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How much does ACL reconstruction cost?

 

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Question:

I am considering ACL reconstructive surgery - what kind of cost do I have to expect. I live in the USA.

Answer:

The answer to how much *you* will have to pay varies on many factors, in particular on whether you have health insurance and how much your insurance will cover.

In my case I was diganosed (from an MRI) that I had a torn ACL but my meniscus seemed ok according to the MRI.

During the surgery they found that the meniscus was partially torn (75% tear) and they stitched it.

Every service in this procedure is billed and paid separately:

- your doctor who orders the MRI
- the MRI
- the surgeon who performes the ACL reconstruction
- the anesthesia
- the surgeon's assistant(!)
- the hospital (facility) where it all happens
- afterwards the physical therapy

The following numbers will be first what each instance was billed at, followed in () how much I actually paid. Note that my insurance negotiated in most cases on the billable amount, e.g. the facility was billed by the hospital at $2081 for those 4 hours, my insurance negotiated it down to $1600, the insurance paid $1440 and I paid $160.

- your doctor who orders the MRI
$700 ($260)

- the MRI
fully paid by insurance

- the surgeon who performes the ACL reconstruction and meniscus repair
$2500 ($250)

- the anesthesia
$2000 ($250)

- the hospital (facility) where it all happens
$2000 ($160)

- afterwards the physical therapy
$70 ($15) per visit, expect 16-24 visits = ~ $300 co-pay


I would say that the surgery is definitely worth it if you plan to live an active lifestyle. It sure depends also on at what stage in life you are. After the surgery make sure to get the leg *fully* straight right away or you are looking into several months of painful attempts to stretch a shortened muscle. (That's what happened to me, unfortunately.)


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Comments:

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2012-08-28, 15:48:52
anonymous from Saint Catharines, Canada  
We here in Canada are taxed quite heavily but I must say this. I have had one ACL surgery with 2 MRI's and I am now scheduled to undergo the following medial and lateral meniscectomy;ACL reconstruction and repair dissecans osteochondritis (lateral femur) and my out of pocket expenses will be $0. That being said physio will be $50.00 per visit for the duration but perhaps next time I complain about that I should take a look at what the cost could be. Good luck to all.
2012-09-05, 10:04:21
anonymous from Canada  
I totally tore my ACL & PCL, and MCL in a skiing accident several years ago.

I had reconstructive surgery with two allografts to repair the ACL & PCL, and the MCL was not done as it had fused with scar tissue almost as tight as an undamaged MCL.

I had:
- 1 MRI
- 1 exploratory arthroscopic procedure (due to severity of the knee dislocation during the accident)
- several x-rays
- doppler ultrasound & consultation with a vascular surgeon (due to severity of the injury)
- about 10 pre-operative physiotherapy sessions
- the reconstructive surgery done by the #1 surgeon for this in the country (out-patient basis)
- post-op physio

My total out-of-pocket costs were:
$35 for the crutches
$20 for a bottle of Vicodin
$200 for a knee brace
$500 for physio
Most of the items above were covered by my supplemental insurance.
The cost of everything else was 100% paid for by my 'communist' health care system.

