Meniscus repair (knee) Cost by Hospital

Meniscus repair (knee) is a surgical procedure. Prices are from 1521 US hospitals across 52 states, from their machine-readable files.

$3,840median cash price · 1521 hospitals, 52 statestypically $1,253–$17,007 depending on the hospital
≈ 5.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$6,350
Cash / self-pay
$3,840
Insurer-negotiated
$3,441
Medicare pays
$714
$1,253$17,007
Median cash $3,840  ·  Medicare $714  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,840 — about 5.4× the Medicare rate ($714). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,428).

💡 Asking for the cash price instead of the $6,350 list price could save about $2,510 (40%).

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
West Penn Hospital Pittsburgh, PA $584 $1,107 ★ 3/5 208 min —
Pratt Regional Medical Center Pratt, KS $676 $1,733 ★ 4/5 100 min —
Unity Hospital Rochester, NY $703 $724 ★ 2/5 299 min —
Unity Specialty Hospital Rochester, NY $703 $724 — — —
San Juan Hospital Monticello, UT $750 $853 — 128 min —
O'connor Hospital Delhi, NY $751 $1,031 — 95 min —
Little Falls Hospital Little Falls, NY $751 $853 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $751 $989 ★ 4/5 111 min —
Kau Hospital Pahala, HI $776 — — 79 min —
Bayside Community Hospital Anahuac, TX $805 $458 — 106 min —
Summersville Regional Medical Center Summersville, WV $807 — ★ 2/5 136 min —
Braxton County Memorial Hospital, Inc Gassaway, WV $809 — — 102 min —
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $809 — ★ 3/5 141 min —
Jackson General Hospital Ripley, WV $822 — ★ 3/5 127 min —
Potomac Valley Hospital Keyser, WV $824 — ★ 1/5 119 min —
Grove Hill Memorial Hospital Grove Hill, AL $835 $3,020 — 166 min —
Cameron Memorial Community Hospital Inc Angola, IN $835 $767 ★ 3/5 171 min —
Harrison Community Hospital Cadiz, OH $861 — — 82 min —
Barnesville Hospital Association, Inc Barnesville, OH $861 $4,513 — 115 min —
Adams County Regional Medical Center Seaman, OH $874 $1,128 ★ 3/5 189 min —
Southwestern Vermont Medical Center Bennington, VT $891 — ★ 3/5 202 min —
Jefferson Medical Center Ranson, WV $892 — ★ 1/5 173 min —
Artesia General Hospital Artesia, NM $951 $2,445 — 99 min —
Southwest General Health Center Middleburg Heights, OH $994 $3,008 ★ 4/5 199 min —
Down East Community Hospital Machias, ME $1,005 $1,178 ★ 4/5 195 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 Meniscus repair (knee)

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: $3,840; Medicare pays $714.

InsurerHospitalsNegotiated median
Medicaid 159
$269
$36 – $597
Medicare 272
$331
$49 – $3,781
Univera 14
$572
$90 – $1,026
AmeriHealth 132
$787
$114 – $9,539
Geisinger 38
$788
$157 – $3,486
Tricare / VA 191
$810
$67 – $6,306
Independent Health 22
$869
$408 – $3,840
Highmark 89
$905
$65 – $6,782
MVP Health Care 50
$967
$556 – $5,610
Amerigroup 113
$1,143
$617 – $3,288
Molina Healthcare 405
$1,197
$303 – $4,840
Priority Health 37
$1,578
$546 – $3,297
Sanford Health Plan 27
$1,622
$514 – $5,746
Bright Health 35
$1,714
$1,257 – $4,829
Health Net 138
$1,811
$171 – $8,138
Blue Cross Blue Shield 812
$2,092
$99 – $8,404
HealthPartners 102
$2,211
$261 – $5,711
MultiPlan / PHCS network 226
$2,323
$178 – $7,953
Centene / Ambetter 541
$2,369
$261 – $7,432
Harvard Pilgrim 24
$2,466
$812 – $6,372
Coventry 56
$2,587
$185 – $7,589
Workers' Comp / No-Fault 46
$2,708
$2,445 – $8,138
UPMC Health Plan 59
$3,096
$598 – $8,944
UCare 35
$3,129
$530 – $5,612
Medica 59
$3,136
$698 – $5,643
Security Health Plan 24
$3,230
$637 – $12,277
Devoted Health 109
$3,241
$2,971 – $3,595
Anthem 395
$3,261
$109 – $9,398
Kaiser Permanente 144
$3,314
$257 – $9,573
Humana 671
$3,514
$622 – $19,813
UnitedHealthcare 981
$3,805
$652 – $11,128
Aetna 901
$4,029
$664 – $11,456
SelectHealth 32
$4,618
$1,443 – $5,731
Healthcare Highways 33
$5,475
$4,988 – $6,287
Cigna 680
$5,940
$1,316 – $22,585
EmblemHealth 54
$6,608
$2,209 – $25,813
Oscar Health 145
$7,168
$3,245 – $10,272
AvMed 32
$18,880
$699 – $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$1,170
Vermont$1,265
Maine$1,292
West Virginia$2,097
Mississippi$2,282
Hawaii$2,332

Prices by city

Chicago, ILAustin, TXPittsburgh, PADallas, TXSacramento, CAHouston, TXKansas City, MONew York, NYPhiladelphia, PASan Antonio, TXCharlotte, NCCincinnati, OHCleveland, OHFort Worth, TXLos Angeles, CAPlano, TXArlington, TXBronx, NYBrooklyn, NYLittle Rock, ARNashville, TNOmaha, NERochester, NYSan Francisco, CA

Prices by state

TexasCaliforniaOhioFloridaPennsylvaniaNew YorkWisconsinIllinoisMinnesotaColoradoMichiganNorth CarolinaTennesseeLouisianaMissouriIndianaNew JerseyWashingtonGeorgiaIowaKansasArkansasArizonaMaineSouth CarolinaMississippiWest VirginiaNebraskaOklahomaVirginiaKentuckyAlabamaIdahoUtahMassachusettsNew HampshireConnecticutMontanaNevadaNew MexicoNorth DakotaWyomingSouth DakotaOregonHawaiiPuerto RicoVermontAlaskaDelaware

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.

ClinicianSpecialtyLocationMedicare services
Timothy Galan, MDOrthopedic SurgeryBakersfield, CA16
Thomas Laporta, MDOrthopedic SurgeryFt. Myers, FL13
John Locke, M.D.Orthopedic SurgeryCorona, CA12
Stephen Saddler, M.D.Orthopedic SurgeryArlington, VA11
John Kelly, MDOrthopedic SurgeryPhiladelphia, PA11

Browse doctors by specialty & city →

Does Medicare cover Meniscus repair (knee)?

Yes — Medicare generally covers Meniscus repair (knee). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $714. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $143 — 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 1521 US hospitals across 52 states, the typical (median) cash price is $3,840, versus a chargemaster (list) price around $6,350, a median insurer-negotiated rate of $3,441, a Medicare rate of about $714. Most cash prices fall between $1,253 and $17,007 — 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 Meniscus repair (knee) cost without insurance?
The median cash (self-pay) price across 1521 US hospitals is $3,840. Most hospitals fall between $1,253 and $17,007. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Meniscus repair (knee)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $714). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Meniscus repair (knee)?
Medicare pays about $714. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Meniscus repair (knee) 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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