Hip arthroscopy Cost (2026) — Compare Hospital Prices

Hip arthroscopy is a surgical procedure. Prices are from 1218 US hospitals across 50 states, from their machine-readable files.

$5,913median cash price · 1218 hospitals, 50 statestypically $1,384–$17,977 depending on the hospital

≈ 6.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$7,041

Cash / self-pay

$5,913

Insurer-negotiated

$7,310

Medicare pays

$931

$1,384$17,977

Median cash $5,913 · Medicare $931 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $5,913 — about 6.4× the Medicare rate ($931). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,861).

💡 Asking for the cash price instead of the $7,041 list price could save about $1,128 (16%).

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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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Unity Hospital	Rochester, NY	$973	$972	★ 2/5	299 min	—
Unity Specialty Hospital	Rochester, NY	$973	$972	—	—	—
Memorial Hermann Surgical Hospital Kingwood	Kingwood, TX	$1,060	$4,620	—	—	—
Bayside Community Hospital	Anahuac, TX	$1,080	$614	—	106 min	—
Healdsburg Hospital	Healdsburg, CA	$1,099	$5,430	—	94 min	—
McLaren Bay Region	Bay City, MI	$1,232	$931	★ 1/5	169 min	—
McLaren Northern Michigan	Petoskey, MI	$1,232	$931	★ 3/5	157 min	—
McLaren Flint	Flint, MI	$1,232	$931	★ 2/5	178 min	—
McLaren Lapeer Region	Lapeer, MI	$1,232	$931	★ 2/5	186 min	—
McLaren Oakland	Pontiac, MI	$1,232	$931	★ 2/5	103 min	—
McLaren Port Huron	Port Huron, MI	$1,232	$931	★ 2/5	231 min	—
McLaren Caro Region	Caro, MI	$1,232	$931	—	72 min	—
McLaren Thumb Region	Bad Axe, MI	$1,232	$931	★ 5/5	119 min	—
McLaren Greater Lansing	Lansing, MI	$1,235	$1,049	★ 3/5	261 min	—
McLaren Macomb	Mount Clemens, MI	$1,235	$1,049	★ 1/5	172 min	—
Artesia General Hospital	Artesia, NM	$1,249	$1,899	—	99 min	—
Deaconess Hospital Inc	Evansville, IN	$1,365	$1,261	★ 2/5	186 min	—
The Women's Hospital	Newburgh, IN	$1,365	$6,377	★ 5/5	130 min	—
Deaconess Henderson Hospital	Henderson, KY	$1,365	$6,283	★ 2/5	127 min	—
Vanderbilt Bedford Hospital	Shelbyville, TN	$1,384	$1,724	★ 4/5	125 min	—
Vanderbilt Tullahoma-Harton Hospital	Tullahoma, TN	$1,384	$1,613	★ 3/5	168 min	—
Jefferson Health-Northeast	Philadelphia, PA	$1,398	$1,244	★ 2/5	316 min	—
Family Health West Hospital	Fruita, CO	$1,416	$8,973	—	48 min	—
University of Michigan Health-Sparrow Carson	Carson City, MI	$1,429	$1,312	★ 4/5	91 min	—
Edward W Sparrow Hospital	Lansing, MI	$1,429	$1,312	★ 3/5	299 min	—

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 October 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 Hip 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: $5,913; Medicare pays $931.

Insurer	Hospitals	Negotiated median
Medicaid	111	$404 $63 – $3,799
Univera	11	$821 $119 – $1,235
Medicare	192	$971 $415 – $8,453
AmeriHealth	105	$1,208 $767 – $13,315
Geisinger	30	$1,208 $1,185 – $7,817
Independent Health	15	$1,247 $412 – $1,458
MVP Health Care	36	$1,769 $690 – $15,477
Priority Health	30	$1,873 $776 – $7,230
Bright Health	35	$2,007 $1,471 – $8,280
Workers' Comp / No-Fault	26	$2,096 $1,971 – $11,008
Amerigroup	105	$2,518 $936 – $7,214
Molina Healthcare	337	$2,638 $772 – $8,309
Centene / Ambetter	434	$3,620 $912 – $13,099
Tricare / VA	125	$3,770 $828 – $9,287
MultiPlan / PHCS network	122	$3,810 $790 – $12,164
Sanford Health Plan	22	$3,962 $928 – $12,650
HealthPartners	71	$4,021 $873 – $12,634
Medica	51	$4,150 $930 – $10,876
Harvard Pilgrim	12	$5,130 $1,190 – $13,845
SelectHealth	31	$5,307 $2,160 – $12,599
Highmark	63	$5,740 $679 – $15,815
Coventry	30	$6,654 $1,047 – $11,171
Aetna	738	$6,865 $1,062 – $13,140
Devoted Health	101	$7,073 $5,435 – $7,858
UCare	31	$7,151 $700 – $12,643
Security Health Plan	21	$7,187 $911 – $13,221
Blue Cross Blue Shield	648	$7,198 $764 – $18,648
UPMC Health Plan	46	$7,276 $1,303 – $19,693
UnitedHealthcare	776	$7,422 $972 – $16,960
Health Net	85	$7,746 $781 – $16,472
Kaiser Permanente	115	$8,633 $970 – $24,265
Healthcare Highways	32	$8,858 $8,517 – $9,565
Oscar Health	124	$8,970 $3,549 – $14,352
Anthem	316	$9,077 $885 – $16,686
Humana	548	$9,077 $999 – $19,994
Cigna	557	$11,454 $3,063 – $26,028
EmblemHealth	47	$13,837 $4,094 – $57,245
AvMed	32	$20,942 $6,757 – $27,607

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

State	Median cash
Kentucky	$1,365
Michigan	$1,429
North Dakota	$1,831
Tennessee	$1,981
Delaware	$2,000
New Mexico	$2,020

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Kevin Kellogg, PA-C	Physician Assistant	Spokane Valley, WA	22
Sarah Higginbotham	Nurse Practitioner	Oklahoma City, OK	15
Joshua Snyder, MD	Orthopedic Surgery	Fort Collins, CO	13
Mufaddal Gombera, MD	Orthopedic Surgery	Houston, TX	12
Mufaddal Gombera, MD	Orthopedic Surgery	Houston, TX	12
Sarah Higginbotham	Nurse Practitioner	Oklahoma City, OK	12
Elizabeth Varrone, PA	Physician Assistant	Fort Collins, CO	11
Elizabeth Varrone, PA	Physician Assistant	Fort Collins, CO	11

Browse doctors by specialty & city →

Does Medicare cover Hip arthroscopy?

Yes — Medicare generally covers Hip arthroscopy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $931. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $186 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1218 US hospitals across 50 states, the typical (median) cash price is $5,913, versus a chargemaster (list) price around $7,041, a median insurer-negotiated rate of $7,310, a Medicare rate of about $931. Most cash prices fall between $1,384 and $17,977 — 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 Hip arthroscopy cost without insurance?

The median cash (self-pay) price across 1218 US hospitals is $5,913. Most hospitals fall between $1,384 and $17,977. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Hip arthroscopy?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $931). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Hip arthroscopy?

Medicare pays about $931. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Hip 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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