I live in Canada.
2012-10-16, 22:47:00
Ohall71 from United States  
Hello my name is Omar hall,I am from Chicago iL.iv never had the money or the health insurance to pay for the surgery.iv torn my acl 6 years ago back in highschool playing football,im only 21 so i want it done while im still young and i want to play football again.i just have one ? How much is this operation? I will save and do what ever it takes to get the cash?
2013-01-17, 00:17:13
anonymous from United States  
I have had 3 surgerys on my knee. the first two were acl Reconstructions. They were roughly $25,000-$3,0000. My 3 was a bone graft to fill in the holes the doctors had drilled. (I have no acl right now.) That surgery cost $60,000 with insurance obviously you will pay a fraction of that.
2013-01-17, 00:17:53
anonymous from United States  
I have had 3 surgerys on my knee. the first two were acl Reconstructions. They were roughly $25,000-$3,0000. My 3 was a bone graft to fill in the holes the doctors had drilled. (I have no acl right now.) That surgery cost $60,000 with insurance obviously you will pay a fraction of that.
2013-02-10, 12:32:41
anonymous from United States  
i ore my acl back in August of 2012. Kaiser is my health insurance. I made an appointment to see my primary care doctor the next day. She taught i had only torn my lcl so she told me to walk on it and prescribed physical therapy. it took two weeks to be seen in the physical therapy department by then the pain and stiffness had increased.i contacted my primary care doctor to ask for a referral to the orthopedic department. I was first seen by a phycisian's assistant who ordered x-rays; i requested an MRi in addition to the x-rays. The MRI was read 1 week later, it showed a severe acl tear. I was then referred to the orthopedic surgeon who took one look at my knee (which was stiff and swollen 6 weeks after the tear) and said it did not need surgery. He told me to return in 6 weeks. When i returned he still said i did not need an acl reconstruction. I requested a second opinion, it took 6 weeks to see another orthopedic within the Kaiser system. Two orthopedic surgeons examined my knee and both concluded the atrophy in my quadracepts was the cause of my knee giving out. none of the Kaiser orthopedics asked to see me walk. I ended up having to pay $300.00 to see a reputable orthopedic surgeon outside of the Kaiser system who right away acknowledged my knee buckling and said i needed supervised physical therapy 3 times per week and to see him in 2 months if i was still unhappy with my knee. Kaiser would not honor the letter he wrote so I ended up having to pay for physical therapy outside of the Kaiser system, of course that physical therapy was superior to Kaiser's. After two months i was still unhappy with my knee so i returned to see the orthopedic outside of Kaiser. He agreed to do the surgery but it is estimated at $20,400.00. Right about now I hate Kaiser. This injury has affected many other aspects of my life. I've had to have cortizone shots on my feet and trigger point injections on my back due to compensation pain. My injured knee gives out and I walk with a limp yet the Kaiser orthopedics say I do not need knee surgery. I am a 36 year old healthy woman, 6 months ago I had none of these issues.
2013-02-10, 12:35:17   (updated: 2013-02-10, 12:40:22)
anonymous from United States  
i ore my acl back in August of 2012. Kaiser is my health insurance. I made an appointment to see my primary care doctor the next day. She thought i had only torn my LCL so she told me to walk on it and prescribed physical therapy. it took two weeks to be seen in Kaiser's physical therapy department, by then the pain and stiffness had increased.i contacted my primary care doctor to ask for a referral to the orthopedic department. I was first seen by a phycisian's assistant who ordered x-rays; i requested an MRi in addition to the x-rays. The MRI was read 1 week later, it showed a severe partial acl tear. I was then referred to the orthopedic surgeon who took one look at my knee (which was stiff and swollen 6 weeks after the tear) and said it did not need surgery. He told me to return in 6 weeks. When i returned he still said i did not need an acl reconstruction. I requested a second opinion, it took 6 weeks to see another orthopedic within the Kaiser system. Two orthopedic surgeons examined my knee and both concluded the atrophy in my quadracepts was the cause of my knee giving out. None of the Kaiser orthopedics asked to see me walk. I ended up having to pay $300.00 to see a reputable orthopedic surgeon outside of the Kaiser system who right away acknowledged my knee buckling and said i needed supervised physical therapy 3 times per week and to see him in 2 months if i was still unhappy with my knee. Kaiser would not honor the letter he wrote so I ended up having to pay for physical therapy outside of the Kaiser system, of course that physical therapy was superior to Kaiser's and I saw tremendous improvement. After two months i was still unhappy with my knee so i returned to see the orthopedic outside of Kaiser. He agreed to do the surgery but it is estimated at $20,400.00. Right about now I hate Kaiser. This injury has affected many other aspects of my life. I've had to have cortizone shots on my feet and trigger point injections on my back due to compensation pain. My injured knee gives out and I walk with a limp yet the Kaiser orthopedics say I do not need knee surgery. I am a 36 year old healthy woman, 6 months ago I had none of these issues. It's February of 2013 and I am still dealing with the injury, trying to figure out how to pay for the surgery. I tried getting PPO insurance but my ACL tear is a pre-existing medical condition that renders me uninsurable.
2013-06-12, 11:13:49
anonymous  
ביטוח רכב השוואת מחירים
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2015-02-01, 03:31:55
anonymous  
That's way the bessett answer so far!
You are on page 11 of 11, other pages: 1 2 3 8 9 10 [11]

 

 

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