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Alabama

Cost of a Knee Arthroscopy Visit
in Alabama

Reviewed by Momentary Medical Group West PC

Alabama's healthcare system, anchored by the University of Alabama at Birmingham's renowned medical center and a network of regional hospitals, offers patients access to quality orthopedic care throughout the state. Knee Arthroscopy patients typically pay between $382 and $1,165, with a median out-of-pocket cost of $619 based on negotiated insurance rates. Alabama has over 2,300 active Knee Arthroscopy providers across the state, allowing patients to browse all available specialists in their area.

Average

$722

Median

$619

Lowest

$382

Highest

$1,165

Providers

2,356

National avg: $941Alabama: $722

23% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Alabama?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$964$1,625$2,9462,353
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,512$2,7672,636
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$418$688$1,1952,384
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$450$822$1,4502,367
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$672$1,2082,672
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$608$1,138$1,8562,372
Septoplasty

Nasal septum repair

30520$433$687$1,3152,358
Tonsillectomy

Tonsillectomy, primary or secondary

42820$195$351$6152,367
Inguinal Hernia Repair

Inguinal hernia repair

49505$356$598$1,1112,352
Mastectomy

Partial or simple mastectomy

19301$366$652$1,2512,366
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$566$9102,356

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 29881Arthroscopy, knee, surgical; with meniscectomy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 29881 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 29881 (Arthroscopy, knee, surgical; with meniscectomy), as mandated by the CMS Price Transparency Rule.

What CPT 29881 covers: the provider's professional fee for knee arthroscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Alabama

These hospitals in Alabama are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
82% would recommend141 patient surveys
5/5
78% would recommend111 patient surveys
4/5
90% would recommend512 patient surveys
4/5
79% would recommend5,863 patient surveys
4/5
79% would recommend152 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Knee Arthroscopy Visit Costs Vary Across Alabama

Alabama's healthcare costs run approximately 8% below the national average, reflecting the state's lower cost of living and competitive provider market in major metropolitan areas. The state's mix of urban medical centers and rural hospitals creates significant price variations depending on where patients seek care.

Urban vs. Rural Provider Availability

Alabama's orthopedic specialists are heavily concentrated in Birmingham, Mobile, Montgomery, and Huntsville, with limited options in rural counties across the Black Belt and northern regions. Patients in rural areas often travel 50+ miles for specialized knee care, which can add transportation costs but may result in lower procedure fees compared to urban academic centers.

Facility Type and Overhead Costs

Hospital-owned orthopedic clinics, particularly those affiliated with UAB Medicine, Baptist Health, or Ascension Saint Thomas, typically charge higher facility fees than independent surgical centers. Ambulatory surgery centers in Alabama often provide the same arthroscopic procedures at 30-50% lower costs than hospital outpatient departments due to lower overhead expenses.

Insurance Market Competition in Alabama

Blue Cross Blue Shield of Alabama's market dominance means most providers accept their plans, but negotiated rates can vary significantly between their different product lines. Limited insurer competition in Alabama's individual market has historically resulted in higher premiums but relatively stable provider networks compared to more volatile markets.

Physician Supply and Demand in Alabama

With over 2,300 active Knee Arthroscopy providers serving Alabama's 5.2 million residents, the state has adequate specialist coverage in urban areas but faces shortages in rural regions. This geographic imbalance creates longer wait times in underserved areas while maintaining competitive pricing in cities like Birmingham and Mobile where multiple specialists compete for patients.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Knee Arthroscopy Costs in Alabama

What is the average cost of a Knee Arthroscopy visit in Alabama without insurance?

Without insurance, Knee Arthroscopy consultation visits in Alabama typically range from $382 to $1,165, with a median cost of $619 based on negotiated rates between providers and insurers. Many Alabama practices offer self-pay discounts of 20-40% for uninsured patients, which can bring costs down significantly. Community health centers and some academic medical centers also offer sliding scale fees based on income for qualifying patients.

Does Alabama Medicaid cover Knee Arthroscopy visits?

Alabama Medicaid covers medically necessary Knee Arthroscopy consultations for eligible beneficiaries, though the state has not expanded Medicaid so coverage is limited to specific categories like pregnant women, children, elderly, and disabled individuals. Prior authorization may be required for certain procedures or advanced imaging studies. Alabama's restrictive Medicaid eligibility means many low-income adults fall into a coverage gap and may need to seek care at community health centers or negotiate self-pay rates.

