29881

Removal of knee cartilage using an endoscope

Medicare pricing data for 11,355 providers across 52 states

🤖AI Overview

This procedure has a 6.5x markup — hospitals charge $4,713 but Medicare allows only $725.33. Uninsured patients may face bills 6.5 times higher than what insurance negotiates. Prices vary significantly by location — from $415 in Puerto Rico to $949 in Connecticut. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Removal of knee cartilage using an endoscope (HCPCS code 29881) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $725.33, but hospitals typically charge $4,713 — a 6.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$145.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $725.33, your out-of-pocket cost would be approximately $145.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$725.33
Average Hospital Charge
$4,713
Markup Ratio
6.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,713.03
Medicare Allowed$725.33
Medicare Payment$574.28

Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $574.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$949$6,480132578+30.8%
New Jersey$884$10,1872981,215+21.8%
Delaware$872$5,28337271+20.2%
Maryland$843$5,5412291,333+16.2%
Washington$841$2,6242471,268+15.9%
New Hampshire$841$6,26177443+15.9%
California$834$5,6011,0095,058+15.0%
Oregon$814$3,164143730+12.2%
Hawaii$783$3,3922556+7.9%
Colorado$781$4,6532461,102+7.6%
Wyoming$772$5,76549209+6.4%
New York$768$5,8905112,010+5.9%
Mississippi$765$4,34087799+5.5%
Illinois$760$5,7844112,043+4.7%
Minnesota$759$3,809200659+4.6%
Georgia$755$5,3403471,768+4.1%
Virginia$751$4,7652801,495+3.5%
Tennessee$751$5,3532751,672+3.5%
Rhode Island$746$3,39134125+2.9%
Arizona$745$4,8372601,423+2.7%
New Mexico$741$5,01843254+2.2%
Florida$734$5,4797914,779+1.2%
Michigan$733$3,9483631,502+1.0%
Pennsylvania$729$3,8594211,740+0.5%
Alaska$726$7,39055244+0.1%
Utah$725$4,016120633-0.1%
Montana$719$2,89259320-0.9%
Iowa$712$3,191136675-1.8%
North Carolina$695$3,8563471,622-4.2%
Indiana$676$5,2433261,536-6.9%
Nevada$672$5,165119672-7.4%
Ohio$670$3,6484482,106-7.7%
Texas$667$4,6727793,330-8.1%
South Carolina$662$3,6481841,194-8.7%
Louisiana$661$3,613184807-8.9%
Alabama$651$3,8992101,075-10.2%
Missouri$647$5,1152841,193-10.8%
Massachusetts$646$3,9762191,033-11.0%
Nebraska$632$3,14499418-12.8%
Arkansas$628$2,535114874-13.4%
Wisconsin$627$5,880241864-13.5%
West Virginia$610$2,37954243-15.8%
Maine$578$2,02145153-20.3%
North Dakota$576$2,15047187-20.6%
Kentucky$563$3,226139553-22.3%
District of Columbia$555$3,3221540-23.5%
Oklahoma$537$1,946154782-26.0%
Idaho$535$2,24099353-26.2%
Kansas$525$3,0771881,160-27.6%
Vermont$459$2,2401640-36.7%
South Dakota$439$2,12765289-39.5%
Puerto Rico$415$8902368-42.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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