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Shoulder arthroscopy, clean-out: what insurers pay

Arthroscopic removal of damaged tissue in the shoulder: extensive (29823) or limited (29822). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 29823: Shoulder Arthroscopy, Clean-Out

1168 hospitals in 80 markets. National Medicare rate $3,343, surgery center $1,645.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$3,321$3,784$5,034$2,986–$10,900
Alaska (statewide)5$4,036$4,861$7,458$2,262–$15,422
Arizona (statewide)11$3,708$4,364$4,704$2,104–$6,047
Arkansas (statewide)11$2,862$3,199$3,811$2,512–$4,485
Atlanta GA6$5,915$6,232$6,232$5,809–$6,232
Austin TX13$2,628$4,948$8,970$2,628–$8,970
Boston MA12$4,488$4,535$5,070$2,361–$6,288
California (statewide)60$5,334$9,573$12,278$3,544–$23,082
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,802$5,944$14,476$4,191–$14,716
Cleveland OH11$4,374$5,497$5,866$2,453–$7,624
Colorado (statewide)14$5,516$6,448$7,088$1,930–$12,212
Columbus OH1———$16,394–$16,394
Connecticut (statewide)2———$7,414–$30,233
Dallas-Fort Worth TX12$6,879$8,778$9,304$6,093–$15,011
Denver CO15$5,415$7,090$8,646$3,920–$8,926
Detroit MI14$3,935$3,935$6,196$2,918–$9,904
Florida (statewide)65$10,008$11,246$13,099$2,285–$27,040
Georgia (statewide)31$3,866$5,809$7,910$2,266–$17,296
Hawaii (statewide)3———$4,231–$5,894
Houston TX19$4,722$6,245$7,878$4,004–$8,778
Idaho (statewide)17$3,159$5,182$9,667$1,920–$14,096
Illinois (statewide)30$4,127$6,052$9,498$2,833–$14,716
Indiana (statewide)37$4,816$7,629$16,283$1,905–$27,105
Indianapolis IN1———$12,804–$12,804
Iowa (statewide)24$3,465$5,146$6,879$1,583–$8,645
Kansas (statewide)19$3,950$4,805$6,645$1,711–$15,422
Kentucky (statewide)17$4,264$4,386$5,420$2,741–$24,477
Las Vegas NV2———$2,586–$3,010
Los Angeles CA17$6,149$7,815$9,460$5,569–$28,632
Louisiana (statewide)24$3,870$4,802$5,292$2,737–$8,738
Maine (statewide)17$13,295$14,927$15,435$3,465–$19,406
Maryland (statewide)1———$1,643–$1,643
Massachusetts (statewide)5$3,820$3,900$4,278$3,000–$5,345
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)25$3,620$4,305$6,844$1,645–$9,019
Minneapolis-St. Paul MN7$7,312$7,977$8,110$6,108–$8,918
Minnesota (statewide)13$7,820$9,076$10,414$4,871–$14,305
Mississippi (statewide)15$4,570$5,244$5,902$3,116–$8,923
Missouri (statewide)20$4,336$6,636$9,733$2,831–$15,011
Montana (statewide)5$6,181$6,562$6,814$4,056–$9,713
Nashville TN8$4,739$5,473$5,774$1,869–$6,688
Nebraska (statewide)13$5,687$8,645$8,982$1,798–$18,020
Nevada (statewide)6$2,545$3,856$5,952$2,531–$7,643
New Hampshire (statewide)6$9,980$10,516$11,260$8,425–$14,652
New Jersey (statewide)22$6,698$7,840$9,845$3,765–$14,678
New Mexico (statewide)6$5,403$8,195$12,742$3,424–$22,705
New York (statewide)30$3,899$4,657$7,011$2,171–$11,332
New York City8$3,902$4,842$7,315$3,876–$12,305
North Carolina (statewide)7$4,032$8,674$13,048$1,926–$19,175
North Dakota (statewide)5$5,716$7,349$7,395$5,613–$8,002
Ohio (statewide)38$4,732$7,203$10,963$1,801–$16,502
Oklahoma (statewide)15$4,798$6,702$7,673$1,805–$24,697
Oregon (statewide)8$8,308$9,591$11,997$7,348–$14,924
Pennsylvania (statewide)32$4,786$6,911$10,584$2,722–$14,470
Philadelphia PA11$5,720$6,136$7,560$4,904–$11,208
Phoenix AZ8$3,907$4,231$4,357$2,936–$4,735
Pittsburgh PA10$3,515$5,706$6,436$2,859–$8,166
Portland OR9$10,801$10,801$13,575$10,537–$13,575
Rhode Island (statewide)4———$4,393–$9,813
Richmond VA3———$7,051–$7,130
Rio Grande Valley TX6$4,262$6,534$8,778$4,252–$9,246
Salt Lake City UT9$9,729$9,729$9,729$9,729–$9,729
San Antonio TX3———$4,646–$6,985
San Diego CA7$7,154$7,154$7,200$6,640–$7,760
San Francisco Bay Area CA5$7,399$8,741$20,396$7,162–$25,060
Seattle-Tacoma WA16$9,166$9,510$11,436$8,518–$12,938
South Carolina (statewide)19$8,797$12,733$15,196$3,101–$17,472
South Dakota (statewide)3———$5,017–$16,579
St. Louis MO4———$4,812–$5,226
Tampa FL6$11,624$11,624$11,624$5,999–$14,969
Tennessee (statewide)26$3,117$4,163$5,480$2,943–$8,384
Texas (statewide)80$4,246$5,489$8,778$2,236–$20,580
Utah (statewide)14$9,729$9,729$9,729$2,947–$11,341
Vermont (statewide)2———$4,502–$5,696
Virginia (statewide)20$8,006$9,860$10,943$6,054–$18,722
Washington (statewide)13$8,506$9,501$10,199$2,481–$17,714
Washington DC9$6,726$6,895$6,895$4,169–$6,895
West Virginia (statewide)4———$3,602–$21,783
Wisconsin (statewide)44$6,686$10,352$12,944$2,178–$14,340

