5,7791.4×82026-04-01
TriStar StoneCrest Medical CenterNashville TN$5,8181.9×52026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,8432.0×32026-04-01
Medina HospitalCleveland OH$5,8671.9×12026-06-15
Emory University HospitalAtlanta GA$5,8861.8×62026-04-01
Methodist HospitalSan Antonio TX$5,9401.8×52026-09-01
Tampa General HospitalTampa FL$5,9981.8×32026-04-01
Endeavor Health Evanston HospitalChicago IL$6,1801.8×32026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$6,4842.0×32026-01-01
Baylor University Medical CenterDallas-Fort Worth TX$6,4972.0×32026-06-29
Menorah Medical CenterKansas (statewide)$6,5412.1×52026-09-01
Mercy Hospital St LouisSt. Louis MO$6,6242.0×22026-06-04
Mercy Hospital JeffersonSt. Louis MO$6,6242.0×22026-06-10
Mercy Hospital SouthSt. Louis MO$6,6242.0×22026-06-10
Harper University HospitalDetroit MI$6,6902.0×22026-09-02
Cleveland Clinic Lutheran HospitalCleveland OH$6,7022.2×12026-06-15
Reston Hospital CenterWashington DC$6,7262.0×52026-09-01
Stonesprings Hospital CenterWashington DC$6,7502.0×52026-09-01
UCHealth University of Colorado HospitalDenver CO$6,8662.0×32025-11-01
Inova Alexandria HospitalWashington DC$6,8952.0×52026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$7,0512.2×52026-09-01
Henrico Doctors' HospitalRichmond VA$7,0512.2×52026-09-01
Morton Plant HospitalTampa FL$7,3082.1×22026-01-01
Jefferson Stratford HospitalPhiladelphia PA$7,4092.0×32026-09-15
Bethesda NorthOhio (statewide)$7,4792.4×42026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$7,5892.5×12026-06-15
Cleveland Clinic (main campus)Cleveland OH$7,7012.5×22026-06-16
St David's Medical CenterAustin TX$8,3222.5×52026-09-01
Medical City PlanoDallas-Fort Worth TX$8,5802.6×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$8,5802.6×52026-09-01
Mount Carmel New Albany Surgical HospitalColumbus OH$8,6252.7×62026-03-31
Overlake Hospital Medical CenterSeattle-Tacoma WA$8,8342.3×52026-04-01
University of Chicago Medical CenterChicago IL$9,1302.6×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1722.7×32026-09-15
St Clare HospitalSeattle-Tacoma WA$10,0022.6×62026-02-28
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0242.5×72026-01-01
St Anthony HospitalSeattle-Tacoma WA$10,1792.7×62026-02-28
Riverview HealthIndianapolis IN$10,3803.0×22026-04-01
Legacy Emanuel Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,8013.0×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2083.0×12026-03-24
Swedish Medical CenterSeattle-Tacoma WA$11,5653.0×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8552.8×52026-09-01
Hospital for Special SurgeryNew York City$12,2113.0×62026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$12,2863.7×22026-04-21
Keck Hospital Of UscLos Angeles CA$13,1133.1×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$13,7823.6×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$14,4603.8×42026-08-27
Providence St Vincent Medical CenterPortland OR$17,1934.7×32026-04-01
Providence Portland Medical CenterPortland OR$17,1934.7×32026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6364.9×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$26,5735.5×32026-04-01
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$27,4796.0×52026-03-23

