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Georgia

Cost of a Knee Arthroscopy Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's healthcare market features over 2,800 active Knee Arthroscopy providers serving a population where orthopedic conditions affect nearly 30% of adults statewide. Patients seeking Knee Arthroscopy procedures typically encounter negotiated insurance rates ranging from $449.82 to $2,024.21, with a median cost of $853.91 based on transparency data from major insurers like Anthem, UHC, and Cigna. Georgia's substantial provider network means patients across the state can browse multiple specialists to find quality care at competitive rates.

Average

$1,109

Median

$854

Lowest

$450

Highest

$2,024

Providers

2,855

National avg: $941Georgia: $1,109

18% above national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,131$2,136$5,0822,851
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,115$2,021$5,0882,920
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$93$811$2,0053,287
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$553$1,141$2,4902,917
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$976$2,0383,158
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,337$2,8553,043
Septoplasty

Nasal septum repair

30520$499$950$2,1902,853
Tonsillectomy

Tonsillectomy, primary or secondary

42820$196$478$9813,030
Inguinal Hernia Repair

Inguinal hernia repair

49505$421$902$1,9692,843
Mastectomy

Partial or simple mastectomy

19301$350$982$2,4733,025
Carpal Tunnel Surgery

Open carpal tunnel release

64721$344$646$1,9302,848

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 Georgia

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

5/5
94% would recommend180 patient surveys
5/5
89% would recommend103 patient surveys
5/5
85% would recommend163 patient surveys
ADVENTHEALTH MURRAY

CHATSWORTH, GA

5/5
80% would recommend122 patient surveys
5/5
80% would recommend491 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 Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive provider market across major metropolitan areas. The state's mix of urban centers and rural counties creates significant geographic disparities in both access and pricing for orthopedic care.

Urban vs. Rural Provider Availability

Metro Atlanta concentrates the majority of Georgia's Knee Arthroscopy specialists, creating intense competition that helps moderate prices compared to rural markets. Rural counties often rely on visiting specialists or require patients to travel to cities like Augusta, Savannah, or Columbus for advanced orthopedic procedures. This geographic maldistribution forces rural patients to factor travel costs and time off work into their total healthcare expenses.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in Georgia typically charge 30-50% more than independent surgical centers due to higher administrative overhead and facility fees. Major health systems like Emory Healthcare, Piedmont Healthcare, and Augusta University Health dominate urban markets, while smaller independent practices serve suburban and rural areas with lower operating costs. Ambulatory surgery centers have gained market share by offering arthroscopic procedures at rates significantly below hospital-based competitors.

Insurance Market Competition in Georgia

Anthem Blue Cross Blue Shield holds the largest market share in Georgia, followed by UHC and Cigna, creating moderate insurer competition that prevents extreme rate variations. Rural markets often have fewer insurer options, reducing negotiating leverage and potentially increasing costs for patients. The state's decision not to expand Medicaid has kept the uninsured rate relatively high, affecting pricing dynamics across all payer types.

Physician Supply and Demand in Georgia

With over 2,800 active Knee Arthroscopy providers statewide, Georgia maintains adequate specialist availability in urban markets while facing shortages in rural counties. This supply-demand imbalance creates shorter wait times and competitive pricing in Atlanta and surrounding suburbs, while rural patients may wait weeks for appointments and pay premium rates. The robust physician supply in metropolitan areas gives patients multiple options for comparing costs and finding quality care.

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 Georgia

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

Without insurance, Knee Arthroscopy procedures in Georgia typically range from $449.82 to $2,024.21, with a median cost of $853.91 based on negotiated insurance rates. Self-pay patients may receive discounts of 20-40% when paying upfront, making the actual out-of-pocket cost potentially lower than these insurance rates. Many providers offer payment plans to help make these costs more manageable for uninsured patients.

Does Georgia Medicaid cover Knee Arthroscopy visits?

Georgia Medicaid covers medically necessary Knee Arthroscopy procedures and consultations, though the state has not expanded Medicaid coverage to broader income levels. Patients must obtain referrals from primary care providers and receive prior authorization for surgical procedures. Coverage is limited to providers who accept Medicaid, which represents a smaller network than commercial insurance options.

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

Compare costs between hospital-based practices and independent surgery centers, as ambulatory centers often charge 30-50% less for the same procedures. Many Georgia providers offer significant cash-pay discounts for upfront payment, while community health centers in larger cities may provide sliding-fee scales based on income. Check multiple providers in your area since costs can vary dramatically even within the same city.

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

Initial Knee Arthroscopy consultations typically cost more than follow-up visits due to the comprehensive evaluation required, though specific pricing data for office visits varies by provider. New patient visits often involve detailed history-taking, physical examination, and review of imaging studies, while follow-up appointments focus on treatment progress and may be shorter. Most insurance plans apply the same specialist copay regardless of visit type, though self-pay rates may differ significantly.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for Knee Arthroscopy consultations, procedures, and related medical expenses in Georgia. These accounts offer tax advantages by allowing you to pay with pre-tax dollars, effectively reducing your cost by your marginal tax rate. Keep all receipts and documentation for tax purposes, as these accounts may require proof of medical necessity for reimbursement.

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

Telemedicine consultations with orthopedic surgeons typically cost 20-40% less than in-person visits and are increasingly accepted by Georgia insurance plans. However, most Knee Arthroscopy conditions require physical examination and may need imaging review that limits the effectiveness of virtual consultations. Many practices now use telemedicine for follow-up visits and post-operative care, which can reduce overall treatment costs while maintaining quality care.

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