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New Jersey

Cost of a Knee Arthroscopy Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's healthcare market operates at approximately 17% above national cost averages, driven by high concentrations of hospital-based specialty practices and limited insurer competition in many regions. Knee Arthroscopy procedures typically range from $411.75 to $1,844.82 based on negotiated insurance rates, with a median cost of $577.53 across the state's 6,494 active providers. Patients throughout New Jersey can browse orthopedic specialists and sports medicine providers to compare costs and find in-network options that fit their insurance coverage.

Average

$945

Median

$578

Lowest

$412

Highest

$1,845

Providers

6,494

National avg: $941New Jersey: $945

0% above national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in New Jersey?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$952$1,422$4,5886,486
Hip Replacement

Total hip replacement (arthroplasty)

27130$953$1,424$4,5906,528
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$625$1,3806,526
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$388$664$1,8276,521
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$340$546$1,6696,585
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$1,045$2,0936,519
Septoplasty

Nasal septum repair

30520$406$566$1,4116,484
Tonsillectomy

Tonsillectomy, primary or secondary

42820$170$273$8336,523
Inguinal Hernia Repair

Inguinal hernia repair

49505$309$475$1,4356,484
Mastectomy

Partial or simple mastectomy

19301$314$558$1,4466,513
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$519$2,1196,490

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 New Jersey

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

4/5
84% would recommend907 patient surveys
3/5
81% would recommend2,632 patient surveys
3/5
78% would recommend1,326 patient surveys
3/5
77% would recommend343 patient surveys
VALLEY HOSPITAL

PARAMUS, NJ

3/5
76% would recommend1,308 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 New Jersey

New Jersey operates at 17% above national healthcare cost averages, reflecting the state's proximity to high-cost metropolitan areas and dense concentration of academic medical centers. The state's compact geography creates intense competition for specialist services in urban corridors while leaving some rural areas underserved.

Urban vs. Rural Provider Availability

Northern New Jersey's proximity to New York City creates a high concentration of orthopedic specialists and surgical centers, while southern regions have fewer options and longer travel times for specialized care. This geographic imbalance can drive up costs in underserved areas where patients have limited provider choices for arthroscopic procedures.

Facility Type and Overhead Costs

Many orthopedic practices in New Jersey have been acquired by large health systems like RWJBarnabas Health and Atlantic Health System, leading to higher facility fees and administrative costs. Independent ambulatory surgery centers often provide the same arthroscopic procedures at significantly lower costs than hospital-based outpatient departments.

Insurance Market Competition in New Jersey

While Horizon BCBS, Aetna, and UnitedHealthcare dominate the New Jersey market, the moderate concentration still allows for some competitive pressure on negotiated rates. Regional insurers and newer entrants provide additional options in certain markets, though provider network breadth varies significantly between plans.

Physician Supply and Demand in New Jersey

With 6,494 providers offering Knee Arthroscopy services across New Jersey, the state has relatively good specialist availability compared to national averages. This adequate supply helps moderate pricing pressure and typically allows patients to schedule procedures within 2-4 weeks, though popular surgeons in northern regions may have longer wait times.

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 New Jersey

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

Self-pay patients in New Jersey typically face costs ranging from $411.75 to $1,844.82 for arthroscopic knee procedures, with a median cost of $577.53 based on negotiated insurance rates. Many providers offer cash-pay discounts of 20-40% for uninsured patients who pay upfront. The final cost depends on the complexity of the procedure, facility type, and geographic location within the state.

Does New Jersey Medicaid cover Knee Arthroscopy visits?

Yes, New Jersey expanded Medicaid and covers medically necessary orthopedic visits and arthroscopic procedures with minimal patient cost-sharing. Prior authorization may be required for elective procedures, but urgent or emergent arthroscopic surgery is typically covered immediately. Patients should verify that their chosen orthopedic surgeon accepts Medicaid, as some high-demand specialists limit Medicaid patients.

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

Compare costs between hospital-based orthopedic departments and independent ambulatory surgery centers, as the latter often charge significantly less for the same procedures. Look for providers offering cash-pay discounts or payment plans if you're uninsured or have a high-deductible plan. Community health centers and federally qualified health centers in New Jersey also provide orthopedic referrals at reduced rates for qualifying patients.

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

Initial orthopedic consultations typically cost more than follow-up visits, as they involve comprehensive evaluation, imaging review, and treatment planning. While specific consultation rates aren't included in our arthroscopic procedure data, follow-up visits generally range from $150-400 depending on the provider and complexity of care. Many surgeons include several follow-up visits in their surgical package pricing.

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

Yes, both HSA and FSA funds can be used for orthopedic consultations, diagnostic imaging, and arthroscopic procedures as qualified medical expenses. You can also use these accounts for related costs like physical therapy, prescription medications, and medical equipment recommended by your orthopedic surgeon. Keep all receipts and documentation for tax purposes when using these pre-tax healthcare accounts.

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

Telemedicine consultations with orthopedic surgeons in New Jersey typically cost $100-250, significantly less than in-person visits, and are useful for initial assessments, follow-up care, and second opinions. However, most knee problems requiring arthroscopy need hands-on physical examination and imaging that can't be done remotely. Many New Jersey providers use telehealth for post-operative follow-ups, reducing overall treatment costs and patient travel time.

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