CPT 29897: Ankle Arthroscopy/Surgery

86 hospitals in 29 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,886–$5,886
Austin TX2———$2,628–$8,322
Boston MA7$3,552$4,183$4,340$2,441–$4,536
California (statewide)1———$11,855–$11,855
Chicago IL5$4,035$4,764$6,180$3,930–$9,130
Cleveland OH5$5,867$6,702$7,589$3,650–$7,624
Dallas-Fort Worth TX4———$6,497–$12,286
Denver CO7$4,220$5,402$5,632$3,048–$6,866
Detroit MI6$3,779$3,935$3,935$2,307–$6,690
Georgia (statewide)1———$5,843–$5,843
Houston TX1———$4,093–$4,093
Indianapolis IN1———$10,380–$10,380
Kansas (statewide)1———$6,541–$6,541
Las Vegas NV2———$2,531–$3,122
Los Angeles CA2———$13,113–$20,636
Minneapolis-St. Paul MN1———$3,190–$3,190
Nashville TN4———$1,869–$5,818
New York City3———$7,084–$12,305
Ohio (statewide)1———$7,479–$7,479
Philadelphia PA5$5,760$7,409$9,172$5,401–$11,208
Phoenix AZ3———$3,065–$3,648
Portland OR6$10,801$10,801$15,595$10,801–$17,193
Richmond VA2———$7,051–$7,051
San Antonio TX1———$5,940–$5,940
San Francisco Bay Area CA1———$26,573–$26,573
Seattle-Tacoma WA6$10,046$10,872$13,228$8,834–$14,460
Tampa FL2———$5,998–$7,308
Washington DC4———$4,041–$6,750
Wisconsin (statewide)1———$6,484–$6,484
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Trinity Health Oakland HospitalDetroit MI$2,3070.7×162026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,4410.6×32026-04-01
Henderson HospitalLas Vegas NV$2,5310.7×42026-09-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5820.8×22026-01-01
Ascension Seton Medical Center AustinAustin TX$2,6280.8×12026-01-01
Adventhealth PorterDenver CO$3,0480.9×42026-04-01
Adventhealth ParkerDenver CO$3,0480.9×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0650.9×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0650.9×52026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,1220.9×62026-07-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$3,1900.9×32026-03-31
Vanderbilt University Medical CenterNashville TN$3,2451.0×72025-10-01
Winchester HospitalBoston MA$3,5180.9×42026-04-01
Beverly Hospital CorporationBoston MA$3,5860.9×52026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,6481.0×42026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$3,6501.2×42026-07-14
Henry Ford Health Rochester HospitalDetroit MI$3,7271.1×12026-01-01
Endeavor Health Edward HospitalChicago IL$3,9301.1×22026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$3,9351.2×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$3,9351.2×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$3,9351.2×12026-05-01
Endeavor Health Northwest Community HospitalChicago IL$4,0351.1×32026-04-01
George Washington Univ HospitalWashington DC$4,0411.1×32026-09-01
Houston Methodist HospitalHouston TX$4,0931.3×62026-04-01
New England Baptist HospitalBoston MA$4,1831.1×42026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$4,3121.1×22026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4,3681.1×32026-04-01
Anna Jaques HospitalBoston MA$4,5361.2×42026-04-01
Endeavor Health Elmhurst HospitalChicago IL$4,7641.4×22026-04-01
Medstar Washington Hospital CenterWashington DC$4,9741.3×52026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$5,3921.6×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$5,4011.6×22026-04-01
HCA HealthONE SwedishDenver CO$5,4021.6×42026-09-01
HCA HealthONE Sky RidgeDenver CO$5,6221.6×42026-09-01
Hca Healthone RoseDenver CO$5,6421.6×42026-09-01
Bryn Mawr HospitalPhiladelphia PA$5,7601.7×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$5,8181.9×52026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,8432.0×32026-04-01
Medina HospitalCleveland OH$5,8671.9×12026-06-15
Emory University HospitalAtlanta GA$5,8861.8×62026-04-01
Methodist HospitalSan Antonio TX$5,9401.8×52026-09-01
Tampa General HospitalTampa FL$5,9981.8×32026-04-01
Endeavor Health Evanston HospitalChicago IL$6,1801.8×32026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$6,4842.0×32026-01-01
Baylor University Medical CenterDallas-Fort Worth TX$6,4972.0×32026-06-29
Menorah Medical CenterKansas (statewide)$6,5412.1×52026-09-01
Harper University HospitalDetroit MI$6,6902.0×22026-09-02
Cleveland Clinic Lutheran HospitalCleveland OH$6,7022.2×12026-06-15
Reston Hospital CenterWashington DC$6,7262.0×52026-09-01
Stonesprings Hospital CenterWashington DC$6,7502.0×52026-09-01
UCHealth University of Colorado HospitalDenver CO$6,8662.0×32025-11-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$7,0512.2×52026-09-01
Henrico Doctors' HospitalRichmond VA$7,0512.2×52026-09-01
Montefiore Medical CenterNew York City$7,0841.7×82026-04-01
Morton Plant HospitalTampa FL$7,3082.1×22026-01-01
Jefferson Stratford HospitalPhiladelphia PA$7,4092.0×32026-09-15
Bethesda NorthOhio (statewide)$7,4792.4×42026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$7,5892.5×12026-06-15
Cleveland Clinic (main campus)Cleveland OH$7,6242.5×12026-06-16
St David's Medical CenterAustin TX$8,3222.5×52026-09-01
Medical City PlanoDallas-Fort Worth TX$8,5802.6×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$8,5802.6×52026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$8,8342.3×52026-04-01
University of Chicago Medical CenterChicago IL$9,1302.6×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1722.7×32026-09-15
St Clare HospitalSeattle-Tacoma WA$10,0022.6×62026-02-28
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$10,0242.5×72026-01-01
St Anthony HospitalSeattle-Tacoma WA$10,1792.7×62026-02-28
Riverview HealthIndianapolis IN$10,3803.0×22026-04-01
Legacy Emanuel Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,8013.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,8013.0×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2083.0×12026-03-24
Swedish Medical CenterSeattle-Tacoma WA$11,5653.0×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8552.8×52026-09-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$12,2863.7×22026-04-21
Hospital for Special SurgeryNew York City$12,3053.0×62026-04-01
Keck Hospital Of UscLos Angeles CA$13,1133.1×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$13,7823.6×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$14,4603.8×42026-08-27
Providence St Vincent Medical CenterPortland OR$17,1934.7×32026-04-01
Providence Portland Medical CenterPortland OR$17,1934.7×32026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6364.9×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$26,5735.5×32026-04-01

Questions

How much do commercial insurers pay hospitals for ankle arthroscopy?

Across 90 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 29898, hospital outpatient is $6,519, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,054 to $9,056. 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: Ascension Saint Thomas Rutherford ($1,869), Beth Israel Deaconess Hospital - Plymouth ($2,441), Henderson Hospital ($2,531). Highest: John Muir Medical Center - Concord Campus ($27,479), Stanford Health Care ($26,573), Cedars-Sinai Medical Center ($20,636). Coverage is limited to the markets listed on this page.