Cost of a Knee Arthroscopy Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare market offers competitive pricing for orthopedic procedures, with the state's costs running approximately 2% below national averages across most specialties. Knee Arthroscopy procedures in Ohio typically cost patients between $338 and $983, with a median negotiated rate of $585 based on actual insurer contracts. Ohio hosts over 3,200 active providers performing knee arthroscopy, giving patients substantial choice when selecting an orthopedic specialist for their care.
Average
$635
Median
$585
Lowest
$338
Highest
$983
Providers
3,234
33% below national average
Compare Similar Procedures
How does knee arthroscopy compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $848 | $1,471 | $2,491 | 3,206 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,415 | $2,491 | 3,692 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $335 | $613 | $1,087 | 3,282 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $667 | $1,185 | 4,653 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $355 | $660 | $1,185 | 4,341 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $917 | $1,597 | 3,541 |
| Septoplasty Nasal septum repair | 30520 | $357 | $592 | $1,116 | 3,245 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $297 | $559 | 3,518 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $328 | $547 | $1,039 | 3,201 |
| Mastectomy Partial or simple mastectomy | 19301 | $303 | $598 | $1,175 | 3,266 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $268 | $453 | $797 | 3,211 |
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 Ohio
These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AKRON, OH
YOUNGSTOWN, OH
Wright-Patterson AFB, OH
MARIETTA, OH
OBERLIN, OH
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive provider market. The state's mix of major metropolitan areas and extensive rural regions creates significant cost variations for orthopedic procedures like knee arthroscopy.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas including Cleveland, Columbus, Cincinnati, and Toledo concentrate most orthopedic specialists, while rural counties often lack specialized surgical services. Patients in southeastern and northwestern Ohio may need to travel significant distances for knee arthroscopy, potentially increasing total treatment costs. Urban markets offer more provider choice and competitive pricing, while rural areas may have limited options but lower facility overhead costs.
Facility Type and Overhead Costs
Ohio's healthcare market includes major systems like Cleveland Clinic, Ohio State Wexner Medical Center, and Mercy Health, which operate both hospital-based and freestanding orthopedic centers. Ambulatory surgery centers typically offer lower facility fees compared to hospital outpatient departments for knee arthroscopy procedures. Independent orthopedic practices may provide more flexible pricing structures, especially for cash-pay patients or those with high deductibles.
Insurance Market Competition in Ohio
Medical Mutual dominates Ohio's individual and small group markets, while Anthem and UnitedHealthcare compete strongly in employer-sponsored coverage. This moderate level of competition helps keep negotiated rates reasonable compared to states with single insurer dominance. The presence of multiple regional health plans creates additional competitive pressure on pricing for orthopedic services throughout the state.
Physician Supply and Demand in Ohio
With over 3,200 providers performing knee arthroscopy procedures, Ohio maintains adequate orthopedic surgeon availability relative to its population of 11.8 million residents. This healthy provider supply helps moderate pricing and reduces wait times for non-urgent procedures. However, subspecialty sports medicine specialists may be concentrated in urban areas, creating access challenges for patients seeking highly specialized care in rural regions.
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 Ohio
What is the average cost of a Knee Arthroscopy visit in Ohio without insurance?
Does Ohio Medicaid cover Knee Arthroscopy visits?
How do I find an affordable Knee Arthroscopy near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Knee Arthroscopy in Ohio?
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 |