All procedures / Knee Arthroscopy
Across 824 US hospitals that publish federally required price files, the median negotiated rate for a knee arthroscopy with cartilage removal is $3,378 — 1.0× the Medicare outpatient rate of $3,343. The middle half of hospitals negotiated between $2,696 and $4,553; the priciest tenth negotiated more than $7,570, 10.9× the cheapest tenth (under $695). Hospitals that list a self-pay price ask a median of $3,745 (359 hospitals).
Code CPT 29881 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-14 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07
| Insurance type | Hospitals | Median | Middle half | × Medicare |
|---|---|---|---|---|
| Commercial (plan type not stated) | 468 | $5,584 | $3,009 – $8,308 | 1.7× |
| PPO | 488 | $5,718 | $3,343 – $9,437 | 1.7× |
| HMO | 337 | $4,769 | $3,111 – $7,764 | 1.4× |
| EPO | 61 | $6,225 | $3,838 – $7,924 | 1.9× |
| POS | 35 | $4,006 | $3,257 – $9,130 | 1.2× |
| ACA Marketplace | 330 | $5,003 | $3,685 – $6,225 | 1.5× |
| Medicare Advantage | 423 | $3,201 | $2,822 – $3,485 | 1.0× |
| Medicare (as listed) | 470 | $3,310 | $3,088 – $3,558 | 1.0× |
| Medicaid | 451 | $1,970 | $963 – $2,908 | 0.6× |
| Workers' comp | 55 | $4,019 | $1,985 – $5,532 | 1.2× |
Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.
| State | Hospitals | Median | Middle half | Spread (shared scale $0–$10,000) | × Medicare | Median cash |
|---|---|---|---|---|---|---|
| Alabama | 11 | $2,918 | $2,434 – $3,014 | 0.9× | $7,497 | |
| Arizona | 11 | $2,052 | $2,052 – $2,744 | 0.6× | $9,299 | |
| Arkansas | 8 | $3,097 | $2,950 – $3,381 | 0.9× | $6,386 | |
| California | 35 | $4,188 | $3,891 – $6,513 | 1.3× | $4,187 | |
| Florida | 34 | $3,613 | $3,588 – $4,629 | 1.1× | $2,375 | |
| Georgia | 21 | $5,678 | $3,584 – $5,849 | 1.7× | $9,809 | |
| Hawaii | 7 | $3,212 | $3,180 – $3,554 | 1.0× | $471 | |
| Idaho | 9 | $656 | $472 – $5,502 | 0.2× | $1,299 | |
| Illinois | 22 | $3,521 | $3,480 – $4,071 | 1.1× | $2,790 | |
| Indiana | 20 | $3,901 | $1,508 – $5,555 | 1.2× | $1,335 | |
| Iowa | 26 | $1,228 | $953 – $3,023 | 0.4× | $1,720 | |
| Kansas | 17 | $3,052 | $516 – $4,508 | 0.9× | $3,823 | |
| Kentucky | 23 | $3,194 | $3,003 – $4,579 | 1.0× | $1,961 | |
| Louisiana | 16 | $3,167 | $1,764 – $4,675 | 0.9× | $2,563 | |
| Maine | 5 | $3,046 | $757 – $3,235 | 0.9× | $1,268 | |
| Massachusetts | 6 | $3,430 | $3,357 – $3,784 | 1.0× | $10,994 | |
| Michigan | 25 | $2,839 | $678 – $3,353 | 0.8× | $1,800 | |
| Minnesota | 21 | $3,245 | $3,121 – $3,407 | 1.0× | $1,451 | |
| Mississippi | 12 | $3,080 | $2,955 – $3,735 | 0.9× | $6,609 | |
| Missouri | 22 | $3,215 | $2,795 – $3,340 | 1.0× | $7,544 | |
| Montana | 6 | $883 | $652 – $1,548 | 0.3× | $1,663 | |
| Nebraska | 24 | $3,041 | $1,046 – $3,642 | 0.9× | $4,454 | |
| Nevada | 6 | $2,187 | $2,187 – $2,187 | 0.7× | $3,559 | |
| New Hampshire | 6 | $5,484 | $4,345 – $6,255 | 1.6× | — | |
| New Jersey | 19 | $6,205 | $3,801 – $6,384 | 1.9× | $5,110 | |
| New Mexico | 12 | $3,536 | $3,332 – $7,529 | 1.1× | $2,077 | |
| New York | 34 | $3,839 | $3,391 – $4,218 | 1.1× | $3,828 | |
| North Carolina | 15 | $3,159 | $3,052 – $3,219 | 0.9× | $8,105 | |
| Ohio | 48 | $3,559 | $3,108 – $7,642 | 1.1× | $17,673 | |
| Oklahoma | 22 | $3,480 | $3,046 – $5,801 | 1.0× | $6,667 | |
| Oregon | 16 | $6,892 | $3,632 – $8,887 | 2.1× | $1,817 | |
| Pennsylvania | 46 | $3,117 | $2,042 – $3,478 | 0.9× | $3,218 | |
| South Carolina | 12 | $6,044 | $4,305 – $12,038 | 1.8× | $3,614 | |
| South Dakota | 5 | $3,705 | $3,342 – $10,775 | 1.1× | $11,101 | |
| Tennessee | 16 | $3,111 | $3,103 – $3,250 | 0.9× | $5,800 | |
| Texas | 85 | $3,315 | $1,843 – $3,819 | 1.0× | $3,310 | |
| Utah | 13 | $3,644 | $3,643 – $6,225 | 1.1× | — | |
| Vermont | 5 | $2,066 | $1,087 – $3,112 | 0.6× | $1,507 | |
| Virginia | 14 | $6,356 | $4,975 – $8,180 | 1.9× | — | |
| Washington | 14 | $1,885 | $576 – $4,460 | 0.6× | $1,475 | |
| West Virginia | 5 | $2,900 | $410 – $3,245 | 0.9× | $8,476 | |
| Wisconsin | 26 | $4,092 | $1,570 – $7,829 | 1.2× | $2,659 |
middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $10,000
States with at least 5 hospitals in our data (42 states). 8 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.
Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.