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Madison County Health Care SystemIowa (statewide)$1,5830.5×32026-09-23
Atlantic General HospitalMaryland (statewide)$1,6430.5×12026-04-10
Helen Newberry Joy HospitalMichigan (statewide)$1,6450.5×12026-09-02
Boone County HospitalIowa (statewide)$1,7010.5×12026-07-27
Manhattan Surgical Hospital LlcKansas (statewide)$1,7110.6×22025-11-12
The Nebraska Medical CenterNebraska (statewide)$1,7980.5×22026-08-10
Nationwide Children'S HospitalOhio (statewide)$1,8010.6×12026-04-01
Newman Memorial HospitalOklahoma (statewide)$1,8050.6×12026-07-10
Oaklawn HospitalMichigan (statewide)$1,8290.6×22026-03-27
St Mary'S Regional Medical CenterOklahoma (statewide)$1,8610.6×12026-09-01
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Community Hospital Of Bremen IncIndiana (statewide)$1,9050.6×22026-01-01
Memorial Medical CenterNew Mexico (statewide)$22,7057.0×12026-07-10
Mission Community HospitalCalifornia (statewide)$23,0825.5×22026-09-01
Meadowview Regional Medical CenterKentucky (statewide)$24,4778.0×12026-07-10
Mangum Regional Medical CenterOklahoma (statewide)$24,6977.8×52026-09-23
Stanford Health CareSan Francisco Bay Area CA$25,0605.2×22026-04-01
Franciscan Health Crown PointIndiana (statewide)$25,2317.3×32026-01-01
Franciscan Health MunsterIndiana (statewide)$25,9657.5×32026-01-01
Franciscan Health Michigan CityIndiana (statewide)$26,4747.7×32026-01-01
Ascension St Vincent'S SouthsideFlorida (statewide)$27,0407.9×12026-01-01
Saint Joseph Regional Medical CenterIndiana (statewide)$27,1057.8×252026-03-31
Cedars-Sinai Medical CenterLos Angeles CA$28,6326.8×32025-11-26
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.

