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Knee arthroscopy, both menisci: what insurers pay

Arthroscopic trimming of tears in both the inner and outer meniscus. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29880: Knee Arthroscopy, Both Menisci

1181 hospitals in 81 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$3,275$3,900$5,102$3,030–$8,476
Alaska (statewide)5$3,816$4,861$8,522$2,024–$18,569
Arizona (statewide)11$3,603$4,668$5,192$2,108–$7,469
Arkansas (statewide)12$2,852$3,051$3,800$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)60$5,578$9,573$12,278$3,128–$17,438
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,660$6,227$9,402$4,034–$10,219
Cleveland OH11$3,948$5,244$5,600$2,694–$7,589
Colorado (statewide)14$3,768$6,068$6,786$1,729–$11,334
Columbus OH1———$11,769–$11,769
Connecticut (statewide)1———$7,730–$7,730
Dallas-Fort Worth TX12$6,871$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 MI17$3,935$3,935$5,444$1,806–$8,413
Florida (statewide)66$7,988$9,087$10,082$2,285–$27,040
Georgia (statewide)30$3,535$6,389$7,539$1,610–$18,982
Hawaii (statewide)4———$5,144–$10,048
Houston TX19$4,613$6,015$6,030$4,201–$6,245
Idaho (statewide)16$3,131$6,036$7,362$1,788–$12,371
Illinois (statewide)29$4,192$5,282$7,715$2,946–$11,232
Indiana (statewide)38$4,292$7,522$12,151$2,274–$20,580
Indianapolis IN3———$10,380–$23,845
Iowa (statewide)24$3,555$4,986$6,432$2,047–$9,929
Kansas (statewide)19$4,078$4,758$6,073$2,744–$18,569
Kentucky (statewide)17$3,904$4,530$6,707$2,709–$12,108
Las Vegas NV2———$3,010–$3,182
Los Angeles CA17$6,149$8,653$9,744$5,615–$25,517
Louisiana (statewide)24$3,045$3,537$5,066$2,378–$9,620
Maine (statewide)17$13,295$14,927$15,435$3,465–$19,406
Maryland (statewide)1———$5,381–$5,381
Massachusetts (statewide)5$3,000$3,820$4,278$2,698–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)29$3,102$3,268$3,935$1,645–$5,640
Minneapolis-St. Paul MN7$5,287$5,340$5,368$3,660–$6,984
Minnesota (statewide)13$5,445$8,624$10,414$4,871–$14,305
Mississippi (statewide)17$4,551$4,882$5,693$2,935–$8,923
Missouri (statewide)21$4,212$6,033$9,367$2,054–$15,386
Montana (statewide)5$6,562$6,814$7,402$4,056–$9,713
Nashville TN8$4,175$4,900$5,359$2,307–$6,688
Nebraska (statewide)11$7,096$9,875$9,875$3,182–$20,585
Nevada (statewide)4———$2,986–$6,228
New Hampshire (statewide)6$6,366$9,995$12,714$5,044–$14,652
New Jersey (statewide)15$3,765$5,550$7,440$3,545–$13,630
New Mexico (statewide)9$5,588$10,715$13,842$2,420–$16,255
New York (statewide)30$3,886$5,502$7,303$2,368–$16,748
New York City8$3,840$5,096$7,552$3,008–$12,245
North Carolina (statewide)7$6,344$7,774$10,074$3,016–$12,278
North Dakota (statewide)5$5,716$6,500$7,395$5,613–$9,992
Ohio (statewide)39$4,710$7,420$9,543$1,708–$12,576
Oklahoma (statewide)16$3,230$5,254$7,412$1,738–$13,630
Oregon (statewide)10$7,588$8,768$11,342$2,961–$14,924
Pennsylvania (statewide)39$3,586$5,902$8,195$2,006–$14,470
Philadelphia PA11$6,319$6,614$8,550$5,130–$13,320
Phoenix AZ8$5,130$5,642$5,680$3,592–$5,795
Pittsburgh PA10$3,682$5,864$6,738$3,341–$8,166
Portland OR9$12,835$12,835$13,575$11,818–$13,575
Rhode Island (statewide)3———$6,284–$7,340
Richmond VA3———$8,403–$9,210
Rio Grande Valley TX7$4,272$4,416$7,341$4,252–$10,580
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$8,032$8,356$10,378$5,775–$28,573
Seattle-Tacoma WA16$9,173$9,510$11,436$8,518–$12,938
South Carolina (statewide)19$7,492$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)26$3,258$3,486$4,714$2,737–$6,760
Texas (statewide)80$4,032$5,366$7,437$2,104–$20,580
Utah (statewide)14$6,225$6,225$6,225$2,947–$11,341
Vermont (statewide)2———$5,353–$5,515
Virginia (statewide)20$9,517$10,054$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)4———$3,602–$21,783
Wisconsin (statewide)44$6,426$9,210$9,894$1,702–$12,908

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Dodge County HospitalGeorgia (statewide)$1,6100.6×22026-05-14
Helen Newberry Joy HospitalMichigan (statewide)$1,6450.5×12026-09-02
Stoughton HospitalWisconsin (statewide)$1,7020.5×42026-06-11
Nationwide Children'S HospitalOhio (statewide)$1,7080.5×12026-04-01
Mt San Rafael HospitalColorado (statewide)$1,7290.5×52026-07-23
Mercy Hospital Logan County, IncOklahoma (statewide)$1,7380.6×12026-06-11
Weiser Memorial HospitalIdaho (statewide)$1,7880.6×52026-08-18
Henry Ford Health -St John HospitalDetroit MI$1,8060.6×22026-01-01
Oaklawn HospitalMichigan (statewide)$1,8290.6×22026-03-27
Montrose Regional HealthColorado (statewide)$1,8930.6×12026-07-13
Upmc HorizonPennsylvania (statewide)$2,0060.6×22026-03-06
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$2,0100.6×22026-01-01
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
Chi Health St FrancisNebraska (statewide)$20,5856.1×62026-02-28
Logan Regional Medical CenterWest Virginia (statewide)$21,7836.9×12026-04-01
Franciscan Health IndianapolisIndianapolis IN$23,8456.9×12026-01-01
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

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, both menisci?

Across 1181 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29880, hospital outpatient is $6,225, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,158 to $9,256. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee arthroscopy, both menisci?

Medicare's national hospital outpatient rate for CPT 29880 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, both menisci?

Lowest medians: Dodge County Hospital ($1,610), Helen Newberry Joy Hospital ($1,645), Stoughton Hospital ($1,702). Highest: Stanford Health Care ($28,573), Ascension St Vincent'S Southside ($27,040), Cedars-Sinai Medical Center ($25,517). Coverage: every hospital whose price file we could read.