29880

Removal of both knee cartilages using an endoscope

Medicare pricing data for 9,162 providers across 52 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $5,165 but Medicare allows only $766.42. Uninsured patients may face bills 6.7 times higher than what insurance negotiates. Prices vary significantly by location — from $437 in South Dakota to $965 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 both knee cartilages using an endoscope (HCPCS code 29880) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $766.42, but hospitals typically charge $5,165 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$153.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $766.42, your out-of-pocket cost would be approximately $153.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$766.42
Average Hospital Charge
$5,165
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,165.48
Medicare Allowed$766.42
Medicare Payment$607.00

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $607.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$965$6,823111522+25.8%
California$950$6,5768544,571+24.0%
Delaware$901$5,73930195+17.5%
New Jersey$896$10,4852541,116+16.9%
Maryland$893$5,9731911,098+16.5%
Washington$864$2,774210912+12.7%
New Hampshire$854$6,84954239+11.4%
Minnesota$838$3,946125301+9.3%
Oregon$837$3,517107520+9.2%
New York$836$6,5534231,754+9.1%
Colorado$810$5,148200791+5.7%
Rhode Island$805$3,61227115+5.1%
Illinois$802$6,5253421,438+4.7%
Virginia$790$4,458217966+3.1%
Florida$780$5,8097033,788+1.7%
Arizona$773$5,264226994+0.8%
Pennsylvania$770$4,0353161,322+0.4%
New Mexico$768$4,55234174+0.2%
Georgia$757$5,6292761,285-1.2%
Michigan$756$4,1132681,048-1.4%
Wyoming$749$6,10042219-2.3%
South Carolina$738$3,994166945-3.7%
North Carolina$729$4,2542821,166-4.9%
Massachusetts$728$4,741171690-5.0%
Tennessee$728$5,5662281,171-5.1%
Mississippi$721$4,66483617-6.0%
Ohio$716$3,8793311,349-6.6%
Alaska$715$7,46243221-6.7%
Utah$709$4,311113504-7.5%
Montana$705$2,88446226-8.0%
Missouri$702$5,279201773-8.3%
Louisiana$699$3,777154654-8.7%
Iowa$690$3,35399408-9.9%
Texas$690$5,0466182,574-10.0%
North Dakota$681$2,46134187-11.2%
Alabama$679$4,264172884-11.3%
Indiana$671$5,3922641,000-12.4%
Nevada$662$5,1061141,347-13.7%
Arkansas$657$2,84492590-14.3%
Wisconsin$655$6,463160477-14.6%
Maine$636$1,9832864-17.0%
Nebraska$631$2,88672303-17.7%
District of Columbia$616$2,814816-19.6%
Kentucky$602$3,78091311-21.4%
Kansas$596$3,830138624-22.3%
Hawaii$580$2,3911977-24.4%
Idaho$559$2,51496341-27.1%
West Virginia$551$2,05043170-28.1%
Oklahoma$509$2,091137764-33.5%
Vermont$475$2,0151333-38.0%
Puerto Rico$455$9651015-40.6%
South Dakota$437$1,81158191-43.0%

⚠️ 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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