How do I find an affordable Knee Arthroscopy near me in Alabama?

Compare costs between hospital-based orthopedic clinics and independent surgical centers, as ambulatory surgery centers often charge 30-50% less than hospital outpatient departments. Ask about cash-pay discounts if you're uninsured, and consider community health centers in Birmingham, Mobile, or Montgomery that may offer sliding scale fees. Rural Alabama patients might find lower procedure costs outside major metropolitan areas, though this needs to be weighed against travel expenses.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on Alabama pricing data, initial Knee Arthroscopy consultations for new patients typically cost between $382-$1,165 (median $619), while established patient follow-up visits generally run lower though specific follow-up rates vary by provider and complexity of care. New patient visits involve comprehensive evaluation and diagnostic planning, while follow-up appointments focus on treatment progress and may include procedure planning or post-surgical care.

Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in Alabama?

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary Knee Arthroscopy consultations and procedures in Alabama. These tax-advantaged accounts cover specialist copays, deductibles, and coinsurance for orthopedic care. Keep all receipts and documentation, as diagnostic consultations and surgical procedures are considered qualified medical expenses under IRS guidelines.

How does telemedicine affect the cost of seeing a Knee Arthroscopy in Alabama?

While initial orthopedic consultations often require in-person examination for proper knee evaluation, many Alabama providers offer telehealth follow-up visits at reduced costs, typically 20-30% less than office visits. Telemedicine works best for post-operative check-ins, treatment plan discussions, and routine follow-up care. Alabama expanded telehealth coverage during the pandemic, and many insurers continue to cover virtual orthopedic consultations when clinically appropriate.

Click a state to compare costs

Average Visit Cost

$357
$2,976

Office visit (CPT 29881)

Compare With Other States

RankStateAverage
1California
Range: $80$8,767
$2,976
2Wisconsin
Range: $73$4,236
$1,989
3Idaho
Range: $80$4,173
$1,697
4Rhode Island
Range: $452$2,410
$1,253
5Massachusetts
Range: $438$2,410
$1,247
6Minnesota
Range: $338$2,258
$1,163
7Connecticut
Range: $366$2,410
$1,161
8Delaware
Range: $412$2,410
$1,154
9Pennsylvania
Range: $366$2,410
$1,133
10Wyoming
Range: $648$1,845
$1,133
11New York
Range: $384$2,410
$1,111
12Georgia
Range: $450$2,024
$1,109
13Iowa
Range: $452$1,680
$1,102
14New Hampshire
Range: $573$1,631
$1,073
15Nebraska
Range: $655$1,294
$1,041
16West Virginia
Range: $482$1,901
$1,025
17South Dakota
Range: $387$1,811
$991
18District of Columbia
Range: $443$1,591
$987
19New Jersey
Range: $412$1,845
$945
20Maine
Range: $634$1,087
$925
21North Carolina
Range: $450$1,504
$916
22North Dakota
Range: $331$1,591
$891
23Illinois
Range: $90$1,895
$880
24Maryland
Range: $485$1,591
$878
25New Mexico
Range: $487$1,281
$869
26Colorado
Range: $452$1,326
$861
27Utah
Range: $80$1,294
$844
28Kentucky
Range: $394$1,419
$843
29Michigan
Range: $452$1,294
$833
30Oregon
Range: $80$1,591
$811
31Indiana
Range: $90$1,642
$798
32Vermont
Range: $410$1,326
$788
33Washington
Range: $80$1,475
$773
34Texas
Range: $421$1,250
$765
35South Carolina
Range: $422$1,266
$765
36Mississippi
Range: $424$1,330
$761
37Arkansas
Range: $479$1,034
$755
38Tennessee
Range: $466$1,057
$738
39Alabama
Range: $382$1,165
$722
40Missouri
Range: $507$892
$720
41Virginia
Range: $389$1,182
$719
42Nevada
Range: $452$1,051
$717
43Hawaii
Range: $80$1,287
$706
44Louisiana
Range: $394$1,089
$693
45Oklahoma
Range: $442$1,009
$671
46Kansas
Range: $507$860
$668
47Ohio
Range: $338$983
$635
48Arizona
Range: $452$907
$604
49Alaska
Range: $80$1,127
$429
50Montana
Range: $80$985
$382
51Florida
Range: $35$980
$357
Knee Arthroscopy in Other States