Cost of a Knee Arthroscopy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's healthcare costs run approximately 11% above national averages, reflecting the First State's concentrated provider networks and limited insurer competition. Patients seeking Knee Arthroscopy procedures typically pay between $411.81 and $2,410.25, with a median out-of-pocket cost of $639.69 based on negotiated insurance rates. With 80 active providers offering Knee Arthroscopy services across Delaware's three counties, patients can browse all providers in the state to find the most cost-effective option.
Average
$1,154
Median
$640
Lowest
$412
Highest
$2,410
Providers
80
23% above national average
Compare Similar Procedures
How does knee arthroscopy compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,005 | $1,687 | $6,051 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,574 | $6,060 | 91 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $343 | $691 | $2,135 | 83 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $773 | $2,073 | 81 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $622 | $1,893 | 99 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,038 | $3,201 | 83 |
| Septoplasty Nasal septum repair | 30520 | $449 | $726 | $2,160 | 78 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $154 | $319 | $698 | 82 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $330 | $602 | $1,435 | 79 |
| Mastectomy Partial or simple mastectomy | 19301 | $95 | $705 | $2,642 | 84 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $354 | $612 | $1,957 | 77 |
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 29881 — Arthroscopy, 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.
Why Knee Arthroscopy Visit Costs Vary Across Delaware
Delaware's healthcare costs run 11% above national averages, driven by the state's small geographic footprint and concentrated provider networks. The First State's limited competition among health systems and proximity to higher-cost metropolitan areas like Philadelphia create upward pressure on medical pricing.
Urban vs. Rural Provider Availability
Most of Delaware's Knee Arthroscopy specialists practice in New Castle County near Wilmington, creating access challenges for residents in rural Kent and Sussex counties. Patients in southern Delaware often travel 50+ miles for specialized orthopedic care, with some opting for procedures in nearby Maryland or Virginia. This geographic concentration allows northern Delaware providers to command premium pricing due to limited local competition.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital market, with their outpatient surgery centers typically charging higher facility fees than independent ambulatory surgical centers. Hospital-based practices carry additional overhead costs that get passed to patients through higher procedure fees. The state's limited number of independent surgery centers reduces competitive pressure on pricing compared to larger states.
Insurance Market Competition in Delaware
Delaware's insurance marketplace features moderate competition between Highmark, Aetna, and UHC, though the small population limits the number of plan options compared to larger states. The concentrated market allows insurers to negotiate similar rates with major health systems, reducing significant cost variations between plans. Delaware's lack of a dominant regional insurer means national carriers set pricing based on broader regional strategies rather than local market dynamics.
Physician Supply and Demand in Delaware
With 80 active Knee Arthroscopy providers serving a population of nearly one million, Delaware maintains adequate specialist coverage relative to its size. However, the concentration of providers in New Castle County creates artificial scarcity in southern Delaware, allowing specialists to maintain higher pricing. Wait times for non-urgent procedures typically range from 2-4 weeks, indicating balanced supply and demand without significant shortage pressures.
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.
Frequently Asked Questions — Knee Arthroscopy Costs in Delaware
What is the average cost of a Knee Arthroscopy visit in Delaware without insurance?
Does Delaware Medicaid cover Knee Arthroscopy visits?
How do I find an affordable Knee Arthroscopy near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in Delaware?
How does telemedicine affect the cost of seeing a Knee Arthroscopy in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 29881)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | California Range: $80 – $8,767 | $2,976 |
| 2 | Wisconsin Range: $73 – $4,236 | $1,989 |
| 3 | Idaho Range: $80 – $4,173 | $1,697 |
| 4 | Rhode Island Range: $452 – $2,410 | $1,253 |
| 5 | Massachusetts Range: $438 – $2,410 | $1,247 |
| 6 | Minnesota Range: $338 – $2,258 | $1,163 |
| 7 | Connecticut Range: $366 – $2,410 | $1,161 |
| 8 | Delaware Range: $412 – $2,410 | $1,154 |
| 9 | Pennsylvania Range: $366 – $2,410 | $1,133 |
| 10 | Wyoming Range: $648 – $1,845 | $1,133 |
| 11 | New York Range: $384 – $2,410 | $1,111 |
| 12 | Georgia Range: $450 – $2,024 | $1,109 |
| 13 | Iowa Range: $452 – $1,680 | $1,102 |
| 14 | New Hampshire Range: $573 – $1,631 | $1,073 |
| 15 | Nebraska Range: $655 – $1,294 | $1,041 |
| 16 | West Virginia Range: $482 – $1,901 | $1,025 |
| 17 | South Dakota Range: $387 – $1,811 | $991 |
| 18 | District of Columbia Range: $443 – $1,591 | $987 |
| 19 | New Jersey Range: $412 – $1,845 | $945 |
| 20 | Maine Range: $634 – $1,087 | $925 |
| 21 | North Carolina Range: $450 – $1,504 | $916 |
| 22 | North Dakota Range: $331 – $1,591 | $891 |
| 23 | Illinois Range: $90 – $1,895 | $880 |
| 24 | Maryland Range: $485 – $1,591 | $878 |
| 25 | New Mexico Range: $487 – $1,281 | $869 |
| 26 | Colorado Range: $452 – $1,326 | $861 |
| 27 | Utah Range: $80 – $1,294 | $844 |
| 28 | Kentucky Range: $394 – $1,419 | $843 |
| 29 | Michigan Range: $452 – $1,294 | $833 |
| 30 | Oregon Range: $80 – $1,591 | $811 |
| 31 | Indiana Range: $90 – $1,642 | $798 |
| 32 | Vermont Range: $410 – $1,326 | $788 |
| 33 | Washington Range: $80 – $1,475 | $773 |
| 34 | Texas Range: $421 – $1,250 | $765 |
| 35 | South Carolina Range: $422 – $1,266 | $765 |
| 36 | Mississippi Range: $424 – $1,330 | $761 |
| 37 | Arkansas Range: $479 – $1,034 | $755 |
| 38 | Tennessee Range: $466 – $1,057 | $738 |
| 39 | Alabama Range: $382 – $1,165 | $722 |
| 40 | Missouri Range: $507 – $892 | $720 |
| 41 | Virginia Range: $389 – $1,182 | $719 |
| 42 | Nevada Range: $452 – $1,051 | $717 |
| 43 | Hawaii Range: $80 – $1,287 | $706 |
| 44 | Louisiana Range: $394 – $1,089 | $693 |
| 45 | Oklahoma Range: $442 – $1,009 | $671 |
| 46 | Kansas Range: $507 – $860 | $668 |
| 47 | Ohio Range: $338 – $983 | $635 |
| 48 | Arizona Range: $452 – $907 | $604 |
| 49 | Alaska Range: $80 – $1,127 | $429 |
| 50 | Montana Range: $80 – $985 | $382 |
| 51 | Florida Range: $35 – $980 | $357 |