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Knee arthroscopy, diagnostic: what insurers pay

Looking inside the knee with a camera without repairing anything. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29870: Knee Arthroscopy, Diagnostic

992 hospitals in 76 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)10$3,377$4,220$5,615$3,030–$10,380
Alaska (statewide)3———$3,623–$15,112
Arizona (statewide)7$3,962$4,547$5,528$3,364–$6,047
Arkansas (statewide)8$2,832$3,027$3,841$2,512–$4,485
Atlanta GA6$5,828$5,886$5,886$5,809–$5,886
Austin TX13$2,628$4,914$6,556$2,628–$6,556
Boston MA11$4,010$4,341$5,088$2,812–$6,288
California (statewide)52$5,081$9,573$12,278$2,892–$16,060
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,676$5,952$9,402$3,137–$10,219
Cleveland OH11$3,528$4,416$5,370$2,453–$5,597
Colorado (statewide)12$5,032$5,899$6,960$3,261–$11,229
Connecticut (statewide)1———$7,414–$7,414
Dallas-Fort Worth TX11$6,732$7,884$8,914$5,873–$14,496
Denver CO15$4,248$6,819$7,035$3,920–$7,350
Detroit MI12$3,420$3,935$3,935$1,742–$6,690
Florida (statewide)61$7,988$9,131$10,082$2,285–$27,040
Georgia (statewide)28$4,149$5,809$7,521$2,266–$17,296
Hawaii (statewide)2———$4,038–$4,231
Houston TX19$4,732$6,015$6,030$4,004–$6,245
Idaho (statewide)12$3,291$7,451$8,241$2,977–$9,807
Illinois (statewide)24$4,172$6,368$8,356$1,868–$12,118
Indiana (statewide)23$3,891$9,092$14,480$1,905–$20,580
Indianapolis IN1———$10,380–$10,380
Iowa (statewide)16$4,839$5,402$7,068$2,030–$9,929
Kansas (statewide)14$3,940$4,530$6,253$2,872–$15,112
Kentucky (statewide)15$3,880$4,299$4,520$2,152–$7,993
Las Vegas NV2———$2,586–$3,010
Los Angeles CA17$5,934$7,812$8,986$4,792–$20,636
Louisiana (statewide)23$3,210$3,476$4,718$2,596–$9,482
Maine (statewide)15$13,295$15,249$15,435$8,224–$19,406
Massachusetts (statewide)4———$2,655–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)20$3,174$3,572$4,276$2,316–$4,466
Minneapolis-St. Paul MN6$5,340$5,340$5,383$5,234–$6,984
Minnesota (statewide)13$5,445$8,624$10,414$4,871–$14,305
Mississippi (statewide)12$4,474$4,754$4,912$3,116–$8,923
Missouri (statewide)11$7,212$7,394$8,032$4,878–$15,386
Montana (statewide)4———$4,056–$9,713
Nashville TN8$3,893$4,670$5,179$1,869–$6,688
Nebraska (statewide)11$6,980$8,645$8,772$2,586–$18,020
Nevada (statewide)4———$2,531–$3,654
New Hampshire (statewide)6$5,679$8,620$11,260$5,044–$14,652
New Jersey (statewide)20$4,958$7,338$7,958$3,765–$12,670
New Mexico (statewide)4———$3,424–$10,707
New York (statewide)26$3,827$4,876$7,003$2,171–$11,332
New York City8$3,634$5,074$7,980$3,008–$12,245
North Carolina (statewide)3———$5,102–$11,474
North Dakota (statewide)5$5,716$5,926$7,395$5,613–$8,002
Ohio (statewide)37$4,676$7,420$10,029$1,651–$12,576
Oklahoma (statewide)9$5,893$6,702$7,933$1,861–$12,670
Oregon (statewide)8$8,308$9,591$11,997$7,348–$14,924
Pennsylvania (statewide)23$6,016$8,195$11,140$2,694–$15,051
Philadelphia PA11$5,016$5,119$7,420$4,580–$11,208
Phoenix AZ8$4,144$4,693$4,839$2,936–$4,839
Pittsburgh PA6$6,058$6,688$7,026$3,010–$8,166
Portland OR9$10,801$10,801$13,575$10,537–$13,575
Rhode Island (statewide)3———$6,284–$11,950
Richmond VA3———$7,208–$8,612
Rio Grande Valley TX4———$4,252–$7,455
Salt Lake City UT9$3,576$3,698$3,698$2,947–$3,819
San Antonio TX3———$4,213–$5,880
San Diego CA7$7,306$7,365$7,365$6,018–$7,760
San Francisco Bay Area CA5$7,399$8,660$12,808$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)3———$5,017–$16,579
Tampa FL6$7,308$7,308$7,308$5,998–$13,033
Tennessee (statewide)22$3,117$3,752$4,570$2,520–$6,760
Texas (statewide)72$4,016$5,442$7,921$2,104–$20,580
Utah (statewide)6$3,003$3,374$3,576$2,947–$3,698
Virginia (statewide)19$9,402$10,068$11,382$5,698–$16,749
Washington (statewide)12$8,652$9,456$11,156$3,318–$17,714
Washington DC10$7,332$7,397$7,397$4,169–$7,947
West Virginia (statewide)3———$3,602–$21,783
Wisconsin (statewide)36$6,955$9,760$9,918$2,062–$14,340

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Nationwide Children'S HospitalOhio (statewide)$1,6510.5×12026-04-01
Henry Ford Health HospitalDetroit MI$1,7420.5×92026-06-28
Henry Ford Health -St John HospitalDetroit MI$1,7430.5×22026-01-01
St Mary'S Regional Medical CenterOklahoma (statewide)$1,8610.6×12026-09-01
John H Stroger Jr HospitalIllinois (statewide)$1,8680.5×12026-04-01
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Community Hospital Of Bremen IncIndiana (statewide)$1,9050.6×22026-01-01
Clarinda Regional Health CenterIowa (statewide)$2,0300.7×12026-07-13
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$2,0620.7×22026-01-01
Ascension Calumet HospitalWisconsin (statewide)$2,0620.7×22026-01-01
Ennis Regional Medical CenterTexas (statewide)$2,1040.6×12026-04-01
Ascension St Francis HospitalWisconsin (statewide)$2,1250.7×12026-01-01
Mainehealth Lincoln HospitalMaine (statewide)$19,4066.0×12025-09-09
Ascension Sacred Heart PensacolaFlorida (statewide)$19,7765.8×12026-01-01
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

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, diagnostic?

Across 992 hospitals in 76 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29870, hospital outpatient is $6,484, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,244 to $9,500. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee arthroscopy, diagnostic?

Medicare's national hospital outpatient rate for CPT 29870 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, diagnostic?

Lowest medians: Nationwide Children'S Hospital ($1,651), Henry Ford Health Hospital ($1,742), Henry Ford Health -St John Hospital ($1,743). Highest: Ascension St Vincent'S Southside ($27,040), Stanford Health Care ($26,573), Logan Regional Medical Center ($21,783). Coverage: every hospital whose price file we could read.