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Maryland

Cost of a Knee Arthroscopy Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's state-regulated hospital rate-setting system creates unique pricing transparency for medical procedures, including Knee Arthroscopy visits. Patients typically pay between $485 and $1,591 for a knee arthroscopy procedure, with a median cost of $559. Maryland has 3,923 active Knee Arthroscopy providers across the state, giving patients numerous options from Baltimore's medical centers to suburban practices throughout the region.

Average

$878

Median

$559

Lowest

$485

Highest

$1,591

Providers

3,923

National avg: $941Maryland: $878

7% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Maryland?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,204$1,365$3,4753,921
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,124$1,289$2,6673,950
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$477$581$1,0833,982
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$633$1,3553,993
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$437$573$1,2384,028
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$754$892$1,7794,051
Septoplasty

Nasal septum repair

30520$461$617$1,3953,925
Tonsillectomy

Tonsillectomy, primary or secondary

42820$226$271$6073,971
Inguinal Hernia Repair

Inguinal hernia repair

49505$381$498$1,0793,919
Mastectomy

Partial or simple mastectomy

19301$346$626$1,2923,976
Carpal Tunnel Surgery

Open carpal tunnel release

64721$318$419$9203,931

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.

Why Knee Arthroscopy Visit Costs Vary Across Maryland

Maryland's healthcare costs run approximately 13% above national averages, driven by the state's proximity to high-cost Washington DC metro area and Baltimore's concentration of academic medical centers. The state's unique hospital rate-setting authority creates more predictable pricing but doesn't eliminate significant cost variations between provider types.

Urban vs. Rural Provider Availability

Maryland's geography concentrates most orthopedic specialists in the Baltimore-Washington corridor, creating access challenges for residents of the Eastern Shore and western mountain counties. Urban areas offer multiple provider options but command premium pricing due to higher overhead costs and market demand. Rural patients often face longer travel distances but may find lower base rates at community hospitals.

Facility Type and Overhead Costs

Hospital-based outpatient centers affiliated with Johns Hopkins, University of Maryland, and MedStar Health systems typically charge higher facility fees than independent ambulatory surgery centers. Academic medical centers in Baltimore and Bethesda command premium rates due to their teaching hospital status and specialized equipment. Free-standing surgery centers often provide the most cost-effective option for routine arthroscopic procedures.

Insurance Market Competition in Maryland

CareFirst BCBS dominates Maryland's insurance market with over 50% market share, followed by UHC and Aetna providing moderate competition in most regions. Limited insurer competition in some rural areas reduces negotiating pressure on provider rates. The state insurance exchange offers additional plan options but with varying provider networks that can significantly impact out-of-pocket costs.

Physician Supply and Demand in Maryland

With 3,923 active Knee Arthroscopy providers, Maryland maintains adequate specialist availability relative to its population, though distribution favors urban corridors. The concentration of providers in Baltimore and Montgomery County creates competitive pricing pressure in these markets. Rural areas face longer wait times but often offer more personalized care relationships with local orthopedic practices.

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 Maryland

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

Without insurance, knee arthroscopy costs in Maryland range from $485 to $1,591, with a median cost of $559 based on negotiated rates from transparency data. Self-pay patients may qualify for discounts of 20-40% off standard rates at many facilities. The total cost depends on facility type, with ambulatory surgery centers typically charging less than hospital outpatient departments.

Does Maryland Medicaid cover Knee Arthroscopy visits?

Yes, Maryland Medicaid covers medically necessary knee arthroscopy procedures, benefiting from the state's Medicaid expansion program. Prior authorization is typically required, and patients may need to demonstrate failed conservative treatment attempts. Coverage includes both the surgeon's fees and facility costs when performed at participating providers.

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

Compare prices between ambulatory surgery centers and hospital outpatient departments, as surgery centers often offer lower rates. Ask about self-pay discounts if uninsured, and consider community health systems which may have more affordable pricing structures. Rural providers sometimes offer lower base rates than urban specialists in Baltimore or Washington DC metro areas.

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

Initial consultations with orthopedic surgeons typically cost more than follow-up visits due to the comprehensive evaluation required. New patient visits involve detailed history-taking, physical examination, and treatment planning, while follow-up visits focus on progress assessment and treatment adjustments. The actual procedure costs shown in our data ($485-$1,591) are separate from consultation fees.

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

Yes, knee arthroscopy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes surgeon fees, facility charges, anesthesia costs, and related expenses like pre-operative imaging. Using HSA or FSA funds provides tax advantages and can significantly reduce your effective out-of-pocket costs.

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

While the actual arthroscopy procedure must be performed in-person, many Maryland orthopedic practices offer telemedicine consultations for initial evaluations and follow-up care. Virtual visits typically cost 30-50% less than in-person consultations and may help determine if you're a candidate for arthroscopic treatment. Post-operative follow-up visits can often be conducted via telemedicine, reducing overall treatment costs.

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