Knee Arthroscopy Cost in West Virginia (2026): Average Prices & What You'll Pay
What does a knee arthroscopy cost in West Virginia?
Where you have a knee arthroscopy done in West Virginia swings the bill from $891 to $2,651 for identical care. The median cash price across 31 reporting hospitals is $1,362. 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 West Virginia, from hospital price files
- Webster Memorial Hospital Inc · Webster Springs, WV $778
- Broaddus Hospital Association Inc · Philippi, WV $778
- St. Marys Medical Center · Huntington, WV $790
All 31 facilities are listed below, free.
Where knee arthroscopy costs vary in West 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
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Cheapest Knee Arthroscopy Providers in West Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($1,362) |
|---|---|---|---|---|
| 1 | Webster Memorial Hospital Inc | Webster Springs, WV | $778 | $584 below |
| 2 | Broaddus Hospital Association Inc | Philippi, WV | $778 | $584 below |
| 3 | St. Marys Medical Center | Huntington, WV | $790 | $572 below |
| 4 | Cabell Huntington Hospital, Inc. | Huntington, WV | $790 | $572 below |
| 5 | Sistersville General Hospital | Sistersville, WV | $882 | $480 below |
| 6 | West Virginia Health Care Cooperative Inc. | Summersville, WV | $886 | $476 below |
| 7 | Braxton County Memorial Hospital | Gassaway, WV | $891 | $471 below |
| 8 | St. Joseph's Hospital of Buckhannon, Inc. | Buckhannon, WV | $891 | $471 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
- Webster Memorial Hospital Inc is the lowest-cost option at $778 - $584 below the median posted price ($1,362), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,362, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $3,343 to $3,343 | $3,343 |
| With insurance (commercial, average) | 19 | $693 to $8,674 | $3,998 |
| Without insurance (cash price) | 31 | $778 to $5,547 | $1,362 |
| Highmark Blue Cross Blue Shield West Virginia | 16 | $321 to $17,690 | $2,999 |
| Aetna | 7 | $526 to $8,441 | $1,071 |
| Cigna | 5 | $814 to $7,830 | $1,341 |
| UnitedHealthcare | 4 | $618 to $1,094 | $854 |
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 West 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 West Virginia?
Across 19 West Virginia hospitals, the negotiated rates commercial insurers pay for knee arthroscopy average $693 to $8,674 per hospital, with a median near $3,998. 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 West Virginia?
Cash (self-pay) prices for knee arthroscopy at 31 West Virginia hospitals range from $778 to $5,547, with a median of $1,362. 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 Highmark Blue Cross Blue Shield West Virginia?
Highmark Blue Cross Blue Shield West Virginia negotiated rates for knee arthroscopy at 16 West Virginia hospitals range from $321 to $17,690, with a median near $2,999. 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 West Virginia?
Aetna negotiated rates for knee arthroscopy at 7 West Virginia hospitals range from $526 to $8,441, with a median near $1,071. 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 West Virginia?
Cigna negotiated rates for knee arthroscopy at 5 West Virginia hospitals range from $814 to $7,830, with a median near $1,341. 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 West Virginia?
UnitedHealthcare negotiated rates for knee arthroscopy at 4 West Virginia hospitals range from $618 to $1,094, with a median near $854. 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 $757–$9,062
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $778–$8,035
- Professional fee $630–$3,368
Estimated from CMS fee schedules + commercial rate multipliers
WVU Medicine and CAMC (Charleston Area Medical Center) are the primary academic systems, with Thomas Health and Highmark's West Penn Allegheny network providing additional coverage. West Virginia has one of the lowest wage indices in the country, which depresses Medicare-adjusted rates significantly - but commercial rates don't always follow the same pattern. Many rural facilities are critical access hospitals.
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Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $6,020, including Weirton Medical Center Inc at $9,062, 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 $1,362 versus $1,113 inpatient, so where a procedure happens often matters more than which hospital you pick.
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 | ~$1,362 |
| Deductible met - 20% coinsurance | ~$272 |
| Out-of-network provider | $2,996+ |
Frequently asked questions: knee arthroscopy costs in West Virginia
How much does a knee arthroscopy cost in West Virginia?
The typical insurer-negotiated rate is $1,456, with most facilities between $306 and $3,002 (based on 24 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of West Virginia hospitals run $778–$5,547; 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 West Virginia?
Based on declared prices, the lowest posted price in our West Virginia data is Webster Memorial Hospital Inc in Webster Springs at about $778. By metro, Huntington has the lowest median ($790). 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 West Virginia hospitals?
Typical prices vary about 9.8× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In West Virginia, the median cash (self-pay) price is $1,362 versus a median negotiated rate of $3,998 - 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 West 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
- 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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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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