ACL Surgery Cost in Missouri (2026): Average Prices & What You'll Pay
What does a acl surgery cost in Missouri?
You could pay $2,152 or $7,239 for the same acl surgery in Missouri - depending entirely on which facility you choose. The median cash price across 46 reporting hospitals is $4,000. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Missouri, from hospital price files
- Carroll County Memorial Hospital · Carrollton, MO $1,599
- Cedar County Memorial Hospital · El Dorado Springs, MO $1,618
- Cox Barton County Hospital · Lamar, MO $1,790
All 46 facilities are listed below, free.
Where acl surgery costs vary in Missouri
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a acl surgery depends on where you go and what is billed separately. Most patients find out after.
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Cheapest ACL Surgery Providers in Missouri
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($4,000) |
|---|---|---|---|---|
| 1 | Carroll County Memorial Hospital | Carrollton, MO | $1,599 | $2,401 below |
| 2 | Cedar County Memorial Hospital | El Dorado Springs, MO | $1,618 | $2,382 below |
| 3 | Cox Barton County Hospital | Lamar, MO | $1,790 | $2,210 below |
| 4 | SKAGGS COMMUNITY HOSPITAL ASSOCIATION | Branson, MO | $1,790 | $2,210 below |
| 5 | COX-MONETT HOSPITAL, INC. | Monett, MO | $1,790 | $2,210 below |
| 6 | LESTER E COX MEDICAL CENTERS | Springfield, MO | $1,790 | $2,210 below |
| 7 | Bates County Memorial Hospital | Butler, MO | $1,885 | $2,115 below |
| 8 | NKC Health | North Kansas City, MO | $1,898 | $2,102 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Carroll County Memorial Hospital is the lowest-cost option at $1,599 - $2,401 below the median posted price ($4,000), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $4,802, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $7,413 to $7,413 | $7,413 |
| With insurance (commercial, average) | 30 | $1,824 to $10,782 | $6,891 |
| Without insurance (cash price) | 43 | $1,567 to $20,930 | $4,802 |
| Anthem Blue Cross and Blue Shield | 20 | $267 to $6,408 | $2,639 |
| UnitedHealthcare | 19 | $1,542 to $10,997 | $4,879 |
| Cigna | 17 | $1,477 to $12,565 | $5,266 |
| Aetna | 16 | $2,024 to $9,330 | $3,170 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an ACL Surgery cost with Medicare in Missouri?
Medicare's national hospital outpatient payment for ACL Surgery is about $7,413 to $7,413 (typically near $7,413). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $1,483 on a $7,413 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an ACL Surgery cost with insurance in Missouri?
Across 30 Missouri hospitals, the negotiated rates commercial insurers pay for ACL Surgery average $1,824 to $10,782 per hospital, with a median near $6,891. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an ACL Surgery cost without insurance in Missouri?
Cash (self-pay) prices for ACL Surgery at 43 Missouri hospitals range from $1,567 to $20,930, with a median of $4,802. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an ACL Surgery cost with Anthem Blue Cross and Blue Shield in Missouri?
Anthem Blue Cross and Blue Shield negotiated rates for ACL Surgery at 20 Missouri hospitals range from $267 to $6,408, with a median near $2,639. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an ACL Surgery cost with UnitedHealthcare in Missouri?
UnitedHealthcare negotiated rates for ACL Surgery at 19 Missouri hospitals range from $1,542 to $10,997, with a median near $4,879. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does an ACL Surgery cost with Cigna in Missouri?
Cigna negotiated rates for ACL Surgery at 17 Missouri hospitals range from $1,477 to $12,565, with a median near $5,266. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does an ACL Surgery cost with Aetna in Missouri?
Aetna negotiated rates for ACL Surgery at 16 Missouri hospitals range from $2,024 to $9,330, with a median near $3,170. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for acl surgery
The same acl surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,513–$27,200
- Professional fee $1,458–$3,888
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,524–$15,480
- Professional fee $1,458–$3,888
Estimated from CMS fee schedules + commercial rate multipliers
BJC HealthCare, SSM Health, Mercy Health, and CoxHealth divide Missouri roughly by region, with meaningful inter-system competition in both St. Louis and Kansas City. Barnes-Jewish Hospital (BJC) is the dominant academic medical center. Rural Missouri - particularly the Ozarks - has significant critical access hospital coverage where pricing structures differ from PPS hospitals.
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Why prices vary - and what it means for your coverage
A small number of hospitals (7) report prices above $16,704, including Mercy Perry at $27,200, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $4,000 versus $4,742 inpatient (about 1.2× more), so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$4,000 |
| Deductible met - 20% coinsurance | ~$800 |
| Out-of-network provider | $8,800+ |
Frequently asked questions: ACL Surgery costs in Missouri
How much does an ACL Surgery cost in Missouri?
The typical insurer-negotiated rate is $2,317, with most facilities between $994 and $4,346 (based on 44 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Missouri hospitals run $1,567–$20,930; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an ACL Surgery in Missouri?
Based on declared prices, the lowest posted price in our Missouri data is Carroll County Memorial Hospital in Carrollton at about $1,599. By metro, Kansas City has the lowest median ($2,317). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an ACL Surgery so much cheaper at some Missouri hospitals?
Typical prices vary about 4.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Missouri, the median cash (self-pay) price is $4,802 versus a median negotiated rate of $6,891 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an ACL Surgery in Missouri?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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