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Colorado

Cost of a Knee Arthroscopy Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's robust network of ambulatory surgery centers and orthopedic practices creates a competitive market for knee arthroscopy procedures, with costs running approximately 13% above national averages. Patients typically face out-of-pocket expenses ranging from $452 to $1,326, with a median cost of $805 based on negotiated insurance rates across 1,321 active providers statewide. The state's diverse geography and strong presence of major health systems in Denver and Colorado Springs provide patients with numerous options for accessing specialized orthopedic care throughout Colorado.

Average

$861

Median

$805

Lowest

$452

Highest

$1,326

Providers

1,321

National avg: $941Colorado: $861

9% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Colorado?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$2,049$3,4751,282
Hip Replacement

Total hip replacement (arthroplasty)

27130$940$1,978$3,3281,345
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$808$2,1141,468
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$940$1,6351,256
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$789$1,4211,461
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,202$2,2041,315
Septoplasty

Nasal septum repair

30520$526$855$1,5671,308
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$385$6941,441
Inguinal Hernia Repair

Inguinal hernia repair

49505$441$712$1,2421,269
Mastectomy

Partial or simple mastectomy

19301$85$877$1,5611,292
Carpal Tunnel Surgery

Open carpal tunnel release

64721$364$629$1,1101,293

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 Colorado

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

5/5
92% would recommend191 patient surveys
5/5
85% would recommend182 patient surveys
5/5
82% would recommend337 patient surveys
5/5
80% would recommend215 patient surveys
5/5
77% would recommend107 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 Colorado

Colorado's healthcare costs run approximately 13% above national averages, driven by the state's high cost of living and concentration of specialized medical facilities along the Front Range corridor. The state's challenging geography creates distinct cost tiers between urban centers and rural mountain communities where overhead costs are higher.

Urban vs. Rural Provider Availability

Denver and Colorado Springs boast dozens of orthopedic surgeons and ambulatory surgery centers, creating competitive pricing pressure that benefits patients. Rural areas like the Western Slope and San Luis Valley have fewer specialists, often requiring patients to travel for procedures or accept higher costs at critical access hospitals that lack dedicated orthopedic surgery centers.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics affiliated with major health systems like Presbyterian/Saint Joseph, UCHealth, and SCL Health typically charge higher facility fees than independent surgery centers. These health system consolidations have reduced competition in some markets, contributing to Colorado's above-average procedure costs compared to states with more fragmented provider networks.

Insurance Market Competition in Colorado

The presence of major national insurers UHC and Anthem alongside integrated systems like Kaiser Permanente creates moderate competition for negotiated rates. Colorado's state insurance marketplace has remained relatively stable with multiple carrier options, preventing the monopolistic pricing seen in single-insurer rural markets in other states.

Physician Supply and Demand in Colorado

With over 1,300 providers performing knee arthroscopy procedures statewide, Colorado has adequate specialist supply in urban areas but shortages in rural regions. The state's active outdoor recreation culture generates high demand for sports medicine services, allowing specialized orthopedic practices to command premium pricing while maintaining busy surgical schedules.

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 Colorado

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

Uninsured patients in Colorado typically pay between $452 and $1,326 for knee arthroscopy, with a median cost of $805 based on negotiated insurance rates. Self-pay patients should inquire about cash discounts, which many Colorado providers offer at 20-40% below standard rates. These costs reflect the procedure fee only and don't include separate charges for anesthesia, facility fees, or post-operative physical therapy.

Does Colorado Medicaid cover Knee Arthroscopy visits?

Yes, Colorado Medicaid covers medically necessary knee arthroscopy procedures following the state's Medicaid expansion. Prior authorization is typically required, and you'll need a referral from your primary care provider. Coverage includes the surgical procedure, facility fees, and anesthesia, though you may have small copays for related services like pre-operative consultations and post-surgical physical therapy.

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

Compare costs between independent ambulatory surgery centers and hospital-owned facilities, as surgery centers often charge significantly less for the same procedures. Look into community health centers in areas like Denver Health or Peak Vista, which offer sliding scale fees based on income. Many Colorado orthopedic practices also provide cash-pay discounts and payment plans for uninsured or underinsured patients.

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

Initial orthopedic consultations typically cost 2-3 times more than follow-up visits, as they involve comprehensive evaluation, imaging review, and treatment planning. New patient visits may include diagnostic procedures like joint injections or in-office imaging, while follow-up visits focus on monitoring recovery and adjusting treatment plans. Post-surgical follow-ups are often bundled into the global surgical fee for the first 90 days after knee arthroscopy.

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

Yes, knee arthroscopy consultations and procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes surgeon fees, facility charges, anesthesia costs, and related expenses like pre-operative lab work or post-surgical physical therapy. Keep all receipts and documentation, as you may need to provide medical necessity documentation for reimbursement.

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

Initial telemedicine consultations with orthopedic surgeons typically cost 20-30% less than in-person visits and can help determine if you're a candidate for knee arthroscopy. However, physical examination is usually required before surgery, so telehealth serves best for follow-up appointments and second opinions. Colorado has strong telehealth infrastructure, making virtual consultations widely available throughout the state's rural areas where specialist access is limited.

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