Knee Arthroscopy Cost in Virginia (2026): Average Prices & What You'll Pay
What does a knee arthroscopy cost in Virginia?
Where you have a knee arthroscopy done in Virginia swings the bill from $1,800 to $3,286 for identical care. The median cash price across 63 reporting hospitals is $3,148. 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 Virginia, from hospital price files
- RETREAT DOCTORS HOSPITAL · Richmond, VA $1,203
- TRICITIES HOSPITAL · Hopewell, VA $1,203
- PARHAM DOCTORS HOSPITAL · Richmond, VA $1,203
All 63 facilities are listed below, free.
Where knee arthroscopy costs vary in Virginia
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 Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,148) |
|---|---|---|---|---|
| 1 | RETREAT DOCTORS HOSPITAL | Richmond, VA | $1,203 | $1,945 below |
| 2 | TRICITIES HOSPITAL | Hopewell, VA | $1,203 | $1,945 below |
| 3 | PARHAM DOCTORS HOSPITAL | Richmond, VA | $1,203 | $1,945 below |
| 4 | CHIPPENHAM HOSPITAL | Chesterfield, VA | $1,203 | $1,945 below |
| 5 | JOHNSTON-WILLIS HOSPITAL | Richmond, VA | $1,203 | $1,945 below |
| 6 | HENRICO DOCTORS HOSPITAL - FOREST | Mechanicsville, VA | $1,203 | $1,945 below |
| 7 | University of Virginia Prince William Medical Center | Manassas, VA | $1,280 | $1,868 below |
| 8 | SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $1,373 | $1,775 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
- RETREAT DOCTORS HOSPITAL is the lowest-cost option at $1,203 - $1,945 below the median posted price ($3,148), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,148, 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) | — | $3,343 to $3,343 | $3,343 |
| With insurance (commercial, average) | 45 | $3,845 to $10,751 | $7,408 |
| Without insurance (cash price) | 68 | $1,203 to $10,701 | $3,148 |
| Anthem HealthKeepers | 43 | $4,119 to $10,278 | $6,070 |
| Aetna | 31 | $3,000 to $14,112 | $7,266 |
| Cigna | 28 | $3,229 to $12,044 | $5,876 |
| UnitedHealthcare | 20 | $3,000 to $17,112 | $11,103 |
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 Virginia?
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 Virginia?
Across 45 Virginia hospitals, the negotiated rates commercial insurers pay for knee arthroscopy average $3,845 to $10,751 per hospital, with a median near $7,408. 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 Virginia?
Cash (self-pay) prices for knee arthroscopy at 68 Virginia hospitals range from $1,203 to $10,701, with a median of $3,148. 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 HealthKeepers in Virginia?
Anthem HealthKeepers negotiated rates for knee arthroscopy at 43 Virginia hospitals range from $4,119 to $10,278, with a median near $6,070. 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 Virginia?
Aetna negotiated rates for knee arthroscopy at 31 Virginia hospitals range from $3,000 to $14,112, with a median near $7,266. 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 Virginia?
Cigna negotiated rates for knee arthroscopy at 28 Virginia hospitals range from $3,229 to $12,044, with a median near $5,876. 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 Virginia?
UnitedHealthcare negotiated rates for knee arthroscopy at 20 Virginia hospitals range from $3,000 to $17,112, with a median near $11,103. 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 $768–$14,035
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $754–$5,905
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.
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Why prices vary - and what it means for your coverage
A small number of hospitals (5) report prices above $12,362, including MARYVIEW HOSPITAL LLC at $14,035, 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 $3,198 versus $1,600 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 | ~$3,148 |
| Deductible met - 20% coinsurance | ~$630 |
| Out-of-network provider | $6,926+ |
Frequently asked questions: knee arthroscopy costs in Virginia
How much does a knee arthroscopy cost in Virginia?
The typical insurer-negotiated rate is $2,493, with most facilities between $1,203 and $3,098 (based on 58 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Virginia hospitals run $1,203–$10,701; 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 Virginia?
Based on declared prices, the lowest posted price in our Virginia data is RETREAT DOCTORS HOSPITAL in Richmond at about $1,203. By metro, Richmond has the lowest median ($1,203). 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 Virginia hospitals?
Typical prices vary about 2.6× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $3,148 versus a median negotiated rate of $7,408 - 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 Virginia?
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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