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Knee arthroscopy (meniscectomy): what insurers pay

Arthroscopic trimming of a torn meniscus in one compartment, with any cartilage shaving. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 29881: Knee Arthroscopy (Meniscectomy)

1221 hospitals in 81 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$3,274$3,716$4,924$2,920–$10,380
Alaska (statewide)5$3,671$4,861$8,522$1,950–$18,466
Arizona (statewide)13$3,914$5,440$5,628$2,108–$8,446
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)63$5,280$9,573$12,278$3,128–$16,652
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL9$4,828$6,274$9,762$3,993–$10,219
Cleveland OH11$4,602$5,304$6,638$2,694–$7,701
Colorado (statewide)16$4,781$6,208$6,859$1,833–$11,334
Columbus OH1———$11,769–$11,769
Connecticut (statewide)2———$7,730–$13,633
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$3,797$3,935$5,242$1,910–$8,072
Florida (statewide)67$7,988$9,131$10,082$2,285–$27,040
Georgia (statewide)31$3,378$6,389$7,530$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$3,159$5,804$7,551$1,720–$12,371
Illinois (statewide)31$4,280$5,282$7,715$3,019–$10,738
Indiana (statewide)39$4,304$7,629$12,518$2,274–$24,450
Indianapolis IN3———$10,380–$14,684
Iowa (statewide)26$3,608$4,984$5,806$1,970–$9,929
Kansas (statewide)18$3,962$4,747$6,146$2,820–$18,466
Kentucky (statewide)17$4,230$4,678$7,033$2,709–$12,108
Las Vegas NV2———$3,010–$3,182
Los Angeles CA17$6,149$8,653$9,744$5,475–$25,517
Louisiana (statewide)28$3,045$3,537$4,627$2,408–$9,620
Maine (statewide)17$13,295$14,927$15,435$3,465–$19,406
Maryland (statewide)1———$6,143–$6,143
Massachusetts (statewide)5$3,000$3,820$4,278$2,698–$4,668
Miami-Fort Lauderdale FL1———$4,639–$4,639
Michigan (statewide)31$3,264$3,425$3,686$1,641–$5,640
Minneapolis-St. Paul MN7$5,287$5,340$5,368$3,660–$6,072
Minnesota (statewide)14$5,366$8,045$10,310$4,557–$14,305
Mississippi (statewide)18$4,145$4,629$4,882$2,413–$8,923
Missouri (statewide)20$4,343$6,609$9,367$2,054–$15,386
Montana (statewide)5$6,562$6,814$8,204$4,056–$9,713
Nashville TN8$4,175$4,900$5,359$2,307–$6,688
Nebraska (statewide)15$6,820$9,538$9,875$3,182–$20,585
Nevada (statewide)6$3,035$4,154$5,952$2,986–$6,584
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$11,055$13,842$2,420–$16,255
New York (statewide)31$3,271$5,569$7,270$2,175–$11,332
New York City8$2,192$4,278$7,552$2,176–$12,245
North Carolina (statewide)7$6,320$7,586$10,074$5,102–$12,278
North Dakota (statewide)5$5,716$6,500$7,395$5,613–$9,992
Ohio (statewide)41$4,676$7,420$9,057$1,644–$12,576
Oklahoma (statewide)16$3,230$5,254$7,412$2,156–$13,630
Oregon (statewide)9$8,308$9,228$11,804$5,799–$14,924
Pennsylvania (statewide)41$3,514$5,902$8,209$2,000–$14,470
Philadelphia PA11$6,319$6,614$8,550$5,100–$13,320
Phoenix AZ8$4,827$5,239$5,289$3,592–$5,440
Pittsburgh PA11$3,432$5,530$6,392$2,379–$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–$17,176
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)27$3,268$3,593$4,620$2,737–$6,760
Texas (statewide)82$4,023$5,366$7,418$2,104–$20,580
Utah (statewide)15$6,225$6,225$6,225$1,817–$11,341
Vermont (statewide)3———$5,009–$9,202
Virginia (statewide)17$9,373$10,068$12,272$6,208–$16,749
Washington (statewide)13$8,133$9,501$10,199$3,033–$16,915
Washington DC9$7,397$7,397$7,908$5,292–$9,256
West Virginia (statewide)4———$3,602–$21,783
Wisconsin (statewide)46$6,400$8,940$9,894$1,590–$12,908

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stoughton HospitalWisconsin (statewide)$1,5900.5×32026-06-11
Dodge County HospitalGeorgia (statewide)$1,6100.6×22026-05-14
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$1,6410.5×12026-05-01
Nationwide Children'S HospitalOhio (statewide)$1,6440.5×12026-04-01
Holland HospitalMichigan (statewide)$1,6450.5×32026-09-21
Helen Newberry Joy HospitalMichigan (statewide)$1,6450.5×12026-09-02
Weiser Memorial HospitalIdaho (statewide)$1,7200.5×52026-08-18
Blue Mountain HospitalUtah (statewide)$1,8170.6×12026-09-01
Oaklawn HospitalMichigan (statewide)$1,8290.6×22026-03-27
Montrose Regional HealthColorado (statewide)$1,8330.5×12026-07-13
Henry Ford Health -St John HospitalDetroit MI$1,9100.6×22026-01-01
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$1,9370.6×22026-01-01
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 DyerIndiana (statewide)$24,4507.1×32026-01-01
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 (meniscectomy)?

Across 1221 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29881, hospital outpatient is $6,225, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,100 to $9,243. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee arthroscopy (meniscectomy)?

Medicare's national hospital outpatient rate for CPT 29881 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 (meniscectomy)?

Lowest medians: Stoughton Hospital ($1,590), Dodge County Hospital ($1,610), Corewell Health Lakeland Hospitals St Joseph Hospi ($1,641). 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.