Cost of a Knee Arthroscopy Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's rural geography creates significant healthcare access challenges, with many residents traveling long distances for specialized orthopedic care. Knee Arthroscopy visits in the state typically cost between $482 and $1,901, with a median rate of $691 based on negotiated insurance rates. West Virginia has 89 active Knee Arthroscopy providers across the state, allowing patients to browse multiple options when seeking treatment.
Average
$1,025
Median
$691
Lowest
$482
Highest
$1,901
Providers
89
9% above national average
Compare Similar Procedures
How does knee arthroscopy compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,204 | $1,729 | $4,734 | 88 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,677 | $4,590 | 99 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $669 | $1,409 | 95 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $707 | $1,650 | 158 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $754 | $1,557 | 110 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,094 | $2,122 | 98 |
| Septoplasty Nasal septum repair | 30520 | $461 | $780 | $1,698 | 88 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $355 | $748 | 97 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $657 | $1,378 | 86 |
| Mastectomy Partial or simple mastectomy | 19301 | $366 | $777 | $1,695 | 94 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $342 | $567 | $2,006 | 88 |
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 29881 — Arthroscopy, 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 West Virginia
These hospitals in West Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MADISON, WV
BECKLEY, WV
BERKELEY SPRINGS, WV
ROMNEY, WV
WELCH, WV
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 West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural provider structure. The mountainous geography and sparse population create unique challenges for healthcare delivery, with many residents traveling significant distances for specialized orthopedic care.
Urban vs. Rural Provider Availability
Charleston, Morgantown, and Huntington serve as the primary hubs for orthopedic care in West Virginia, with most Knee Arthroscopy specialists concentrated in these metropolitan areas. Rural residents often face longer wait times and higher travel costs, sometimes driving 2-3 hours to reach the nearest arthroscopic surgeon. This geographic disparity can affect overall treatment costs when factoring in travel expenses and time off work.
Facility Type and Overhead Costs
Hospital-based orthopedic practices affiliated with WVU Medicine, Charleston Area Medical Center, or Cabell Huntington Hospital typically charge higher facility fees than independent surgical centers. Many independent orthopedic practices have opened ambulatory surgery centers to offer more cost-effective arthroscopic procedures. The overhead costs for maintaining practices in rural West Virginia can be higher due to lower patient volumes and increased operational expenses.
Insurance Market Competition in West Virginia
The insurance market in West Virginia is moderately concentrated, with Highmark West Virginia holding significant market share alongside UnitedHealthcare and Aetna. This limited competition can result in less aggressive negotiated rate reductions compared to more competitive markets. Rural areas often have even fewer insurer options, potentially leading to higher out-of-pocket costs for patients in those regions.
Physician Supply and Demand in West Virginia
With 89 active Knee Arthroscopy providers serving the state's 1.8 million residents, West Virginia has a reasonable supply of orthopedic surgeons relative to its population. However, the geographic distribution is uneven, with significant concentrations in university towns and larger cities while rural areas remain underserved. This supply imbalance can create longer wait times and higher costs in underserved regions, while urban areas may offer more competitive pricing due to greater provider availability.
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.
Frequently Asked Questions — Knee Arthroscopy Costs in West Virginia
What is the average cost of a Knee Arthroscopy visit in West Virginia without insurance?
Does West Virginia Medicaid cover Knee Arthroscopy visits?
How do I find an affordable Knee Arthroscopy near me in West Virginia?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in West Virginia?
How does telemedicine affect the cost of seeing a Knee Arthroscopy in West Virginia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 29881)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | California Range: $80 – $8,767 | $2,976 |
| 2 | Wisconsin Range: $73 – $4,236 | $1,989 |
| 3 | Idaho Range: $80 – $4,173 | $1,697 |
| 4 | Rhode Island Range: $452 – $2,410 | $1,253 |
| 5 | Massachusetts Range: $438 – $2,410 | $1,247 |
| 6 | Minnesota Range: $338 – $2,258 | $1,163 |
| 7 | Connecticut Range: $366 – $2,410 | $1,161 |
| 8 | Delaware Range: $412 – $2,410 | $1,154 |
| 9 | Pennsylvania Range: $366 – $2,410 | $1,133 |
| 10 | Wyoming Range: $648 – $1,845 | $1,133 |
| 11 | New York Range: $384 – $2,410 | $1,111 |
| 12 | Georgia Range: $450 – $2,024 | $1,109 |
| 13 | Iowa Range: $452 – $1,680 | $1,102 |
| 14 | New Hampshire Range: $573 – $1,631 | $1,073 |
| 15 | Nebraska Range: $655 – $1,294 | $1,041 |
| 16 | West Virginia Range: $482 – $1,901 | $1,025 |
| 17 | South Dakota Range: $387 – $1,811 | $991 |
| 18 | District of Columbia Range: $443 – $1,591 | $987 |
| 19 | New Jersey Range: $412 – $1,845 | $945 |
| 20 | Maine Range: $634 – $1,087 | $925 |
| 21 | North Carolina Range: $450 – $1,504 | $916 |
| 22 | North Dakota Range: $331 – $1,591 | $891 |
| 23 | Illinois Range: $90 – $1,895 | $880 |
| 24 | Maryland Range: $485 – $1,591 | $878 |
| 25 | New Mexico Range: $487 – $1,281 | $869 |
| 26 | Colorado Range: $452 – $1,326 | $861 |
| 27 | Utah Range: $80 – $1,294 | $844 |
| 28 | Kentucky Range: $394 – $1,419 | $843 |
| 29 | Michigan Range: $452 – $1,294 | $833 |
| 30 | Oregon Range: $80 – $1,591 | $811 |
| 31 | Indiana Range: $90 – $1,642 | $798 |
| 32 | Vermont Range: $410 – $1,326 | $788 |
| 33 | Washington Range: $80 – $1,475 | $773 |
| 34 | Texas Range: $421 – $1,250 | $765 |
| 35 | South Carolina Range: $422 – $1,266 | $765 |
| 36 | Mississippi Range: $424 – $1,330 | $761 |
| 37 | Arkansas Range: $479 – $1,034 | $755 |
| 38 | Tennessee Range: $466 – $1,057 | $738 |
| 39 | Alabama Range: $382 – $1,165 | $722 |
| 40 | Missouri Range: $507 – $892 | $720 |
| 41 | Virginia Range: $389 – $1,182 | $719 |
| 42 | Nevada Range: $452 – $1,051 | $717 |
| 43 | Hawaii Range: $80 – $1,287 | $706 |
| 44 | Louisiana Range: $394 – $1,089 | $693 |
| 45 | Oklahoma Range: $442 – $1,009 | $671 |
| 46 | Kansas Range: $507 – $860 | $668 |
| 47 | Ohio Range: $338 – $983 | $635 |
| 48 | Arizona Range: $452 – $907 | $604 |
| 49 | Alaska Range: $80 – $1,127 | $429 |
| 50 | Montana Range: $80 – $985 | $382 |
| 51 | Florida Range: $35 – $980 | $357 |