{"procedure":{"code_type":"CPT","code":"29805","lay_name":"Shoulder scope exam, with or without lining biopsy","blurb":"A camera is inserted into the shoulder joint to look inside, with or without taking a sample of the joint lining; billed when done alone.","slug":"cpt-29805-shoulder-scope-exam-with-or-without-lining-biopsy","description":"Diagnostic Arthroscopy Shoulder +- Synovial Bx","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"149","label":"Arthroscopy","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":575,"n_usable":501,"n_not_usable":1,"n_labelled":52,"n_no_cash":21,"n_estimated":0,"n_states":46,"cash_p10":613.93,"cash_p20":803.2,"cash_p25":849.9,"cash_p50":1731.8,"cash_p75":3839.54,"cash_p80":4499.12,"cash_p90":8372.0,"cash_mean_trimmed":2109.49,"gross_p50":1836.49,"cash_to_gross_p50":0.65,"medicare_rate":3342.87,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5181,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":28,"p20":1013.6,"p50":8943.2,"p80":8943.2},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":1567.8,"p50":6958.76,"p80":6958.76},{"state":"GA","n":10,"p20":7155.0,"p50":8718.0,"p80":8718.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":28,"p20":980.0,"p50":1155.2,"p80":1405.6},{"state":"ID","n":12,"p20":1173.16,"p50":3500.0,"p80":8372.0},{"state":"IL","n":17,"p20":359.45,"p50":908.99,"p80":1848.11},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":11,"p20":736.0,"p50":1192.1,"p80":3370.5},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":34,"p20":738.0,"p50":849.9,"p80":2361.45},{"state":"MN","n":22,"p20":977.3,"p50":2338.5,"p80":2743.84},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":3545.97,"p50":3794.0,"p80":5419.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":34,"p20":770.0,"p50":3342.87,"p80":3883.81},{"state":"OH","n":13,"p20":790.4,"p50":1567.8,"p80":1756.95},{"state":"OK","n":13,"p20":773.5,"p50":773.5,"p80":6615.1},{"state":"OR","n":15,"p20":880.75,"p50":1285.0,"p80":1566.4},{"state":"PA","n":14,"p20":731.5,"p50":3804.28,"p80":6113.99},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":27,"p20":3270.0,"p50":3665.55,"p80":4469.0},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":10,"p20":596.86,"p50":767.0,"p80":1196.8},{"state":"WA","n":12,"p20":813.0,"p50":1087.0,"p80":2908.0},{"state":"WI","n":29,"p20":1805.27,"p50":2361.45,"p80":2945.28},{"state":"WV","n":13,"p20":502.0,"p50":803.2,"p80":1762.0},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":346,"p20":833.0,"p50":2361.45,"p80":6023.34},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":145,"p20":772.0,"p50":1285.0,"p80":2646.0}],"ownership":[{"key":"for_profit","n":48,"p20":895.2,"p50":3544.6,"p80":8718.0},{"key":"government","n":96,"p20":813.0,"p50":1173.16,"p80":3839.54},{"key":"nonprofit","n":356,"p20":779.0,"p50":1756.95,"p80":4499.12}],"affiliation":[{"key":"affiliated","n":379,"p20":803.25,"p50":1826.4,"p80":5582.5},{"key":"independent","n":122,"p20":779.0,"p50":1222.0,"p80":3500.0}]},"histogram":[{"lo":494.08,"hi":660.03,"n":31},{"lo":660.03,"hi":881.73,"n":81},{"lo":881.73,"hi":1177.89,"n":63},{"lo":1177.89,"hi":1573.53,"n":44},{"lo":1573.53,"hi":2102.06,"n":33},{"lo":2102.06,"hi":2808.11,"n":35},{"lo":2808.11,"hi":3751.32,"n":50},{"lo":3751.32,"hi":5011.34,"n":47},{"lo":5011.34,"hi":6694.58,"n":24},{"lo":6694.58,"hi":8943.2,"n":44}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-14","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":291,"n_usable":249,"n_not_usable":0,"n_labelled":25,"n_no_cash":17,"n_estimated":0,"n_states":44,"cash_p10":511.2,"cash_p20":738.0,"cash_p25":773.5,"cash_p50":1189.46,"cash_p75":3665.55,"cash_p80":3855.0,"cash_p90":8943.2,"cash_mean_trimmed":1711.62,"gross_p50":