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
18% above national average
Compare Similar Procedures
How does knee arthroscopy compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $898 | $1,288 | $6,051 | 30,852 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $900 | $1,289 | $6,060 | 30,927 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $515 | $2,135 | 30,876 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $452 | $638 | $1,820 | 30,954 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $412 | $577 | $1,655 | 31,025 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $890 | $3,201 | 30,796 |
| Septoplasty Nasal septum repair | 30520 | $466 | $625 | $2,160 | 30,844 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $203 | $276 | $742 | 30,860 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $364 | $504 | $1,435 | 30,842 |
| Mastectomy Partial or simple mastectomy | 19301 | $452 | $609 | $2,642 | 30,775 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $320 | $622 | $1,963 | 30,846 |
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 29881 — Arthroscopy, 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.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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.
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.
Frequently Asked Questions — Knee Arthroscopy Costs in New York
What is the average cost of a Knee Arthroscopy visit in New York without insurance?
Does New York Medicaid cover Knee Arthroscopy visits?
How do I find an affordable Knee Arthroscopy near me in New York?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in New York?
How does telemedicine affect the cost of seeing a Knee Arthroscopy in New York?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 29881)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | California Range: $80 – $8,767 | $2,976 |
| 2 | Wisconsin Range: $73 – $4,236 | $1,989 |
| 3 | Idaho Range: $80 – $4,173 | $1,697 |
| 4 | Rhode Island Range: $452 – $2,410 | $1,253 |
| 5 | Massachusetts Range: $438 – $2,410 | $1,247 |
| 6 | Minnesota Range: $338 – $2,258 | $1,163 |
| 7 | Connecticut Range: $366 – $2,410 | $1,161 |
| 8 | Delaware Range: $412 – $2,410 | $1,154 |
| 9 | Pennsylvania Range: $366 – $2,410 | $1,133 |
| 10 | Wyoming Range: $648 – $1,845 | $1,133 |
| 11 | New York Range: $384 – $2,410 | $1,111 |
| 12 | Georgia Range: $450 – $2,024 | $1,109 |
| 13 | Iowa Range: $452 – $1,680 | $1,102 |
| 14 | New Hampshire Range: $573 – $1,631 | $1,073 |
| 15 | Nebraska Range: $655 – $1,294 | $1,041 |
| 16 | West Virginia Range: $482 – $1,901 | $1,025 |
| 17 | South Dakota Range: $387 – $1,811 | $991 |
| 18 | District of Columbia Range: $443 – $1,591 | $987 |
| 19 | New Jersey Range: $412 – $1,845 | $945 |
| 20 | Maine Range: $634 – $1,087 | $925 |
| 21 | North Carolina Range: $450 – $1,504 | $916 |
| 22 | North Dakota Range: $331 – $1,591 | $891 |
| 23 | Illinois Range: $90 – $1,895 | $880 |
| 24 | Maryland Range: $485 – $1,591 | $878 |
| 25 | New Mexico Range: $487 – $1,281 | $869 |
| 26 | Colorado Range: $452 – $1,326 | $861 |
| 27 | Utah Range: $80 – $1,294 | $844 |
| 28 | Kentucky Range: $394 – $1,419 | $843 |
| 29 | Michigan Range: $452 – $1,294 | $833 |
| 30 | Oregon Range: $80 – $1,591 | $811 |
| 31 | Indiana Range: $90 – $1,642 | $798 |
| 32 | Vermont Range: $410 – $1,326 | $788 |
| 33 | Washington Range: $80 – $1,475 | $773 |
| 34 | Texas Range: $421 – $1,250 | $765 |
| 35 | South Carolina Range: $422 – $1,266 | $765 |
| 36 | Mississippi Range: $424 – $1,330 | $761 |
| 37 | Arkansas Range: $479 – $1,034 | $755 |
| 38 | Tennessee Range: $466 – $1,057 | $738 |
| 39 | Alabama Range: $382 – $1,165 | $722 |
| 40 | Missouri Range: $507 – $892 | $720 |
| 41 | Virginia Range: $389 – $1,182 | $719 |
| 42 | Nevada Range: $452 – $1,051 | $717 |
| 43 | Hawaii Range: $80 – $1,287 | $706 |
| 44 | Louisiana Range: $394 – $1,089 | $693 |
| 45 | Oklahoma Range: $442 – $1,009 | $671 |
| 46 | Kansas Range: $507 – $860 | $668 |
| 47 | Ohio Range: $338 – $983 | $635 |
| 48 | Arizona Range: $452 – $907 | $604 |
| 49 | Alaska Range: $80 – $1,127 | $429 |
| 50 | Montana Range: $80 – $985 | $382 |
| 51 | Florida Range: $35 – $980 | $357 |
