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Indiana

Cost of a Knee Arthroscopy Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's healthcare market ranks approximately 6% below national averages for medical procedures, benefiting from a growing ambulatory surgery center network that keeps costs competitive. Knee Arthroscopy procedures in the Hoosier State typically range from $90 to $1,642, with a median cost of $663 across 260 active providers statewide. Patients can browse all qualified Knee Arthroscopy specialists throughout Indiana to find the most affordable option for their specific needs.

Average

$798

Median

$663

Lowest

$90

Highest

$1,642

Providers

260

National avg: $941Indiana: $798

15% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Indiana?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$90$1,720$4,087257
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,619$3,549291
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$669$1,385294
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$827$1,834351
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$757$1,804411
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,104$2,719294
Septoplasty

Nasal septum repair

30520$90$683$1,472250
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$347$649274
Inguinal Hernia Repair

Inguinal hernia repair

49505$90$627$1,448250
Mastectomy

Partial or simple mastectomy

19301$85$774$1,818273
Carpal Tunnel Surgery

Open carpal tunnel release

64721$291$559$1,070246

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 Indiana

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

5/5
91% would recommend137 patient surveys
ORTHOINDY HOSPITAL

INDIANAPOLIS, IN

5/5
90% would recommend490 patient surveys
5/5
88% would recommend149 patient surveys
PINNACLE HOSPITAL

CROWN POINT, IN

5/5
84% would recommend114 patient surveys
5/5
81% would recommend137 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 Indiana

Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower overall cost of living and competitive ambulatory surgery center market. The growing ASC network provides alternatives to higher-cost hospital outpatient departments, particularly benefiting patients requiring arthroscopic procedures.

Urban vs. Rural Provider Availability

Indianapolis and surrounding counties offer the highest concentration of orthopedic specialists, with major health systems like Indiana University Health and Community Health Network providing comprehensive services. Rural areas of southern and northeastern Indiana have fewer specialists, sometimes requiring patients to travel 60+ miles for knee arthroscopy procedures. This geographic disparity can affect both access and pricing, with rural providers sometimes charging premium rates due to limited competition.

Facility Type and Overhead Costs

Hospital-owned outpatient departments typically charge facility fees that can add $500-1000 to the total cost of knee arthroscopy in Indiana. Independent ambulatory surgery centers often provide the same quality care at lower rates, with many accepting the same insurance plans. Major health systems like Ascension St. Vincent and Parkview Health operate both hospital-based and freestanding facilities with different pricing structures.

Insurance Market Competition in Indiana

Anthem Blue Cross Blue Shield holds the largest market share among commercial insurers, followed by UnitedHealthcare and MDwise (a local Medicaid managed care plan). This relatively concentrated market can limit negotiating power for smaller provider groups, though the presence of major national insurers helps maintain competitive rates. Self-funded employer plans are common among Indiana's manufacturing workforce, often providing better coverage for specialty procedures.

Physician Supply and Demand in Indiana

With 260 active providers offering knee arthroscopy services statewide, Indiana maintains adequate specialist availability relative to its population of 6.8 million. This healthy supply-to-demand ratio helps keep prices competitive, particularly in metro areas where multiple providers compete for patients. Wait times for elective procedures are typically 2-4 weeks, indicating balanced market conditions rather than provider shortages.

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 Indiana

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

Without insurance, knee arthroscopy procedures in Indiana range from $90 to $1,642, with a median cost of $663. These prices reflect negotiated rates between insurers and providers, so cash-pay patients may be able to negotiate similar or even lower rates. Many facilities offer self-pay discounts of 20-40% off standard charges, making the actual out-of-pocket cost potentially lower than these figures.

Does Indiana Medicaid cover Knee Arthroscopy visits?

Indiana has not expanded Medicaid, so coverage is limited to specific qualifying categories including pregnant women, children, and very low-income adults. For those who do qualify, traditional Indiana Medicaid covers medically necessary knee arthroscopy procedures when performed by enrolled providers. Patients must obtain prior authorization for the procedure and use Medicaid-participating orthopedic surgeons and surgical facilities.

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

Compare prices across different facility types, as ambulatory surgery centers often charge 30-50% less than hospital outpatient departments for the same procedure. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider traveling to areas with more provider competition like Indianapolis or Fort Wayne. Community health centers may also provide referrals to lower-cost specialists in your area.

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

Initial orthopedic consultations for knee problems typically cost more than follow-up visits due to the comprehensive evaluation required. New patient visits involve detailed history-taking, physical examination, and often imaging review, while follow-up appointments focus on treatment progress and may require less time. The exact cost difference varies by provider, but initial visits can cost 50-100% more than established patient follow-ups.

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

Yes, knee arthroscopy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the surgeon's fee, facility charges, anesthesia costs, and any related diagnostic imaging. Keep all receipts and documentation, as you'll need them for reimbursement or to justify HSA/FSA expenditures if questioned by your plan administrator.

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

While knee arthroscopy procedures must be performed in person, initial consultations and follow-up appointments can sometimes be conducted via telemedicine in Indiana. Telehealth visits typically cost 20-30% less than in-person consultations and may be more convenient for patients in rural areas. However, physical examination is usually necessary before scheduling surgery, so expect at least one in-person visit before your procedure.

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