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Utah

Cost of a Knee Arthroscopy Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's healthcare system benefits from Medicaid expansion and strong regional health networks like Intermountain Healthcare, creating competitive pricing for orthopedic procedures. Knee Arthroscopy patients in Utah typically pay between $80 and $1,294, with a median out-of-pocket cost of $1,157. With 337 active Knee Arthroscopy providers across the state, patients have substantial choice when selecting a specialist for their care.

Average

$844

Median

$1,157

Lowest

$80

Highest

$1,294

Providers

337

National avg: $941Utah: $844

10% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Utah?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$842$2,803$2,906318
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$2,808$2,909330
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$1,079$1,209368
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$1,309$1,513352
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$975$1,321405
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,452$1,994354
Septoplasty

Nasal septum repair

30520$90$1,368$1,485322
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$497$643356
Inguinal Hernia Repair

Inguinal hernia repair

49505$374$1,126$1,150315
Mastectomy

Partial or simple mastectomy

19301$85$1,363$1,449354
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$930$988314

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 Utah

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

5/5
85% would recommend108 patient surveys
CEDAR CITY HOSPITAL

CEDAR CITY, UT

5/5
84% would recommend219 patient surveys
CACHE VALLEY HOSPITAL

NORTH LOGAN, UT

4/5
85% would recommend104 patient surveys
4/5
84% would recommend872 patient surveys
PARK CITY HOSPITAL

PARK CITY, UT

4/5
83% would recommend230 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 Utah

Utah's healthcare costs run approximately 2% below national averages, driven by the state's younger population and competitive regional health systems. The concentration of major medical facilities along the Wasatch Front creates pricing advantages for urban patients while rural areas face limited specialist access.

Urban vs. Rural Provider Availability

The Salt Lake City metropolitan area contains over 70% of Utah's orthopedic specialists, while rural counties like San Juan and Piute have no resident Knee Arthroscopy surgeons. Patients in rural Utah often travel 2-3 hours for specialized orthopedic care, with some qualifying for telemedicine consultations to reduce travel costs.

Facility Type and Overhead Costs

Intermountain Healthcare and University of Utah Health dominate the hospital market, with their employed physicians typically charging 15-25% more than independent orthopedic practices. Ambulatory surgery centers in Utah often provide the most cost-effective option for arthroscopic procedures, with significantly lower facility fees than hospital outpatient departments.

Insurance Market Competition in Utah

SelectHealth's strong regional presence creates competitive pressure on national insurers like BCBS Utah and UnitedHealthcare, resulting in robust provider networks and competitive pricing. This three-way competition benefits patients through broader network access and negotiated rate transparency compared to single-payer dominated markets.

Physician Supply and Demand in Utah

With 337 active Knee Arthroscopy providers serving 3.3 million residents, Utah maintains adequate orthopedic specialist supply in urban areas but faces shortages in rural regions. This geographic disparity creates longer wait times and higher costs in underserved areas, though telemedicine initiatives are helping bridge the access gap.

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 Utah

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

Uninsured patients in Utah pay between $80 and $1,294 for knee arthroscopy procedures, with a median cost of $1,157. These prices reflect negotiated rates from insurance transparency data and represent what providers actually charge. Many Utah orthopedic practices offer self-pay discounts of 20-30%, potentially reducing your out-of-pocket cost below these amounts.

Does Utah Medicaid cover Knee Arthroscopy visits?

Yes, Utah Medicaid covers knee arthroscopy consultations and procedures for eligible adults following the state's Medicaid expansion. Coverage includes both diagnostic consultations and therapeutic arthroscopic procedures when medically necessary. Prior authorization may be required, and you'll need a referral from your primary care provider for specialist visits.

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

Compare costs between independent orthopedic practices and hospital-employed surgeons, as independents often charge 15-25% less for the same procedures. Ask about self-pay discounts, consider ambulatory surgery centers for lower facility fees, and check with community health centers in Salt Lake County and Utah County. Many providers offer payment plans to make treatment more affordable.

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

Initial knee arthroscopy consultations typically cost between $1,100-$1,300 in Utah, while follow-up visits range from $80-$400 depending on complexity and time spent. New patient visits require comprehensive evaluation and treatment planning, while established patient follow-ups focus on progress monitoring and adjustment of treatment plans. The significant cost difference reflects the time and complexity involved in initial diagnosis.

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

Yes, both HSA and FSA funds can be used for knee arthroscopy consultations, procedures, and related medical expenses in Utah. This includes surgeon fees, facility costs, anesthesia, and any prescribed medications or physical therapy. Keep all receipts and documentation, as these qualified medical expenses can provide significant tax savings for your orthopedic care.

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

Telemedicine consultations for knee problems typically cost $100-$300 in Utah, significantly less than in-person visits. However, knee arthroscopy procedures require physical examination and cannot be performed remotely. Many Utah orthopedic surgeons use telemedicine for initial consultations, follow-up visits, and post-surgical monitoring, which can reduce overall treatment costs and travel time, especially for rural patients.

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