Logo
Washington

Cost of a Knee Arthroscopy Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's robust healthcare infrastructure includes major academic medical centers like UW Medicine alongside a growing network of orthopedic specialists throughout the Puget Sound region and beyond. Knee Arthroscopy patients in the state typically encounter costs ranging from $80 to $1,475, with a median procedure cost of $764 based on negotiated insurance rates. With over 4,300 active Knee Arthroscopy providers across Washington, patients have substantial options when selecting an orthopedic surgeon or sports medicine specialist for their care.

Average

$773

Median

$764

Lowest

$80

Highest

$1,475

Providers

4,308

National avg: $941Washington: $773

18% below national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Washington?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,606$2,114$3,7032,174
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,500$2,037$3,7072,234
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$616$966$1,5212,220
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$806$1,8155,408
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$794$1,8325,463
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$985$1,415$2,4802,213
Septoplasty

Nasal septum repair

30520$80$857$1,7934,297
Tonsillectomy

Tonsillectomy, primary or secondary

42820$324$434$8892,197
Inguinal Hernia Repair

Inguinal hernia repair

49505$592$768$1,5942,162
Mastectomy

Partial or simple mastectomy

19301$585$946$1,8042,200
Carpal Tunnel Surgery

Open carpal tunnel release

64721$490$669$1,2212,180

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 Washington

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

5/5
90% would recommend157 patient surveys
5/5
88% would recommend191 patient surveys
4/5
85% would recommend160 patient surveys
JEFFERSON HEALTHCARE

PORT TOWNSEND, WA

4/5
84% would recommend251 patient surveys
4/5
82% would recommend223 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 Washington

Healthcare costs in Washington run approximately 10% above national averages, driven by the state's high cost of living, particularly in the Seattle metropolitan area, and strong provider networks that command premium rates from insurers. The state's geographic diversity creates distinct cost patterns, with urban centers like Seattle and Spokane offering competitive pricing due to provider density, while rural areas often see higher costs due to limited specialist availability.

Urban vs. Rural Provider Availability

The Puget Sound region concentrates the majority of Washington's orthopedic specialists, creating competitive pricing and shorter wait times for knee arthroscopy patients. Eastern Washington and smaller communities often require travel to larger cities for specialized care, with transportation costs and time off work adding to the total expense of treatment.

Facility Type and Overhead Costs

Major health systems like UW Medicine, MultiCare, and Providence dominate Washington's healthcare landscape, with their hospital-based outpatient centers typically charging higher facility fees than independent surgery centers. Ambulatory surgery centers often provide the same quality care at 30-40% lower cost, making them attractive options for routine knee arthroscopy procedures.

Insurance Market Competition in Washington

Strong competition among Premera, Regence, Kaiser Permanente, and UnitedHealthcare has kept negotiated rates relatively reasonable compared to less competitive markets. The state's robust insurance exchange and Medicaid expansion have increased coverage options, though rural areas still face challenges with narrow provider networks that can limit cost-effective choices.

Physician Supply and Demand in Washington

With over 4,300 providers performing knee arthroscopy procedures, Washington maintains adequate specialist availability in most regions, helping to moderate pricing through competition. The concentration of providers in urban areas creates favorable market dynamics for patients, while rural communities may face higher costs due to limited local options and the need to travel for care.

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 Washington

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

Uninsured patients in Washington typically pay between $80 and $1,475 for knee arthroscopy, with a median cost of $764 based on negotiated insurance rates. Self-pay patients should expect to pay the higher end of this range, though many providers offer cash discounts of 20-40%. Shopping between ambulatory surgery centers and hospital outpatient departments can result in significant savings for uninsured patients.

Does Washington Medicaid cover Knee Arthroscopy visits?

Yes, Washington's expanded Medicaid program covers medically necessary knee arthroscopy procedures when conservative treatments have failed. Patients need a referral from their primary care provider and may face longer wait times due to limited specialist participation in Medicaid. Prior authorization is typically required, and the procedure must be deemed medically necessary rather than cosmetic or experimental.

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

Compare costs between ambulatory surgery centers and hospital outpatient departments, as surgery centers often charge 30-40% less for the same procedure. Look into community health centers with sliding-scale fees, negotiate cash-pay discounts if uninsured, and consider traveling to areas outside Seattle where overhead costs may be lower. Many practices offer payment plans to make procedures more affordable.

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

Initial orthopedic consultations typically cost more than follow-up visits as they involve comprehensive evaluation, review of imaging studies, and treatment planning. Follow-up visits focus on progress assessment and are generally shorter, resulting in lower facility fees and physician charges. The exact cost difference varies by provider, but initial visits often cost 50-100% more than routine follow-up appointments.

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

Yes, knee arthroscopy procedures and related consultations qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). This includes surgeon fees, facility charges, anesthesia costs, and necessary pre-operative testing. Keep all receipts and documentation for tax purposes, as these accounts offer valuable tax advantages for medical expenses.

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

Telemedicine consultations for initial orthopedic evaluations typically cost 20-30% less than in-person visits and are widely covered by Washington insurers following COVID-19 policy changes. However, knee arthroscopy requires hands-on examination and cannot be performed remotely, so virtual visits are mainly useful for follow-up care, reviewing imaging results, or determining if you need an in-person evaluation. Most orthopedic practices in Washington now offer hybrid care models combining virtual and in-person visits.

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