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Knee arthroscopy, cartilage shaving: what insurers pay

Arthroscopic smoothing of damaged knee cartilage. Medicare uses G0289 when it is done with a meniscus procedure in another compartment. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 29877: Knee Arthroscopy, Cartilage Shaving

1131 hospitals in 81 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$3,280$3,716$5,273$3,030–$10,380
Alaska (statewide)5$4,220$4,861$8,522$2,239–$18,854
Arizona (statewide)11$4,059$4,668$5,061$2,108–$7,469
Arkansas (statewide)13$2,886$3,075$3,788$2,444–$5,000
Atlanta GA6$6,142$6,142$6,327$6,142–$6,389
Austin TX13$2,628$5,057$6,556$2,628–$6,556
Boston MA11$4,010$4,312$4,794$2,812–$6,288
California (statewide)52$5,816$9,573$12,278$2,753–$17,438
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,675$6,227$9,402$4,035–$10,219
Cleveland OH11$3,948$5,244$5,497$2,694–$7,589
Colorado (statewide)15$4,324$6,418$7,186$1,898–$11,334
Columbus OH1———$11,769–$11,769
Connecticut (statewide)2———$7,730–$30,233
Dallas-Fort Worth TX12$6,600$7,526$8,590$6,497–$14,496
Delaware (statewide)1———$8,892–$8,892
Denver CO15$3,099$7,122$7,492$2,214–$7,617
Detroit MI14$3,935$3,935$5,088$1,743–$7,854
Florida (statewide)64$7,988$9,087$10,082$2,285–$27,040
Georgia (statewide)29$3,874$6,389$7,548$2,266–$18,982
Hawaii (statewide)3———$5,165–$10,048
Houston TX19$4,613$6,015$6,030$4,201–$6,245
Idaho (statewide)17$4,068$6,349$8,241$1,975–$12,371
Illinois (statewide)28$4,192$5,282$7,715$2,578–$10,219
Indiana (statewide)31$3,983$6,924$12,748$2,091–$20,580
Indianapolis IN1———$10,380–$10,380
Iowa (statewide)24$4,529$5,100$6,528$1,659–$9,929
Kansas (statewide)19$4,107$4,956$6,073$2,990–$18,854
Kentucky (statewide)15$3,904$4,493$5,312$2,709–$12,108
Las Vegas NV2———$3,010–$3,182
Los Angeles CA17$6,149$8,357$9,744$5,615–$25,517
Louisiana (statewide)23$3,044$3,476$5,118$2,408–$9,620
Maine (statewide)17$13,295$14,927$15,435$3,465–$19,406
Maryland (statewide)1———$1,626–$1,626
Massachusetts (statewide)5$3,000$3,820$4,278$2,698–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)28$3,220$3,368$3,729$2,316–$5,640
Minneapolis-St. Paul MN8$4,840$5,340$5,354$2,543–$6,984
Minnesota (statewide)13$5,445$8,624$10,414$4,871–$14,305
Mississippi (statewide)15$3,490$4,736$5,112$2,091–$8,923
Missouri (statewide)17$4,878$8,376$9,367$2,054–$15,386
Montana (statewide)4———$4,056–$9,713
Nashville TN8$4,175$4,900$5,359$2,307–$6,688
Nebraska (statewide)12$6,253$9,706$9,875$1,841–$20,585
Nevada (statewide)4———$2,986–$6,228
New Hampshire (statewide)6$6,626$10,516$12,714$5,044–$14,652
New Jersey (statewide)21$5,998$7,338$8,289$3,765–$13,630
New Mexico (statewide)6$4,522$9,279$11,729$2,420–$13,916
New York (statewide)28$2,505$4,912$7,215$2,171–$11,332
New York City8$2,255$4,306$7,552$2,242–$12,245
North Carolina (statewide)5$2,882$5,102$8,674$1,796–$12,278
North Dakota (statewide)5$5,716$6,500$7,395$5,613–$9,992
Ohio (statewide)38$4,660$6,600$9,786$1,570–$12,576
Oklahoma (statewide)16$3,245$6,434$7,543$2,156–$13,630
Oregon (statewide)9$8,308$9,228$11,804$2,331–$14,924
Pennsylvania (statewide)35$5,224$6,971$10,451$2,631–$15,051
Philadelphia PA11$6,319$6,614$8,550$5,130–$13,320
Phoenix AZ8$4,545$4,863$4,960$3,592–$5,252
Pittsburgh PA8$3,956$6,059$6,868$3,338–$8,166
Portland OR9$12,835$12,835$13,575$11,818–$13,575
Rhode Island (statewide)3———$6,284–$11,950
Richmond VA3———$8,403–$9,210
Rio Grande Valley TX6$4,322$5,822$7,398$4,252–$9,405
Salt Lake City UT9$6,225$6,225$6,225$6,225–$6,225
San Antonio TX3———$4,332–$5,880
San Diego CA7$7,154$7,154$7,200$6,018–$7,760
San Francisco Bay Area CA5$8,356$10,378$12,808$8,032–$28,573
Seattle-Tacoma WA16$9,173$9,510$11,436$8,518–$12,938
South Carolina (statewide)19$7,591$11,288$17,742$3,101–$20,079
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)23$3,314$3,593$4,879$2,737–$6,760
Texas (statewide)78$4,051$5,598$7,440$2,104–$20,580
Utah (statewide)14$6,225$6,225$6,225$2,947–$11,341
Vermont (statewide)1———$5,009–$5,009
Virginia (statewide)20$8,623$9,951$11,385$6,208–$16,749
Washington (statewide)12$8,413$9,508$11,156$3,318–$16,915
Washington DC9$7,397$7,397$7,908$5,292–$9,256
West Virginia (statewide)3———$3,602–$21,783
Wisconsin (statewide)42$6,554$9,578$9,894$2,221–$14,340

