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New York

Cost of a Knee Arthroscopy Visit
in New York

Reviewed by Momentary Medical Group West PC

New York's healthcare market operates at costs roughly 22% above the national average, with the NYC metropolitan area driving much of this premium pricing structure. Knee Arthroscopy procedures in New York typically cost patients between $384 and $2,410, with a median cost of $538 based on negotiated insurance rates from over 30,000 active providers statewide. Patients can browse all available Knee Arthroscopy specialists across New York's diverse healthcare landscape to find the most cost-effective option for their needs.

Average

$1,111

Median

$538

Lowest

$384

Highest

$2,410

Providers

30,865

National avg: $941New York: $1,111

18% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$898$1,288$6,05130,852
Hip Replacement

Total hip replacement (arthroplasty)

27130$900$1,289$6,06030,927
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$515$2,13530,876
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$452$638$1,82030,954
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$412$577$1,65531,025
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$890$3,20130,796
Septoplasty

Nasal septum repair

30520$466$625$2,16030,844
Tonsillectomy

Tonsillectomy, primary or secondary

42820$203$276$74230,860
Inguinal Hernia Repair

Inguinal hernia repair

49505$364$504$1,43530,842
Mastectomy

Partial or simple mastectomy

19301$452$609$2,64230,775
Carpal Tunnel Surgery

Open carpal tunnel release

64721$320$622$1,96330,846

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 York

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

5/5
87% would recommend116 patient surveys
5/5
84% would recommend532 patient surveys
4/5
88% would recommend927 patient surveys
4/5
87% would recommend118 patient surveys
4/5
85% would recommend2,396 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 York

New York's healthcare costs run approximately 22% above national averages, driven by the expensive NYC metropolitan area where real estate, labor, and regulatory compliance create significant overhead for medical facilities. The state's geography creates distinct cost zones, from premium Manhattan medical centers to more affordable rural providers in upstate regions like the North Country and Southern Tier.

Urban vs. Rural Provider Availability

The NYC metro area concentrates most of New York's orthopedic specialists, creating intense competition but also premium pricing due to high operating costs. Upstate regions including Albany, Syracuse, and Buffalo offer more affordable options, though patients may face longer wait times due to lower provider density. Rural counties in the Adirondacks and along the Pennsylvania border have limited local options, often requiring travel to larger cities for specialized arthroscopic procedures.

Facility Type and Overhead Costs

Hospital-owned outpatient departments in New York carry significantly higher facility fees compared to independent ambulatory surgical centers, particularly in high-cost areas like Manhattan and Long Island. Major health systems like NewYork-Presbyterian, NYU Langone, and Mount Sinai operate extensive networks of facilities with varying cost structures. Independent surgical centers, more common in suburban and upstate areas, typically offer lower rates due to reduced overhead expenses.

Insurance Market Competition in New York

Empire BlueCross BlueShield, UnitedHealthcare, Aetna, and Cigna dominate New York's insurance market, with Empire holding the largest market share statewide. The NYC area sees robust insurer competition, which can help moderate negotiated rates, while some upstate markets have fewer carrier options. New York's strict insurance regulations and the state's own insurance exchange create additional competitive pressure that can benefit consumers through broader network access.

Physician Supply and Demand in New York

With over 30,000 providers offering Knee Arthroscopy procedures, New York has one of the highest concentrations of orthopedic specialists in the nation, particularly in the downstate region. This abundant supply helps moderate pricing in competitive markets, though premium providers in Manhattan can still command higher rates due to reputation and convenience factors. Wait times are generally shorter in the NYC area compared to rural regions, where specialist shortage can drive up demand and costs.

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 York

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

Self-pay patients in New York typically pay between $384 and $2,410 for Knee Arthroscopy procedures, with a median cost of $538 based on negotiated insurance rates. However, many providers offer cash-pay discounts of 20-40% off these rates for uninsured patients. The final cost varies significantly based on the complexity of the procedure and whether it's performed at a hospital outpatient department or an independent surgical center.

Does New York Medicaid cover Knee Arthroscopy visits?

Yes, New York Medicaid covers medically necessary Knee Arthroscopy procedures since the state expanded Medicaid under the Affordable Care Act. Coverage typically requires documentation that conservative treatments like physical therapy and medications were tried first. Patients must use Medicaid-participating orthopedic surgeons and facilities, and may need prior authorization depending on the specific procedure planned.

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

Compare costs between hospital-based outpatient departments and independent ambulatory surgical centers, as the latter often charge significantly less. Look into cash-pay discounts if you're uninsured or have a high-deductible plan, and consider providers in upstate areas where overhead costs are lower. Community health centers and federally qualified health centers may also offer orthopedic services on sliding fee scales based on income.

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 since they involve comprehensive evaluation, imaging review, and treatment planning. Based on the negotiated rates from insurance files, new patient visits generally range higher in the fee schedule compared to established patient follow-ups. However, the actual procedure cost of $384-$2,410 represents the major expense, not the consultation visits.

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

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 fees, facility charges, anesthesia costs, and any related diagnostic imaging. Keep all receipts and documentation, as you'll need them for reimbursement or to avoid taxes on HSA withdrawals.

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

While telemedicine consultations cost less than in-person visits, Knee Arthroscopy procedures themselves require in-person surgical intervention at a facility. However, many New York orthopedic practices offer telehealth follow-up visits post-surgery, which can reduce overall treatment costs. Initial consultations via telemedicine may be appropriate for reviewing imaging and discussing treatment options before scheduling an in-person evaluation.

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