Knee arthroscopy Cost by Hospital

Knee arthroscopy is a surgical procedure. Prices are from 1629 US hospitals across 52 states, from their machine-readable files.

$3,975median cash price · 1629 hospitals, 52 statestypically $1,167–$14,794 depending on the hospital
≈ 7.6× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$7,385
Cash / self-pay
$3,975
Insurer-negotiated
$3,452
Medicare pays
$524
$1,167$14,794
Median cash $3,975  ·  Medicare $524  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,975 — about 7.6× the Medicare rate ($524). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,049).

💡 Asking for the cash price instead of the $7,385 list price could save about $3,411 (46%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Cameron Memorial Community Hospital Inc Angola, IN $603 $591 ★ 3/5 166 min 14.3%
Kau Hospital Pahala, HI $625 — — 83 min —
Harrison Community Hospital Cadiz, OH $630 — — 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $630 $4,513 — 113 min 15.0%
Grove Hill Memorial Hospital Grove Hill, AL $671 $3,020 — 162 min —
Artesia General Hospital Artesia, NM $677 $2,445 — 101 min 15.0%
Gifford Medical Center Randolph, VT $693 $1,094 ★ 5/5 — 14.7%
O'connor Hospital Delhi, NY $697 $953 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $697 $791 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $697 $914 ★ 4/5 109 min 14.6%
Huggins Hospital Wolfeboro, NH $723 — ★ 4/5 139 min 15.0%
Avera Marshall Regional Medical Ctr Marshall, MN $727 $1,224 — 122 min 15.2%
Marshall County Healthcare Center-CAH Britton, SD $727 $1,224 — 105 min 14.7%
Island Hospital Anacortes, WA $754 $2,428 ★ 4/5 193 min 14.8%
Prowers Medical Center Lamar, CO $769 — — 133 min —
Family Health West Hospital Fruita, CO $782 $3,458 — — 15.2%
Weeks Medical Center Lancaster, NH $789 $610 — 106 min 14.6%
Children's Mercy South Overland Park, KS $797 $1,027 — — —
The Children's Mercy Hospital Kansas City, MO $797 $1,027 — — —
Regional West Medical Center Scottsbluff, NE $822 $1,080 ★ 2/5 201 min 14.9%
Bertrand Chaffee Hospital Springville, NY $827 $534 — 144 min 15.2%
Ellis Hospital Schenectady, NY $833 $562 ★ 3/5 232 min 14.9%
East Valley Er & Hospital Gilbert, AZ $838 — — — —
Alexandria Hospital Alexandria, LA $838 — — — —
Brattleboro Memorial Hospital Brattleboro, VT $854 $1,097 ★ 3/5 176 min 14.4%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Knee arthroscopy

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,975; Medicare pays $524.

InsurerHospitalsNegotiated median
Medicaid 180
$244
$28 – $1,220
Medicare 319
$264
$41 – $3,107
Univera 14
$449
$65 – $686
Tricare / VA 216
$523
$46 – $3,961
Highmark 102
$534
$73 – $5,174
Sanford Health Plan 35
$642
$195 – $5,397
Independent Health 26
$685
$308 – $2,209
MVP Health Care 56
$755
$446 – $5,871
AmeriHealth 128
$787
$459 – $9,094
Geisinger 44
$788
$755 – $3,389
Blue Cross Blue Shield 905
$848
$85 – $7,802
Anthem 395
$1,088
$85 – $8,456
Amerigroup 114
$1,143
$518 – $3,276
Molina Healthcare 411
$1,175
$213 – $4,208
Health Net 159
$1,220
$184 – $7,808
HealthPartners 121
$1,220
$195 – $4,361
Priority Health 42
$1,264
$368 – $3,269
UCare 40
$1,340
$394 – $3,452
Kaiser Permanente 156
$1,400
$184 – $8,099
Centene / Ambetter 576
$1,487
$184 – $6,977
MultiPlan / PHCS network 249
$1,784
$195 – $8,719
Bright Health 39
$2,007
$1,471 – $4,850
Harvard Pilgrim 30
$2,008
$543 – $6,832
Medica 83
$2,143
$411 – $5,533
Workers' Comp / No-Fault 55
$2,185
$1,780 – $8,138
Coventry 67
$2,440
$339 – $7,589
UPMC Health Plan 56
$3,129
$613 – $7,603
Security Health Plan 27
$3,184
$505 – $7,833
Devoted Health 96
$3,261
$3,008 – $3,810
SelectHealth 37
$3,261
$945 – $5,681
UnitedHealthcare 1042
$3,411
$487 – $10,843
Humana 706
$3,424
$265 – $17,832
Aetna 949
$3,649
$437 – $11,856
Healthcare Highways 34
$5,475
$4,988 – $6,287
Cigna 700
$6,361
$754 – $22,332
EmblemHealth 45
$6,706
$2,100 – $25,813
Oscar Health 142
$7,168
$1,220 – $10,272
AvMed 33
$18,980
$372 – $27,374

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$990
Vermont$1,124
Montana$1,220
New Hampshire$1,228
Maryland$1,264
Iowa$2,020

Prices by city

Chicago, ILAustin, TXDallas, TXPittsburgh, PASacramento, CAFort Worth, TXHouston, TXKansas City, MOLos Angeles, CANew York, NYSan Antonio, TXBrooklyn, NYCharlotte, NCCincinnati, OHNashville, TNPhiladelphia, PAPlano, TXArlington, TXBronx, NYLittle Rock, AROmaha, NERochester, NYSan Francisco, CAAurora, CO

Prices by state

TexasCaliforniaOhioFloridaNew YorkWisconsinPennsylvaniaIllinoisMinnesotaMichiganNorth CarolinaColoradoTennesseeIndianaIowaLouisianaMissouriNebraskaNew JerseyWashingtonArizonaGeorgiaArkansasKansasVirginiaMaineMississippiOklahomaKentuckySouth CarolinaWest VirginiaAlabamaIdahoUtahMassachusettsNew HampshireConnecticutNew MexicoNorth DakotaSouth DakotaMontanaNevadaVermontWyomingOregonHawaiiDelawarePuerto RicoAlaskaMaryland

About these prices

Based on prices published by 1629 US hospitals across 52 states, the typical (median) cash price is $3,975, versus a chargemaster (list) price around $7,385, a median insurer-negotiated rate of $3,452, a Medicare rate of about $524. Most cash prices fall between $1,167 and $14,794 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Knee arthroscopy cost without insurance?
The median cash (self-pay) price across 1629 US hospitals is $3,975. Most hospitals fall between $1,167 and $14,794. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Knee arthroscopy?
Medicare pays about $524. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Knee arthroscopy prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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