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Texas

Cost of a Knee Arthroscopy Visit
in Texas

Reviewed by Momentary Medical Group West PC

Texas operates more than 600 ambulatory surgery centers, creating a competitive market for minimally invasive procedures like knee arthroscopy. Patients typically pay between $421 and $1,250 for knee arthroscopy procedures, with a median cost of $625 based on negotiated insurance rates across the state's extensive network of orthopedic specialists and surgical facilities.

Average

$765

Median

$625

Lowest

$421

Highest

$1,250

Providers

5,233

National avg: $941Texas: $765

19% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Texas?

ProcedureCPTLowMedianHighProviders
IUD Removal

Cost of intrauterine device (IUD) removal across the US, with state-by-state pricing for both office-based and hospital outpatient settings.

58301$60$105$1996,391
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,056$1,568$3,0065,230
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,139$2,6028,415
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$691$1,2106,544
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$776$1,30011,548
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$663$1,15513,126
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$977$1,9125,874
Septoplasty

Nasal septum repair

30520$90$638$1,3097,864
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$313$5975,861
Inguinal Hernia Repair

Inguinal hernia repair

49505$407$602$1,0865,176
Mastectomy

Partial or simple mastectomy

19301$85$722$1,3415,830
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$469$8958,448

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 Texas

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

5/5
91% would recommend130 patient surveys
5/5
91% would recommend191 patient surveys
5/5
91% would recommend235 patient surveys
5/5
91% would recommend403 patient surveys
5/5
90% would recommend379 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 Texas

Texas knee arthroscopy costs run approximately 4% below national averages, reflecting the state's competitive healthcare market and lower overall cost of living compared to coastal states. The state's vast geography creates significant cost variations, with urban centers offering more competitive pricing due to provider density while rural counties often have limited surgical options.

Urban vs. Rural Provider Availability

Major Texas metropolitan areas like Houston, Dallas, Austin, and San Antonio have concentrated orthopedic markets with multiple surgery centers competing for patients, driving down knee arthroscopy costs. Rural East Texas and West Texas regions often require patients to travel significant distances for specialized care, with fewer providers leading to higher prices and longer wait times.

Facility Type and Overhead Costs

Independent ambulatory surgery centers in Texas typically charge less for knee arthroscopy than hospital outpatient departments, as they have lower overhead costs and focus specifically on outpatient procedures. Major health systems like Houston Methodist, Baylor Scott & White, and Memorial Hermann operate extensive networks of both hospital-based and freestanding facilities with varying fee structures.

Insurance Market Competition in Texas

Texas maintains a competitive insurance marketplace with UHC, BCBS TX, Aetna, and Cigna all holding significant market share, preventing any single insurer from dominating negotiated rates. This competition has resulted in relatively favorable reimbursement rates for knee arthroscopy procedures compared to states with more concentrated insurance markets.

Physician Supply and Demand in Texas

With over 5,200 providers performing knee arthroscopy procedures across Texas, the state has adequate specialist supply in urban areas but faces shortages in rural regions. This abundant provider network in major cities creates pricing competition and shorter wait times, while underserved rural areas may see higher costs due to limited surgical capacity.

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 Texas

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

Without insurance, knee arthroscopy procedures in Texas typically cost between $421 and $1,250, with a median price of $625 based on negotiated insurance rates. Many surgery centers offer cash-pay discounts that can reduce these costs by 20-40%, making the procedure more affordable for uninsured patients.

Does Texas Medicaid cover Knee Arthroscopy visits?

Texas Medicaid covers medically necessary knee arthroscopy procedures, but the state has not expanded Medicaid, limiting eligibility to low-income individuals who meet strict category requirements. Traditional Medicaid recipients can receive coverage for arthroscopic knee surgery when conservative treatments have failed and the procedure is deemed medically necessary.

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

Compare prices across different facility types in Texas, as ambulatory surgery centers often charge less than hospital outpatient departments. Many orthopedic practices offer self-pay discounts and payment plans, while community health centers in major cities may provide referrals to affordable specialists for qualifying patients.

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

Initial orthopedic consultations for knee problems typically cost more than follow-up visits, as they involve comprehensive evaluation and treatment planning. The actual arthroscopy procedure ranges from $421 to $1,250 in Texas, while office visits for pre-operative consultation and post-operative care are generally charged separately.

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

Yes, knee arthroscopy procedures and related consultations qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these tax-advantaged funds for deductibles, copays, and any out-of-pocket costs associated with your orthopedic care in Texas.

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

While the actual knee arthroscopy procedure requires in-person surgery, many Texas orthopedic practices offer telemedicine consultations for initial evaluations and post-operative follow-ups at lower costs than office visits. Telemedicine can be particularly valuable for patients in rural Texas who would otherwise need to travel long distances for routine follow-up care.

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