Knee Arthroscopy Cost in Vermont (2026): Average Prices & What You'll Pay
What does a knee arthroscopy cost in Vermont?
Where you have a knee arthroscopy done in Vermont swings the bill from $898 to $2,508 for identical care. The median cash price across 11 reporting hospitals is $1,028. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Vermont, from hospital price files
- Rutland_Regional_Medical_Center · Rutland, VT $766
- Southwestern Vermont Medical Center · Bennington, VT $807
- Copley Hospital $898
All 11 facilities are listed below, free.
Where knee arthroscopy costs vary in Vermont
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.
- ✓ Surgery center or hospital: Ambulatory surgery centers and hospital outpatient departments price the same surgery differently.
- ✓ Which bills usually arrive separately, and which providers to check are in-network
- ✓ The questions to ask before you schedule, so the estimate covers everything
- ✓ A real patient billing breakdown, line by line
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Cheapest Knee Arthroscopy Providers in Vermont
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($1,028) |
|---|---|---|---|---|
| 1 | Rutland_Regional_Medical_Center | Rutland, VT | $766 | $262 below |
| 2 | Southwestern Vermont Medical Center | Bennington, VT | $807 | $221 below |
| 3 | Copley Hospital | VT | $898 | $130 below |
| 4 | Northeastern Vermont Regional Hospital, Inc. | St. Johnsbury, VT | $998 | $30 below |
| 5 | Northwestern Medical Center | VT | $1,028 | $0 above |
| 6 | NORTH COUNTRY HOSPITAL & HEALTH CENTER INC | VT | $1,175 | $147 above |
| 7 | Brattleboro Memorial Hospital | Brattleboro, VT | $2,508 | $1,480 above |
| 8 | Central Vermont Medical Center Inc | Berlin, VT | $3,047 | $2,019 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
- Rutland_Regional_Medical_Center is the lowest-cost option at $766 - $262 below the median posted price ($1,028), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,028, 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) | 11 | $365 to $4,231 | $1,039 |
| Without insurance (cash price) | 11 | $766 to $3,082 | $1,028 |
| Blue Cross and Blue Shield of Vermont | 8 | $266 to $6,433 | $2,030 |
| Cigna | 7 | $626 to $2,044 | $984 |
| Aetna | 4 | $618 to $2,794 | $1,043 |
| UnitedHealthcare | 4 | $124 to $1,179 | $424 |
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 Vermont?
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 Vermont?
Across 11 Vermont hospitals, the negotiated rates commercial insurers pay for knee arthroscopy average $365 to $4,231 per hospital, with a median near $1,039. 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 Vermont?
Cash (self-pay) prices for knee arthroscopy at 11 Vermont hospitals range from $766 to $3,082, with a median of $1,028. 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 Blue Cross and Blue Shield of Vermont?
Blue Cross and Blue Shield of Vermont negotiated rates for knee arthroscopy at 8 Vermont hospitals range from $266 to $6,433, with a median near $2,030. 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 Cigna in Vermont?
Cigna negotiated rates for knee arthroscopy at 7 Vermont hospitals range from $626 to $2,044, with a median near $984. 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 Aetna in Vermont?
Aetna negotiated rates for knee arthroscopy at 4 Vermont hospitals range from $618 to $2,794, with a median near $1,043. 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 UnitedHealthcare in Vermont?
UnitedHealthcare negotiated rates for knee arthroscopy at 4 Vermont hospitals range from $124 to $1,179, with a median near $424. 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.
- Facility fee $759–$3,269
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $766–$998
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
The University of Vermont Health Network effectively dominates Vermont's hospital market, with limited competitive alternatives statewide. Vermont's all-payer ACO model and its history of near-single-payer reform have created a more price-regulated environment than most states. Prices here are relatively compressed compared to New England neighbors, but not dramatically below the regional average.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $1,028 versus $882 inpatient, so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$1,028 |
| Deductible met - 20% coinsurance | ~$206 |
| Out-of-network provider | $2,262+ |
Frequently asked questions: knee arthroscopy costs in Vermont
How much does a knee arthroscopy cost in Vermont?
The typical insurer-negotiated rate is $601, with most facilities between $372 and $3,047 (based on 11 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Vermont hospitals run $766–$3,082; 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 Vermont?
Based on declared prices, the lowest posted price in our Vermont data is Rutland_Regional_Medical_Center in Rutland at about $766. 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 Vermont hospitals?
Typical prices vary about 8.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Vermont, the median cash (self-pay) price is $1,028 versus a median negotiated rate of $1,039 - 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 Vermont?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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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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