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Michigan

Cost of a Knee Arthroscopy Visit
in Michigan

Reviewed by Momentary Medical Group West PC

Michigan's healthcare system features over 1,600 active Knee Arthroscopy providers, creating competitive pricing that runs approximately 3% below national averages. Patients typically pay between $452 and $1,294 for Knee Arthroscopy procedures, with a median cost of $753. This wide network of providers across Michigan's urban centers and rural communities offers patients numerous options when browsing all available specialists in the state.

Average

$833

Median

$753

Lowest

$452

Highest

$1,294

Providers

1,677

National avg: $941Michigan: $833

12% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Michigan?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$1,872$3,3551,660
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,749$2,8692,018
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$776$1,0731,788
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$430$1,039$1,5651,749
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$833$2,0212,239
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$93$1,316$1,9261,724
Septoplasty

Nasal septum repair

30520$532$635$1,0721,631
Tonsillectomy

Tonsillectomy, primary or secondary

42820$238$409$5591,670
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$736$1,2161,658
Mastectomy

Partial or simple mastectomy

19301$429$654$1,4701,712
Carpal Tunnel Surgery

Open carpal tunnel release

64721$359$457$1,0681,634

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 Michigan

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

5/5
86% would recommend456 patient surveys
5/5
83% would recommend150 patient surveys
5/5
83% would recommend204 patient surveys
5/5
80% would recommend299 patient surveys
5/5
80% would recommend130 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 Michigan

Michigan's healthcare costs run approximately 3% below national averages, reflecting the state's mix of competitive urban markets and lower-overhead rural facilities. The concentration of major health systems in Detroit, Grand Rapids, and Ann Arbor creates pricing pressure that benefits patients throughout the state's diverse geographic regions.

Urban vs. Rural Provider Availability

Michigan's 1,600+ Knee Arthroscopy providers are heavily concentrated in the Lower Peninsula's urban corridor from Detroit to Grand Rapids, leaving rural Upper Peninsula residents with limited local options. This geographic disparity often forces rural patients to travel 2-3 hours for specialized orthopedic care, though it may result in lower facility fees at smaller regional hospitals.

Facility Type and Overhead Costs

Hospital-owned outpatient surgery centers affiliated with systems like Beaumont, Henry Ford, and University of Michigan typically charge 30-50% more than independent ambulatory surgical centers. Michigan's growing number of physician-owned facilities offers patients lower-cost alternatives, particularly in suburban markets around Detroit and Grand Rapids.

Insurance Market Competition in Michigan

The dominance of Blue Cross Blue Shield Michigan, along with competition from UnitedHealthcare and Aetna, creates moderate insurer competition that prevents the pricing extremes seen in less competitive states. Michigan's relatively balanced market gives orthopedic practices reasonable negotiating power while keeping patient costs manageable compared to monopolistic insurance markets.

Physician Supply and Demand in Michigan

With over 1,600 active Knee Arthroscopy providers serving Michigan's 10 million residents, the state enjoys adequate specialist availability that prevents severe supply shortages. This healthy provider-to-population ratio helps maintain competitive pricing and reasonable wait times, particularly in metro Detroit where orthopedic residency programs produce a steady supply of new specialists.

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 Michigan

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

Uninsured patients in Michigan pay between $452 and $1,294 for Knee Arthroscopy procedures, with a median cost of $753. These rates represent negotiated prices between insurers and providers, so cash-pay patients should ask about self-pay discounts which often reduce costs by 20-40%. Many Michigan orthopedic practices offer payment plans to help uninsured patients manage these expenses over time.

Does Michigan Medicaid cover Knee Arthroscopy visits?

Yes, Michigan's expanded Medicaid program covers medically necessary Knee Arthroscopy procedures when conservative treatments have failed to provide adequate relief. Patients must use Medicaid-participating orthopedic surgeons, which are more readily available in urban areas like Detroit and Grand Rapids than in rural regions. Prior authorization is typically required, and the procedure must be deemed medically necessary rather than purely elective.

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

Compare prices among Michigan's 1,600+ providers by checking both independent surgical centers and hospital-based facilities, as costs can vary by over $800 for the same procedure. Ask about cash-pay discounts which many practices offer, and consider community health centers or teaching hospitals that may provide lower-cost options. Rural facilities often charge less than urban academic centers, though travel costs should be factored into your decision.

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

Initial Knee Arthroscopy consultations typically involve comprehensive evaluation including imaging review and treatment planning, while follow-up visits focus on post-surgical care and recovery monitoring. New patient visits generally cost 50-75% more than established patient follow-ups due to the time required for thorough initial assessment. Most follow-up visits within 90 days of surgery are included in the global surgical fee and shouldn't generate separate charges.

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

Yes, both HSA and FSA funds can be used for medically necessary Knee Arthroscopy procedures and related consultations in Michigan. These tax-advantaged accounts cover the full spectrum of orthopedic care including pre-surgical consultations, the procedure itself, and post-operative follow-up visits. Keep all receipts and documentation as the IRS may require proof that expenses were medically necessary rather than elective.

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

Telemedicine consultations for pre-surgical planning or post-operative follow-ups typically cost 30-50% less than in-person visits with Michigan orthopedic surgeons. However, initial evaluations for knee problems usually require hands-on physical examination and cannot be completely conducted via telehealth. Michigan's robust telehealth infrastructure, expanded during COVID-19, now allows many follow-up appointments to be conducted remotely, reducing both costs and travel time for patients.

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