1675.3,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":1407.86,"p50":8943.2,"p80":8943.2},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1155.2,"p50":1155.2,"p80":1155.2},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":359.45,"p50":857.1,"p80":1155.2},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":715.5,"p50":1053.15,"p80":1066.4},{"state":"MN","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":14,"p20":706.21,"p50":880.4,"p80":1364.0},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":773.5,"p50":773.5,"p80":773.5},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":21,"p20":3665.55,"p50":3665.55,"p80":3727.43},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":2361.45,"p50":2361.45,"p80":2361.45},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":181,"p20":773.5,"p50":1165.83,"p80":6113.99},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":63,"p20":700.06,"p50":1206.0,"p80":2367.0}],"ownership":[{"key":"for_profit","n":26,"p20":613.93,"p50":1685.0,"p80":4720.37},{"key":"government","n":35,"p20":511.2,"p50":970.8,"p80":1571.25},{"key":"nonprofit","n":187,"p20":770.0,"p50":1231.04,"p80":5813.6}],"affiliation":[{"key":"affiliated","n":193,"p20":773.5,"p50":1379.55,"p80":6637.02},{"key":"independent","n":56,"p20":704.4,"p50":942.0,"p80":2215.38}]},"histogram":[{"lo":399.0,"hi":544.53,"n":15},{"lo":544.53,"hi":743.15,"n":23},{"lo":743.15,"hi":1014.21,"n":50},{"lo":1014.21,"hi":1384.14,"n":36},{"lo":1384.14,"hi":1889.0,"n":12},{"lo":1889.0,"hi":2578.01,"n":23},{"lo":2578.01,"hi":3518.33,"n":9},{"lo":3518.33,"hi":4801.63,"n":23},{"lo":4801.63,"hi":6553.01,"n":6},{"lo":6553.01,"hi":8943.2,"n":34}],"previous":null}},"related":[{"code_type":"CPT","code":"29888","lay_name":"Arthroscopic ACL reconstruction of the knee","slug":"cpt-29888-arthroscopic-acl-reconstruction-of-the-knee"},{"code_type":"CPT","code":"29870","lay_name":"Diagnostic knee arthroscopy, with or without tissue sample","slug":"cpt-29870-diagnostic-knee-arthroscopy-with-or-without-tissue-sample"},{"code_type":"CPT","code":"29871","lay_name":"Knee arthroscopy to wash out and drain an infected joint","slug":"cpt-29871-knee-arthroscopy-to-wash-out-and-drain-an-infected-joint"},{"code_type":"CPT","code":"29999","lay_name":"Unlisted arthroscopy procedure","slug":"cpt-29999-unlisted-arthroscopy-procedure"},{"code_type":"CPT","code":"29819","lay_name":"Shoulder scope removal of loose or foreign fragments","slug":"cpt-29819-shoulder-scope-removal-of-loose-or-foreign-fragments"},{"code_type":"CPT","code":"29889","lay_name":"Arthroscopic PCL reconstruction of the knee","slug":"cpt-29889-arthroscopic-pcl-reconstruction-of-the-knee"},{"code_type":"CPT","code":"29834","lay_name":"Elbow arthroscopy to remove loose fragment or foreign body","slug":"cpt-29834-elbow-arthroscopy-to-remove-loose-fragment-or-foreign-body"},{"code_type":"CPT","code":"29840","lay_name":"Diagnostic wrist arthroscopy, with or without tissue sample","slug":"cpt-29840-diagnostic-wrist-arthroscopy-with-or-without-tissue-sample"},{"code_type":"CPT","code":"29830","lay_name":"Diagnostic elbow arthroscopy, with or without tissue sample","slug":"cpt-29830-diagnostic-elbow-arthroscopy-with-or-without-tissue-sample"},{"code_type":"CPT","code":"29860","lay_name":"Diagnostic hip arthroscopy, with or without tissue sample","slug":"cpt-29860-diagnostic-hip-arthroscopy-with-or-without-tissue-sample"},{"code_type":"CPT","code":"29843","lay_name":"Wrist arthroscopy to wash out and drain an infected joint","slug":"cpt-29843-wrist-arthroscopy-to-wash-out-and-drain-an-infected-joint"},{"code_type":"CPT","code":"29804","lay_name":"Jaw joint surgery through a scope","slug":"cpt-29804-jaw-joint-surgery-through-a-scope"}]}