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Selby General HospitalOhio (statewide)$1,5700.5×12026-10-01
Atlantic General HospitalMaryland (statewide)$1,6260.5×12026-04-10
Madison County Health Care SystemIowa (statewide)$1,6590.5×32026-09-23
Henry Ford Health -St John HospitalDetroit MI$1,7430.5×22026-01-01
Decatur County HospitalIowa (statewide)$1,7490.6×12026-03-04
Chatham Hospital IncNorth Carolina (statewide)$1,7960.6×52026-04-01
The Nebraska Medical CenterNebraska (statewide)$1,8410.5×22026-08-10
Nationwide Children'S HospitalOhio (statewide)$1,8860.6×12026-04-01
Montrose Regional HealthColorado (statewide)$1,8980.6×22026-07-13
Mt San Rafael HospitalColorado (statewide)$1,9140.6×82026-07-23
Weiser Memorial HospitalIdaho (statewide)$1,9750.6×52026-08-18
Mercy Hospital JoplinMissouri (statewide)$2,0540.6×162026-06-09
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
Chi Health St FrancisNebraska (statewide)$20,5856.1×62026-02-28
Logan Regional Medical CenterWest Virginia (statewide)$21,7836.9×12026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$25,5176.1×32025-11-26
Ascension St Vincent'S SouthsideFlorida (statewide)$27,0407.9×12026-01-01
Stanford Health CareSan Francisco Bay Area CA$28,5735.9×32026-04-01
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 knee arthroscopy, cartilage shaving?

Across 1131 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29877, hospital outpatient is $6,274, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,204 to $9,370. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee arthroscopy, cartilage shaving?

Medicare's national hospital outpatient rate for CPT 29877 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 knee arthroscopy, cartilage shaving?

Lowest medians: Selby General Hospital ($1,570), Atlantic General Hospital ($1,626), Madison County Health Care System ($1,659). Highest: Saint Francis Hospital & Medical Center ($30,233), Stanford Health Care ($28,573), Ascension St Vincent'S Southside ($27,040). Coverage: every hospital whose price file we could read.