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Rhode Island

Cost of a Knee Arthroscopy Visit
in Rhode Island

Reviewed by Momentary Medical Group West PC

Rhode Island's compact geography concentrates most orthopedic specialists within a 30-mile radius of Providence, creating a competitive market for Knee Arthroscopy procedures. Patients typically pay between $452 and $2,410 for arthroscopic knee procedures, with a median cost of $895 based on negotiated insurance rates from 58 active providers across the state. You can browse all Knee Arthroscopy providers in Rhode Island to compare costs and find the best option for your specific needs.

Average

$1,253

Median

$895

Lowest

$452

Highest

$2,410

Providers

58

National avg: $941Rhode Island: $1,253

33% above national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Rhode Island?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$2,323$6,05157
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,978$6,06074
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$448$960$2,13558
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$91$1,006$1,92166
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$884$1,75279
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,277$3,20160
Septoplasty

Nasal septum repair

30520$555$1,052$2,16056
Tonsillectomy

Tonsillectomy, primary or secondary

42820$239$441$74258
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$858$1,52157
Mastectomy

Partial or simple mastectomy

19301$509$1,087$2,64261
Carpal Tunnel Surgery

Open carpal tunnel release

64721$364$877$1,95758

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 Rhode Island

Rhode Island's Knee Arthroscopy costs run approximately 13% above national averages, reflecting the state's higher cost of living and concentrated healthcare market. The Ocean State's small geographic footprint creates unique market dynamics where most orthopedic specialists compete within overlapping service areas.

Urban vs. Rural Provider Availability

Rhode Island's urban core around Providence-Warwick concentrates most orthopedic surgery centers, while rural areas like Washington County have limited options requiring travel to metro areas. This geographic concentration means rural patients often face higher indirect costs through travel and time off work. However, the state's small size keeps maximum travel distances under 45 minutes for most residents.

Facility Type and Overhead Costs

Hospital-based outpatient departments at Lifespan (Rhode Island Hospital, The Miriam Hospital) and Care New England typically charge higher facility fees than independent surgery centers. Academic medical centers carry additional overhead costs for teaching and research that get reflected in procedure pricing. Free-standing ambulatory surgery centers often offer the most cost-effective option for routine arthroscopic procedures.

Insurance Market Competition in Rhode Island

BCBS RI maintains the largest market share but faces significant competition from UnitedHealthcare and Tufts Health Plan, creating negotiated rate variations across insurers. The state's relatively small insured population means individual contracts with large physician groups can significantly impact market-wide pricing. Limited provider networks in some rural areas reduce insurer leverage in rate negotiations.

Physician Supply and Demand in Rhode Island

With 58 active Knee Arthroscopy providers serving approximately 1.1 million residents, Rhode Island maintains adequate specialist availability relative to national benchmarks. This healthy supply-to-demand ratio helps contain pricing pressures and keeps wait times reasonable for non-urgent procedures. However, subspecialists focusing on complex reconstructive procedures may command premium rates due to limited local competition.

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 Rhode Island

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

Without insurance, Knee Arthroscopy procedures in Rhode Island range from $452 to $2,410, with a median cost of $895 based on negotiated rates from 58 providers statewide. Self-pay patients should expect to pay closer to the higher end of this range, though many facilities offer cash discounts of 20-40% for upfront payment. The final cost depends on procedure complexity, facility type, and whether additional services like anesthesia or pathology are needed.

Does Rhode Island Medicaid cover Knee Arthroscopy visits?

Yes, Rhode Island expanded Medicaid covers medically necessary Knee Arthroscopy procedures when conservative treatments have been attempted first. Prior authorization is typically required through your neighborhood health plan, and coverage decisions depend on clinical documentation supporting the medical necessity. Most arthroscopic procedures for documented meniscal tears, cartilage damage, or joint inflammation qualify for coverage with minimal patient cost-sharing.

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

Compare costs between hospital-based surgery centers and independent ambulatory facilities, as the latter often charge 30-50% less for identical procedures. Ask about self-pay discounts if you're uninsured or have high deductibles, and consider community health centers that may offer sliding-scale fees. Use Momentary Lab to instantly compare costs across all 58 Knee Arthroscopy providers in Rhode Island and find the most affordable option for your specific insurance plan.

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 due to comprehensive evaluation requirements including detailed history, physical examination, and treatment planning. Follow-up visits focus on specific issues like post-surgical healing, symptom monitoring, or treatment adjustments, requiring less time and complexity. The cost difference can be $100-300 depending on the provider and whether imaging or additional diagnostic tests are performed during the visit.

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

Yes, both HSA and FSA funds can be used for Knee Arthroscopy consultations, procedures, and related medical expenses like imaging studies or physical therapy. These accounts offer tax advantages by allowing you to pay with pre-tax dollars, effectively reducing your out-of-pocket costs. Keep receipts for all knee-related medical expenses, as they qualify as eligible medical expenses under IRS guidelines.

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

Telemedicine consultations for Knee Arthroscopy typically cost 20-40% less than in-person visits and are increasingly accepted by Rhode Island insurers for initial evaluations and follow-up care. However, physical examination remains essential for accurate knee assessment, so most specialists use telehealth for preliminary consultations, post-operative check-ins, or discussing imaging results. Rhode Island's compact geography makes telemedicine particularly valuable for patients in rural areas who would otherwise travel significant distances for brief follow-up appointments.

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