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Oregon

Cost of a Knee Arthroscopy Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare system features a growing ambulatory surgery center market and expanded Medicaid coverage, creating more access points for specialized orthopedic care. Knee Arthroscopy procedures in Oregon typically range from $80 to $1,591, with a median cost of $763 based on negotiated insurance rates from 250 active providers across the state. Patients can browse all qualified Knee Arthroscopy specialists throughout Oregon to find the most cost-effective option for their specific insurance plan.

Average

$811

Median

$763

Lowest

$80

Highest

$1,591

Providers

250

National avg: $941Oregon: $811

14% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,116$2,114$3,635165
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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.

Why Knee Arthroscopy Visit Costs Vary Across Oregon

Oregon's healthcare costs run approximately 9% above the national average, driven by higher labor costs in urban areas and the state's growing ambulatory surgery center market. The concentration of providers in the Portland metro area contrasts sharply with limited specialist access in eastern and southern Oregon counties.

Urban vs. Rural Provider Availability

Portland's metro area houses the majority of Oregon's orthopedic specialists, creating competitive pricing and shorter wait times for Knee Arthroscopy procedures. Rural counties like Harney, Wheeler, and Grant often require patients to travel 100+ miles for specialized orthopedic care, potentially adding travel costs but sometimes finding lower facility fees.

Facility Type and Overhead Costs

Oregon Health & Science University and other hospital-based orthopedic departments typically charge higher facility fees compared to independent surgery centers throughout the state. The growing network of ambulatory surgery centers in cities like Eugene, Salem, and Bend offers cost-effective alternatives for outpatient arthroscopic procedures.

Insurance Market Competition in Oregon

Oregon's relatively competitive insurance market with Regence BCBS, PacificSource, and UHC has helped keep negotiated rates reasonable compared to more monopolistic state markets. Regional insurers like PacificSource often have strong networks in rural Oregon, while national carriers dominate urban areas with competitive rates.

Physician Supply and Demand in Oregon

With 250 active Knee Arthroscopy providers serving Oregon's 4.2 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This geographic imbalance means shorter wait times and competitive pricing in Portland while rural patients may face longer delays but potentially lower costs when local providers are available.

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 Oregon

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

Uninsured patients in Oregon can expect to pay between $80 and $1,591 for knee arthroscopy procedures, with a median cost of $763 based on negotiated rates from 250 providers statewide. Many orthopedic practices offer cash-pay discounts that can reduce these costs by 30-50%, and payment plans are commonly available. The final cost depends on the complexity of the procedure and whether it's performed at a hospital versus an ambulatory surgery center.

Does Oregon Medicaid cover Knee Arthroscopy visits?

Yes, Oregon's expanded Medicaid program covers medically necessary knee arthroscopy procedures through the Oregon Health Plan. Many orthopedic practices throughout the state accept Medicaid patients, though availability may be more limited in rural areas. Prior authorization is typically required, and patients should verify their specific provider accepts Oregon Health Plan before scheduling.

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

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital-based clinics for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers in cities like Portland and Eugene that may offer sliding scale fees. Rural areas sometimes have lower overhead costs, though you may need to factor in travel expenses.

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

Initial Knee Arthroscopy consultations typically cost significantly more than follow-up visits due to the comprehensive evaluation, imaging review, and treatment planning involved. Follow-up visits focus on surgical recovery, wound checks, or ongoing conservative management and are usually billed at lower rates. The exact cost difference varies by provider and insurance plan, but initial visits often cost 2-3 times more than established patient follow-ups.

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

Yes, both Health Savings Accounts and Flexible Spending Accounts can be used for knee arthroscopy procedures and related medical expenses in Oregon. This includes the surgeon's fees, facility costs, anesthesia, and any required imaging or physical therapy. Keep all receipts and documentation, as these qualified medical expenses can provide significant tax savings for Oregon residents.

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

Telemedicine consultations for initial evaluations or follow-up care typically cost 20-40% less than in-person visits with orthopedic surgeons in Oregon. However, physical examination is usually required for knee problems, so telehealth is most useful for pre-surgical consultations, post-operative follow-ups, or second opinions. Oregon's strong telehealth infrastructure developed during COVID-19 has made remote orthopedic consultations more accessible and affordable statewide.

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