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Reviewed by John Caruso, FSA, MAAA • Data last updated

ACL Surgery Cost in Wisconsin (2026): Average Prices & What You'll Pay

What does a acl surgery cost in Wisconsin?

You could pay $4,680 or $6,911 for the same acl surgery in Wisconsin - depending entirely on which facility you choose. The median cash price across 91 reporting hospitals is $6,461. 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 Wisconsin, from hospital price files

  • Ascension Calumet Hospital, Inc. $2,130
  • Ascension NE Wisconsin, Inc. $2,130
  • Amery Hospital $2,208

All 91 facilities are listed below, free.

Where acl surgery costs vary in Wisconsin

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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

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 Wisconsin

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($6,461)
1 Ascension Calumet Hospital, Inc. WI $2,130 $4,331 below
2 Ascension NE Wisconsin, Inc. WI $2,130 $4,331 below
3 Amery Hospital WI $2,208 $4,253 below
4 Westfields Hospital New Richmond, WI $2,352 $4,109 below
5 ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS Green Bay, WI $2,385 $4,076 below
6 ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI $2,385 $4,076 below
7 Bellin Memorial Health Inc Green Bay, WI $2,397 $4,064 below
8 Gundersen Luthern Medical Center Inc La Crosse, WI $2,425 $4,036 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

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. 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

  • Ascension Calumet Hospital, Inc. is the lowest-cost option at $2,130 - $4,331 below the median posted price ($6,461), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $6,461, and it's often lower than what insurance pays before your deductible is satisfied.
  • Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
ACL Surgery prices by coverage in Wisconsin, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$7,413 to $7,413$7,413
With insurance (commercial, average)68$2,492 to $13,500$10,613
Without insurance (cash price)100$2,118 to $7,653$6,461
Anthem Blue Cross and Blue Shield45$1,867 to $18,013$11,630
UnitedHealthcare42$2,277 to $15,620$12,624
Aetna21$2,444 to $6,461$6,461
Cigna21$9,182 to $9,600$9,600

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 Wisconsin?

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 Wisconsin?

Across 68 Wisconsin hospitals, the negotiated rates commercial insurers pay for ACL Surgery average $2,492 to $13,500 per hospital, with a median near $10,613. 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 Wisconsin?

Cash (self-pay) prices for ACL Surgery at 100 Wisconsin hospitals range from $2,118 to $7,653, with a median of $6,461. 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 Wisconsin?

Anthem Blue Cross and Blue Shield negotiated rates for ACL Surgery at 45 Wisconsin hospitals range from $1,867 to $18,013, with a median near $11,630. 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 Wisconsin?

UnitedHealthcare negotiated rates for ACL Surgery at 42 Wisconsin hospitals range from $2,277 to $15,620, with a median near $12,624. 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 Aetna in Wisconsin?

Aetna negotiated rates for ACL Surgery at 21 Wisconsin hospitals range from $2,444 to $6,461, with a median near $6,461. 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 much does an ACL Surgery cost with Cigna in Wisconsin?

Cigna negotiated rates for ACL Surgery at 21 Wisconsin hospitals range from $9,182 to $9,600, with a median near $9,600. 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 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.

Hospital Outpatient
$3,044–$23,581
  • Facility fee $1,586–$19,693
  • Professional fee $1,458–$3,888

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$3,466–$8,925
  • Facility fee $2,008–$5,037
  • Professional fee $1,458–$3,888

Estimated from CMS fee schedules + commercial rate multipliers

Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.

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Why prices vary - and what it means for your coverage

A small number of hospitals (3) report prices above $12,136, including Mercyhealth Hospital & Medical Center - Walworth at $19,693, 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 $6,461 versus $2,208 inpatient, 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 ~$6,461
Deductible met - 20% coinsurance ~$1,292
Out-of-network provider $14,214+

Frequently asked questions: ACL Surgery costs in Wisconsin

How much does an ACL Surgery cost in Wisconsin?

The typical insurer-negotiated rate is $5,840, with most facilities between $1,044 and $6,780 (based on 91 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $2,118–$7,653; 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 Wisconsin?

Based on declared prices, the lowest posted price in our Wisconsin data is Ascension Calumet Hospital, Inc. at about $2,130. By metro, Green Bay has the lowest median ($3,486). 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 Wisconsin hospitals?

Typical prices vary about 6.5× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $6,461 versus a median negotiated rate of $10,613 - 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 Wisconsin?

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

Other procedures in Wisconsin

ACL Surgery, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Wisconsin

Bone, joint and pain

Imaging and scans

Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

General surgery

Lab tests

Ear, nose and throat

Urology and women's health

Eye care

Infusions

Emergency care

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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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Published October 29, 2026 · Updated October 29, 2026

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