Knee arthroscopy Cost (2026) — Compare Hospital Prices

Knee arthroscopy is a surgical procedure. Prices are from 1678 US hospitals across 52 states, from their machine-readable files.

$3,876median cash price · 1678 hospitals, 52 statestypically $1,168–$14,213 depending on the hospital

≈ 7.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$7,434

Cash / self-pay

$3,876

Insurer-negotiated

$3,424

Medicare pays

$524

$1,168$14,213

Median cash $3,876 · Medicare $524 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $3,876 — about 7.4× 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 $7,434 list price could save about $3,558 (48%).

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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
Braxton County Memorial Hospital, Inc	Gassaway, WV	$588	—	—	102 min	—
St Joseph's Hospital of Buckhannon, Inc	Buckhannon, WV	$588	—	★ 3/5	141 min	—
Cameron Memorial Community Hospital Inc	Angola, IN	$603	$591	★ 3/5	171 min	—
Kau Hospital	Pahala, HI	$625	—	—	79 min	—
Harrison Community Hospital	Cadiz, OH	$630	—	—	82 min	—
Barnesville Hospital Association, Inc	Barnesville, OH	$630	$4,513	—	115 min	—
Grove Hill Memorial Hospital	Grove Hill, AL	$671	$3,020	—	166 min	—
Artesia General Hospital	Artesia, NM	$677	$2,445	—	99 min	—
Gifford Medical Center	Randolph, VT	$693	$1,094	★ 5/5	—	—
O'connor Hospital	Delhi, NY	$697	$953	—	95 min	—
Little Falls Hospital	Little Falls, NY	$697	$791	★ 2/5	109 min	—
Cobleskill Regional Hospital	Cobleskill, NY	$697	$914	★ 4/5	111 min	—
Huggins Hospital	Wolfeboro, NH	$723	—	★ 4/5	169 min	—
Avera Marshall Regional Medical Ctr	Marshall, MN	$727	$1,224	—	126 min	—
Marshall County Healthcare Center-CAH	Britton, SD	$727	$1,224	—	105 min	—
Island Hospital	Anacortes, WA	$754	$2,428	★ 4/5	204 min	—
Prowers Medical Center	Lamar, CO	$769	—	—	118 min	—
Family Health West Hospital	Fruita, CO	$782	$3,458	—	48 min	—
Weeks Medical Center	Lancaster, NH	$789	$610	—	107 min	—
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	202 min	—
Bertrand Chaffee Hospital	Springville, NY	$827	$534	—	145 min	—
Ellis Hospital	Schenectady, NY	$833	$562	★ 3/5	232 min	—
East Valley Er & Hospital	Gilbert, AZ	$838	—	—	—	—

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 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: $3,876; Medicare pays $524.

Insurer	Hospitals	Negotiated median
Medicaid	187	$244 $28 – $1,220
Medicare	324	$264 $41 – $3,116
Univera	14	$449 $65 – $686
Tricare / VA	220	$523 $46 – $3,912
Highmark	108	$534 $75 – $5,134
Sanford Health Plan	35	$642 $195 – $5,397
Independent Health	27	$685 $308 – $2,920
MVP Health Care	55	$755 $445 – $5,871
AmeriHealth	143	$788 $459 – $9,094
Geisinger	44	$788 $755 – $3,389
Blue Cross Blue Shield	916	$879 $85 – $7,825
Amerigroup	118	$1,143 $518 – $3,288
Molina Healthcare	434	$1,175 $220 – $4,188
Health Net	162	$1,220 $184 – $7,808
Anthem	433	$1,220 $116 – $8,285
HealthPartners	123	$1,220 $195 – $4,331
Priority Health	41	$1,264 $367 – $3,269
UCare	41	$1,381 $394 – $3,410
Centene / Ambetter	595	$1,487 $184 – $6,977
Kaiser Permanente	157	$1,509 $184 – $8,099
MultiPlan / PHCS network	268	$1,828 $195 – $8,719
Bright Health	39	$2,007 $1,471 – $4,850
Harvard Pilgrim	30	$2,029 $533 – $6,832
Medica	85	$2,071 $484 – $5,533
Workers' Comp / No-Fault	55	$2,185 $1,780 – $8,138
Coventry	69	$2,416 $430 – $7,589
UPMC Health Plan	70	$2,895 $584 – $7,603
Security Health Plan	28	$3,184 $505 – $7,833
Devoted Health	110	$3,255 $3,008 – $3,759
SelectHealth	37	$3,261 $945 – $5,681
UnitedHealthcare	1089	$3,315 $488 – $10,459
Humana	736	$3,411 $266 – $17,832
Aetna	993	$3,510 $446 – $11,456
Healthcare Highways	34	$5,475 $4,988 – $6,287
EmblemHealth	57	$5,759 $2,082 – $25,813
Cigna	744	$5,933 $754 – $22,301
Oscar Health	160	$7,168 $1,000 – $10,272
AvMed	35	$18,880 $375 – $26,390

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
Vermont	$854
Puerto Rico	$1,020
Montana	$1,220
New Hampshire	$1,228
Maryland	$1,264
Iowa	$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
John Irwin, AGNP-BC	Nurse Practitioner	Las Vegas, NV	109
Steven Thomas, MD	Orthopedic Surgery	Las Vegas, NV	108
Peter Simonian, M.D.	Orthopedic Surgery	Fresno, CA	91
James Guerra, MD	Orthopedic Surgery	Naples, FL	72
Mark Bucci, PA-C	Physician Assistant	Naples, FL	69
Kirk Granlund, MD	Orthopedic Surgery	Chico, CA	56
Stephen Johnson, DO	Orthopedic Surgery	Athens, GA	54
Jonathan Crosby, PA	Physician Assistant	Clovis, CA	52
Barry Northcutt, MD	Orthopedic Surgery	Oklahoma City, OK	51
Yogesh Mittal, MD	Orthopedic Surgery	Tulsa, OK	49
Kenneth Martin, MD	Orthopedic Surgery	Little Rock, AR	48
Calvin Oishi, M.D.	Orthopedic Surgery	Aiea, HI	46

Browse doctors by specialty & city →

Does Medicare cover Knee arthroscopy?

Yes — Medicare generally covers Knee arthroscopy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $524. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $105 — 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 1678 US hospitals across 52 states, the typical (median) cash price is $3,876, versus a chargemaster (list) price around $7,434, a median insurer-negotiated rate of $3,424, a Medicare rate of about $524. Most cash prices fall between $1,168 and $14,213 — 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 1678 US hospitals is $3,876. Most hospitals fall between $1,168 and $14,213. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Knee arthroscopy?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $524). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

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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