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

Knee Arthroscopy Cost in California (2026): Average Prices & What You'll Pay

What does a knee arthroscopy cost in California?

The same knee arthroscopy in California might cost you $1,471 at one facility and $4,246 at another - the building you walk into drives the difference. The median cash price across 202 reporting hospitals is $3,577. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

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Where knee arthroscopy costs vary in California

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 knee arthroscopy depends on where you go and what is billed separately. Most patients find out after.

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  • ✓ What is done inside the knee: Trimming a meniscus, repairing it, or removing loose tissue are different procedures with different prices.
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Cheapest Knee Arthroscopy Providers in California

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

# Facility City Price vs median ($3,577)
1 Banner Lassen Medical Center Susanville, CA $909 $2,668 below
2 Valley Presbyterian Hospital Van Nuys, CA $924 $2,653 below
3 Mercy Medical Center Mt. Shasta Mt Shasta, CA $931 $2,646 below
4 Alta Newport Hospital, LLC Tustin, CA $943 $2,634 below
5 MARK TWAIN MEDICAL CENTER San Andreas, CA $946 $2,631 below
6 St. Elizabeth Community Hospital Red Bluff, CA $979 $2,598 below
7 Community Hospital of the Monterey Peninsula Monterey, CA $991 $2,586 below
8 Southern Mono Healthcare District Mammoth Lakes, CA $1,031 $2,546 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

  • Banner Lassen Medical Center is the lowest-cost option at $909 - $2,668 below the median posted price ($3,577), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $3,577, 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.
Knee arthroscopy prices by coverage in California, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$3,343 to $3,343$3,343
With insurance (commercial, average)188$2,138 to $12,278$7,095
Without insurance (cash price)216$790 to $4,740$3,577
Anthem Blue Cross135$1,266 to $9,609$5,596
Aetna97$720 to $13,044$7,812
Cigna67$1,229 to $7,764$6,160
UnitedHealthcare58$1,621 to $13,562$6,725

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 a knee arthroscopy cost with Medicare in California?

Medicare's national hospital outpatient payment for knee arthroscopy is about $3,343 to $3,343 (typically near $3,343). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $669 on a $3,343 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 a knee arthroscopy cost with insurance in California?

Across 188 California hospitals, the negotiated rates commercial insurers pay for knee arthroscopy average $2,138 to $12,278 per hospital, with a median near $7,095. 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 a knee arthroscopy cost without insurance in California?

Cash (self-pay) prices for knee arthroscopy at 216 California hospitals range from $790 to $4,740, with a median of $3,577. 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 a knee arthroscopy cost with Anthem Blue Cross in California?

Anthem Blue Cross negotiated rates for knee arthroscopy at 135 California hospitals range from $1,266 to $9,609, with a median near $5,596. 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 a knee arthroscopy cost with Aetna in California?

Aetna negotiated rates for knee arthroscopy at 97 California hospitals range from $720 to $13,044, with a median near $7,812. 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 a knee arthroscopy cost with Cigna in California?

Cigna negotiated rates for knee arthroscopy at 67 California hospitals range from $1,229 to $7,764, with a median near $6,160. 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 a knee arthroscopy cost with UnitedHealthcare in California?

UnitedHealthcare negotiated rates for knee arthroscopy at 58 California hospitals range from $1,621 to $13,562, with a median near $6,725. 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 where you go changes what you pay for knee arthroscopy

The same knee arthroscopy 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
$800–$19,094
  • Facility fee $170–$15,726
  • Professional fee $630–$3,368

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,661–$18,688
  • Facility fee $1,031–$15,320
  • Professional fee $630–$3,368

Estimated from CMS fee schedules + commercial rate multipliers

California has the most competitive commercial hospital market in the country, with aggressive multi-system competition in every major metro driving meaningful price variation. Kaiser Permanente's integrated payer-provider model covers roughly 40% of the insured population in the state - if you're Kaiser-enrolled, the prices here largely don't apply. California's robust price transparency enforcement under SB 1204 means the data here is more complete than in most states.

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Why prices vary - and what it means for your coverage

A small number of hospitals (11) report prices above $8,644, including Henry Mayo Newhall Hospital at $11,959, 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 $3,577 versus $1,829 inpatient, so where a procedure happens often matters more than which hospital you pick.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$3,577
Deductible met - 20% coinsurance ~$715
Out-of-network provider $7,869+

Frequently asked questions: knee arthroscopy costs in California

How much does a knee arthroscopy cost in California?

The typical insurer-negotiated rate is $2,212, with most facilities between $547 and $3,921 (based on 202 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of California hospitals run $790–$4,740; 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 a knee arthroscopy in California?

Based on declared prices, the lowest posted price in our California data is Banner Lassen Medical Center in Susanville at about $909. By metro, Los Angeles has the lowest median ($1,661). 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 a knee arthroscopy so much cheaper at some California hospitals?

Typical prices vary about 7.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In California, the median cash (self-pay) price is $3,577 versus a median negotiated rate of $7,095 - 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 a knee arthroscopy in California?

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

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Knee Arthroscopy, elsewhere

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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Published October 29, 2026 · Updated October 29, 2026

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