CPT 29822: Shoulder Arthroscopy, Clean-Out

1144 hospitals in 80 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–$10,380
Alaska (statewide)5$3,671$4,861$7,458$2,079–$15,164
Arizona (statewide)11$3,469$4,307$4,570$2,104–$6,047
Arkansas (statewide)10$2,960$3,494$3,958$2,512–$4,485
Atlanta GA6$5,828$5,886$5,886$5,809–$5,886
Austin TX13$2,628$4,948$6,556$2,628–$6,556
Boston MA10$4,116$4,438$5,106$2,812–$6,288
California (statewide)56$4,976$9,573$12,278$2,753–$16,574
Charlotte NC5$3,857$3,857$3,857$3,805–$3,857
Chicago IL8$4,616$7,281$9,402$3,974–$10,219
Cleveland OH11$3,384$3,902$5,370$2,453–$5,514
Colorado (statewide)15$4,737$6,144$6,661$1,749–$11,229
Columbus OH1———$11,769–$11,769
Connecticut (statewide)1———$7,414–$7,414
Dallas-Fort Worth TX12$6,566$7,074$8,590$6,093–$14,496
Delaware (statewide)1———$8,892–$8,892
Denver CO15$4,248$6,819$7,035$3,920–$7,200
Detroit MI14$3,935$4,093$6,544$1,743–$9,308
Florida (statewide)64$7,988$9,087$10,082$2,285–$27,040
Georgia (statewide)31$3,245$5,809$7,530$1,610–$17,296
Hawaii (statewide)3———$4,038–$10,729
Houston TX19$4,732$5,849$6,030$4,004–$6,245
Idaho (statewide)15$4,312$7,273$8,313$1,800–$14,081
Illinois (statewide)31$3,659$4,992$7,715$2,505–$11,134
Indiana (statewide)37$4,328$7,629$14,851$1,905–$27,105
Indianapolis IN1———$10,380–$10,380
Iowa (statewide)20$4,392$5,098$6,528$2,071–$9,929
Kansas (statewide)17$4,167$4,889$6,362$2,250–$15,970
Kentucky (statewide)17$3,904$4,357$5,420$2,741–$24,477
Las Vegas NV2———$2,586–$3,010
Los Angeles CA17$6,149$7,812$9,106$5,377–$20,636
Louisiana (statewide)24$3,254$3,537$4,639$2,596–$9,482
Maine (statewide)17$13,295$14,927$15,435$3,465–$19,406
Maryland (statewide)1———$1,541–$1,541
Massachusetts (statewide)6$3,110$3,631$4,164$2,655–$4,668
Miami-Fort Lauderdale FL1———$6,058–$6,058
Michigan (statewide)26$3,440$4,365$5,545$1,645–$6,844
Minneapolis-St. Paul MN8$4,840$5,340$5,354$2,362–$6,072
Minnesota (statewide)13$5,445$8,624$10,414$4,871–$14,305
Mississippi (statewide)15$4,076$4,736$5,112$2,332–$8,923
Missouri (statewide)20$4,600$5,976$7,455$1,920–$9,560
Montana (statewide)5$6,181$6,562$6,814$4,167–$9,713
Nashville TN8$3,893$4,670$5,179$1,869–$7,052
Nebraska (statewide)11$6,980$8,645$8,772$2,586–$18,020
Nevada (statewide)5$2,531$2,586$5,345$2,531–$6,584
New Hampshire (statewide)6$9,241$10,474$11,260$8,425–$14,652
New Jersey (statewide)22$6,637$7,772$8,289$3,545–$12,670
New Mexico (statewide)8$4,149$7,766$13,860$2,420–$16,255
New York (statewide)28$3,837$4,730$6,993$2,171–$11,332
New York City8$3,840$4,810$7,037$3,008–$12,245
North Carolina (statewide)6$5,723$8,130$10,774$2,205–$12,278
North Dakota (statewide)5$5,716$5,926$7,395$5,613–$8,002
Ohio (statewide)38$4,164$7,058$9,786$1,644–$12,576
Oklahoma (statewide)14$3,002$5,811$7,759$1,648–$14,374
Oregon (statewide)8$8,308$9,591$11,997$7,348–$14,924
Pennsylvania (statewide)33$3,514$6,068$8,195$2,147–$14,470
Philadelphia PA11$5,720$6,011$7,420$4,904–$11,208
Phoenix AZ8$3,907$4,231$4,357$2,936–$4,735
Pittsburgh PA9$3,010$5,619$6,588$1,936–$8,166
Portland OR9$10,801$10,801$13,575$10,537–$13,575
Rhode Island (statewide)3———$6,284–$9,813
Richmond VA3———$7,051–$7,130
Rio Grande Valley TX7$4,272$4,416$7,341$4,252–$9,831
Salt Lake City UT9$9,729$9,729$9,729$9,729–$9,729
San Antonio TX3———$4,213–$5,880
San Diego CA7$7,154$7,154$7,200$6,018–$7,760
San Francisco Bay Area CA5$7,162$7,399$8,660$5,775–$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–$17,436
St. Louis MO4———$4,812–$5,226
Tampa FL6$7,308$7,308$7,308$5,998–$13,033
Tennessee (statewide)26$3,117$3,466$4,682$2,520–$6,760
Texas (statewide)79$4,029$5,407$7,178$2,104–$20,580
Utah (statewide)14$9,729$9,729$9,729$2,947–$11,341
Virginia (statewide)20$9,356$10,054$11,236$6,054–$16,749
Washington (statewide)11$8,603$9,501$12,114$3,318–$17,714
Washington DC9$6,726$6,895$6,895$4,169–$6,895
West Virginia (statewide)3———$3,602–$21,783
Wisconsin (statewide)43$6,460$9,262$9,760$2,012–$12,908

