How Much Does A Meniscus Tear Surgery Cost?
A meniscus tear surgery is a surgical procedure performed to correct or treat one or more of the fibrocartilage strips in the knee, known as menisci. A patient’s usual complaint when he or she tears the meniscus is swelling and pain that is on the knee. There are different causes of a tear to the meniscus, but this usually happens to athletes since they are more active. The price for meniscus tear surgery depends on the amount of damage needed to be fixed, the geographical location, the surgeon performing the procedure and inclusions in the bill.
How much is it?
- On average, the surgery can cost anywhere from $3,000 to as much as $30,000 without health insurance. Average surgeries with no complications will cost anywhere from $3,000 to $11,000.
- For those that have a health insurance policy, most policies will cover this procedure as long as it is deemed medically necessary. Check with your health insurance provider to ensure that a procedure such as this is covered.
- Procedures that are done in foreign countries such as Mexico and India can range anywhere from $3,000 to $7,000. If considering a route such as this one, be sure to do your homework before choosing a hospital. Foreign surgeries can be very risky.
- According to the site NewChoiceHealth.com, the price for the surgery ranges anywhere from $9,600 to $14,400 depending on the location. Another site such as SurgeryCosts.net states the average patient spent anywhere from $10,722 to $28,450.
- According to PlacidWay.com, torn meniscus surgery can cost an average of $9,000 which can increase to $30,000, depending on the chosen surgical procedure, location, surgeon’s fees, as well as hospitalization costs.
- HealthCareBluebook.com states that the overall cost of knee arthroscopy is $3,641. The estimated cost covers the following: physician services – $1,145; facility services – $2,037; and anesthesia services – $460. The overall cost depends on geographical location, surgeon’s fees, facility fees and anesthesia services.
What are the extra costs?
- A MRI can cost up to $992, while a doctor’s charge can cost up to $349.
- Pre-surgery exams can also be considered additional costs.
- Therapy will be needed after the surgery for the patient to regain his balance, posture and knee strength after the surgery. Every visit to the therapist can start at $80.
What is going to be included?
- Performed under a general anesthesia, the knee joint will be opened and the meniscus build-up will either be removed or repaired. Through technology, some procedures such as arthroscopic knee surgery will only require small incisions. After the surgery has been performed, physical therapy will be required for the next two to eight weeks.
- During the procedure, the surgeon will b e able to remove and repair any part of the meniscus that has been damaged. Using an arthroscope with a tube of light, the surgeon will be able to display the inside of the knee on a TV monitor. Depending on the tear, the tear can be either vertically or horizontally.
- Candidates for this type of surgery are often going to have pain when straightening your leg as well as swelling around the knee area.
Factors that influence the price:
- Facility. The facility where the surgery is performed is a major influence on the overall price of the surgery. For example, the minimum cost in an ambulatory surgical center in Walla Walla, WA is $5,900 and the maximum is $14,300. The same procedure costs $24,000 in a rural hospital in Bucyrus, OH.
- Location. Geographical location can influence the total cost of the surgical procedure. For instance, meniscus surgery can cost about $15,000 in Los Angeles and around $9,000 in Atlanta.
- Professional fees. These vary from one surgeon to another and can be based on professional experience, expertise and type of surgical procedure. Anesthesiologists also have different rates. They may also charge patients on an hourly basis.
Tips to know:
- Getting successful knee surgery can help prevent long-term complications like osteoarthritis.
- In general, arthroscopy is typically a less invasive surgical procedure and, therefore, less expensive.
- If you choose to self-insure, or pay for your own surgery, be sure to ask for quotes before deciding on a surgeon or facility. Ask for an accurate written estimate of the charges before going ahead.
How can I save money?
- The best way to save money is to have your insurance company involved with the payment. They can cover at least 60% of the total cost, which can make your out of pocket expense very minimal.
- Consider talking with at least three different hospitals. See what each one can do for you in terms of pricing. If you do not have a health insurance plan, consider paying up front with a cash payment; many hospitals will be able to give a discount to cash patients.