Knee Arthroscopy Cost in Vermont
Arthrs kne srg mnisectmy m/l
$3,859Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Vermont Medicare physician rate (2026)
-4.9% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $1,698 on the Medicare allowed amount for knee arthroscopy. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Vermont
Enter a ZIP code for your part of Vermont, whether Burlington and Chittenden County, Montpelier, Rutland, Brattleboro, or the Northeast Kingdom.
What knee arthroscopy costs at hospitals near you
Everything above is a national average. The hospital you pick in Vermont moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Vermont
Where Vermont ranks for this CPT
Knee Arthroscopy and how Vermont is priced
Vermont, with the second-smallest population in the country, is priced as one statewide locality with indices close to the national average, higher than northern New England's rural profile might suggest. Burlington and the smallest Northeast Kingdom towns share the same Medicare-approved amounts. No subdivision has ever been warranted for a state without a single large metro. The fee schedule's simplicity contrasts with the real-world challenge of delivering specialty care across the Green Mountains.
The state's academic medical center in Burlington handles most complex care and also serves northern New York across Lake Champlain, while community hospitals cover the rest of the state with limited procedure menus. Vermonters in the south and east regularly use Dartmouth-area or Boston providers over the border. An aging population, among the oldest in the nation, keeps Medicare central to the state's health economy.
This procedure: Knee arthroscopy with meniscectomy is keyhole surgery in which the surgeon inserts a small camera into the knee and trims away the torn portion of the meniscus, the cartilage shock absorber between the bones. It treats meniscal tears causing pain, catching, or locking. The procedure takes 30 to 60 minutes under general or regional anesthesia at an outpatient surgery center, and most patients walk the same day and return to desk work within days.
What Is Knee Arthroscopy?
Knee arthroscopy with meniscectomy is keyhole surgery in which the surgeon inserts a small camera into the knee and trims away the torn portion of the meniscus, the cartilage shock absorber between the bones. It treats meniscal tears causing pain, catching, or locking. The procedure takes 30 to 60 minutes under general or regional anesthesia at an outpatient surgery center, and most patients walk the same day and return to desk work within days.
What Affects the Cost
- –Ambulatory surgery centers typically charge far less for this procedure than hospital outpatient departments.
- –A meniscus repair with sutures, if the tear pattern allows one, is a different code with a longer recovery and different pricing than simple trimming.
- –The pre-operative MRI that diagnosed the tear is part of the true episode cost and may still be working through your deductible.
- –Post-operative physical therapy visits, often 4 to 12 of them, are billed per visit on top of the surgery.
- –Anesthesia bills separately, and a regional nerve block for pain control adds a line item.
- –Any additional work done through the scope at the same time, such as cartilage smoothing, can add or change surgical codes.
Questions to Ask Before Booking
- 1.Is my tear traumatic or degenerative, and would a course of physical therapy first be a reasonable and cheaper option?
- 2.Will this be a meniscectomy or a repair, and how do the costs and recovery differ?
- 3.Can we book this at a freestanding surgery center rather than the hospital?
- 4.What other procedures might you perform once you are inside the knee, and how would they change the bill?
- 5.How many therapy visits will I need afterward and at what cost per visit?
Other featured procedures in Vermont
Knee Arthroscopy in other states
Knee Arthroscopy in Vermont: questions
Vermont is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 29881 is $490.21 in an office and $490.21 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Vermont uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $98 for the office physician line or $98 for the hospital physician line in Vermont. Medigap may cover that 20%. This is not the hospital facility fee.
No. $490.21 is only the physician's share. Adding Medicare's facility payment brings the total to about $3,859 in a hospital outpatient department, or about $2,161 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Vermont ranks #18 of 51 states on the physician line (5% below the national office rate of $515.71).