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Atlantic General HospitalMaryland (statewide)$1,5410.5×12026-04-10
Dodge County HospitalGeorgia (statewide)$1,6100.6×22026-05-14
Nationwide Children'S HospitalOhio (statewide)$1,6440.5×12026-04-01
Helen Newberry Joy HospitalMichigan (statewide)$1,6450.5×12026-09-02
Newman Memorial HospitalOklahoma (statewide)$1,6480.5×12026-07-10
Henry Ford Health -St John HospitalDetroit MI$1,7430.5×22026-01-01
Mt San Rafael HospitalColorado (statewide)$1,7490.5×52026-07-23
Montrose Regional HealthColorado (statewide)$1,7800.5×22026-07-13
Weiser Memorial HospitalIdaho (statewide)$1,8000.6×52026-08-18
Oaklawn HospitalMichigan (statewide)$1,8290.6×22026-03-27
St Mary'S Regional Medical CenterOklahoma (statewide)$1,8610.6×12026-09-01
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
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
Franciscan Health DyerIndiana (statewide)$24,4507.1×32026-01-01
Meadowview Regional Medical CenterKentucky (statewide)$24,4778.0×12026-07-10
Franciscan Health Crown PointIndiana (statewide)$25,2317.3×32026-01-01
Franciscan Health MunsterIndiana (statewide)$25,9657.5×32026-01-01
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
Saint Joseph Regional Medical CenterIndiana (statewide)$27,1057.8×252026-03-31

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 shoulder arthroscopy, clean-out?

Across 1168 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 29823, hospital outpatient is $6,841, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,449 to $9,962. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for shoulder arthroscopy, clean-out?

Medicare's national hospital outpatient rate for CPT 29823 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 shoulder arthroscopy, clean-out?

Lowest medians: Madison County Health Care System ($1,583), Atlantic General Hospital ($1,643), Helen Newberry Joy Hospital ($1,645). Highest: Saint Francis Hospital & Medical Center ($30,233), Cedars-Sinai Medical Center ($28,632), Saint Joseph Regional Medical Center ($27,105). Coverage: every hospital whose price file we could read.