CPT 29870 Surgery - Musculoskeletal
Arthrs knee dx w/wo syn bx Cost
Body System: Musculoskeletal
Medicare Facility Rate
$400
CMS PFS CY2026
Medicare Non-Facility Rate
$603
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.06
Work RVU
5.88
Facility PE RVU
1.03
Malpractice RVU
18.05
Total RVU
Frequently Asked Questions
How much does Arthrs knee dx w/wo syn bx cost?
The Medicare facility rate is $400. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Arthrs knee dx w/wo syn bx cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $400.