Knee Arthroscopy Cost in Utah (2026): Average Prices & What You'll Pay
What does a knee arthroscopy cost in Utah?
Where you have a knee arthroscopy done in Utah swings the bill from $790 to $852 for identical care. The median cash price across 40 reporting hospitals is $790. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where knee arthroscopy costs vary in Utah
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.
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.
Your personalized cost report includes:
- ✓ 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 Utah
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($790) |
|---|---|---|---|---|
| 1 | Central Valley Medical Center | Nephi, UT | $783 | $7 below |
| 2 | IHC Health Services Inc., DBA Intermountain Health Sanpete Valley Hospital | Mt Pleasant, UT | $790 | $0 above |
| 3 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital | Panguitch, UT | $790 | $0 above |
| 4 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital | Fillmore, UT | $790 | $0 above |
| 5 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital | Delta, UT | $790 | $0 above |
| 6 | IHC Health Services Inc., DBA Intermountain Health Sevier Valley Hospital | Richfield, UT | $790 | $0 above |
| 7 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital | Cedar City, UT | $790 | $0 above |
| 8 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital | Tremonton, UT | $790 | $0 above |
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
- Central Valley Medical Center is the lowest-cost option at $783 - $7 below the median posted price ($790), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $790, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $3,343 to $3,343 | $3,343 |
| With insurance (commercial, average) | 15 | $1,588 to $4,394 | $3,929 |
| Without insurance (cash price) | 47 | $776 to $1,348 | $790 |
| Regence BlueCross BlueShield of Utah | 15 | $3,084 to $5,977 | $4,834 |
| Aetna | 10 | $4,280 to $6,003 | $5,602 |
| Cigna | 10 | $4,350 to $4,577 | $4,577 |
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 Utah?
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 Utah?
Across 15 Utah hospitals, the negotiated rates commercial insurers pay for knee arthroscopy average $1,588 to $4,394 per hospital, with a median near $3,929. 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 Utah?
Cash (self-pay) prices for knee arthroscopy at 47 Utah hospitals range from $776 to $1,348, with a median of $790. 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 Regence BlueCross BlueShield of Utah?
Regence BlueCross BlueShield of Utah negotiated rates for knee arthroscopy at 15 Utah hospitals range from $3,084 to $5,977, with a median near $4,834. 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 Utah?
Aetna negotiated rates for knee arthroscopy at 10 Utah hospitals range from $4,280 to $6,003, with a median near $5,602. 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 Utah?
Cigna negotiated rates for knee arthroscopy at 10 Utah hospitals range from $4,350 to $4,577, with a median near $4,577. 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 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.
- Facility fee $766–$4,048
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $949–$1,324
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
Intermountain Health dominates the Utah market with over 50% of acute care beds and its own insurance arm, SelectHealth. If you're covered by SelectHealth, the posted prices here may not apply. For commercial patients not using Intermountain-affiliated plans, prices in Utah's urban Wasatch Front markets run below the Mountain West average.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $1,422, including BRIGHAM CITY COMMUNITY HOSPITAL at $1,348, 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 $790 versus $1,136 inpatient (about 1.4× more), 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 | ~$790 |
| Deductible met - 20% coinsurance | ~$158 |
| Out-of-network provider | $1,738+ |
Frequently asked questions: knee arthroscopy costs in Utah
How much does a knee arthroscopy cost in Utah?
The typical insurer-negotiated rate is $566, with most facilities between $566 and $566 (based on 40 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Utah hospitals run $776–$1,348; 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 Utah?
Based on declared prices, the lowest posted price in our Utah data is Central Valley Medical Center in Nephi at about $783. By metro, Layton has the lowest median ($778). 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 Utah hospitals?
Typical prices vary about 89.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Utah, the median cash (self-pay) price is $790 versus a median negotiated rate of $3,929 - 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 Utah?
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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- 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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