Search thousands of topics on CostHelper.com

BROWSE ALL TOPICS >> appliances babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business weddings
CostHelper > Health & Personal Care  > Orthopedics and Injuries > ACL Reconstruction

ACL Reconstruction Cost


How Much Does ACL Reconstruction Cost?

 
average costWith Insurance: Can Run $800-$3,000high costWithout Insurance: Usually Around $20,000-$50,000
post E-mail post Post   Comments (7)

A tear of the anterior cruciate ligament (ACL), one of the four main ligaments in the knee that connect the femur to the tibia, is one of the most common knee injuries. There is a relatively high incidence of ACL injury in athletes who participate in sports such as basketball, skiing and soccer, and studies have shown that female players have ACL injuries at higher rates than male players in some sports. Whether to get ACL reconstruction can be a difficult decision, and depends on the individual.

Typical costs:

  • For patients not covered by health insurance, the cost of ACL reconstruction, including the surgeon's fee, facility fee, anesthesia and graft, if needed, ranges from just under $20,000 to $50,000.
  • ACL reconstruction usually would be considered medically necessary and covered by health insurance.
  • For patients covered by health insurance, out-of-pocket costs typically include a hospital admission fee, copays for pre- and post-surgical doctor visits, a copay or coinsurance for the surgery and anesthesia. Out-of-pocket costs can range from $800 to $3,000 or more.
What should be included:
  • Before surgery, the patient usually must undergo several weeks of physical therapy.
  • During the operation, the surgeon will either prepare the graft, if from a cadaver or harvest it from another area of the patient's body. Then the surgeon places an arthroscope in the knee to examine the joint. Any cartilage injuries are repaired, then the surgeon removes the torn ACL stump, drills into the femur and tibia, puts the ACL graft in place and attaches it. The surgeon then checks to make sure the graft has good tension and the knee has full range of motion.
  • The American Academy of Orthopaedic Surgeons[1] offers an overview of ACL injury and treatment options, including surgery.
Additional costs:
  • Medical equipment such as a knee brace and crutches can add $500 or more to the total if you are not covered by insurance.
  • Physical therapy at $50 to $75 or more per hour can add $1,000 or more to the cost.
  • Pain medication usually is prescribed during recovery.
  • Injury or graft failure could result in the need for a second ACL reconstruction.
Discounts:
  • For surgery, most hospitals will negotiate a discounted fee for patients who pay with cash or a credit card instead of using insurance.
Shopping for acl reconstruction:
  • First, it is important to decide whether you want to have the surgery and consult with a doctor. Some people choose to wait and see if months of physical therapy can help resolve the problem. However, if you wait too long, you could develop chronic ACL deficiency where the knee becomes unstable and might give out periodically, and a doctor might be unable to operate successfully.
  • WebMD [2] offers a decision guide on whether to get ACL reconstruction surgery.
  • Your family doctor or sports medicine doctor can refer you to a board-certified orthopaedic surgeon and the American Board of Orthopaedic Surgery[3] offers a surgeon locator by state.
  • Possible complications of ACL reconstruction include: a life-threatening blood clot; infection; knee pain; knee stiffness or loss of motion, which has been reported in between 5 and 25 percent of cases; and weakness or numbness in the leg or foot.
  • ACL surgery is becoming more common in young athletes, especially girls. However, in patients not finished growing, there is a risk of growth plate injury that could lead to bone growth problems. It is possible to delay the surgery until growth is finished; however, this can be risky because waiting too long can cause degeneration and make successful surgery impossible in the future.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post E-mail post Post   Comments (7)
CostHelper News


7 Lesser-Known Discounts for the 50+ Crowd
As they age, members of the Baby Boomer generation don't like to admit that they're senior citizens, but they love getting discounts. It's kind of a quandary, because some of the best deals available are reduced prices for older folks. || Posted October 21 2013


Our Top 10 Favorite Secret Menu Items
Don't believe everything you read. Those menus posted at your favorite fast food spot or coffee stand are not the be all and end all of their offerings. || Posted October 25 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments
acl reconstruction
Amount: $0.00
Posted by: a user in ottawa, Other.Posted: November 23rd, 2014 08:11AM
Type of Treatment: acl reconstructionMedical Center: ottawa hospital
Surgery ans all related fees covered by universal health care. Wait time fir surger was less than 2 months. Long healing process but have the green light from the surgeon to play sports again. Thank god I live in Canada
Was this post helpful to you?   yes     no Report prohibited or spam
ACL RECONSTRUCTION
Amount: $500.00
Posted by: bave in brig, LA.Posted: November 1st, 2014 06:11PM
Type of Treatment: ReconstructionMedical Center: rothman
only 500 and it was done by the highest recommended doctor for it and nothing for the brace and free pt ( my dad)
Was this post helpful to you?   yes     no Report prohibited or spam
ACL Repair
Amount: $5,600.00
Posted by: Ruth193 in Carlsbad, CA.Posted: October 23rd, 2014 10:10PM
Type of Treatment: ACL RepairMedical Center: Hospital Hispano Americano
My father needed to undergo ACL repair because of a fracture he acquired from a car accident. The surgery only cost $5,600 USD because we had it done in Mexico. Included in the package are pre-operative testing and exams, related surgical costs, meals and night stay at a local hotel.
Was this post helpful to you?   yes     no Report prohibited or spam
My daughter had 2nd ACL (removal of 1st & replacmt with patella tendon)
Amount: $46,000.00
Posted by: S Hume in Jacksonville, FL.Posted: July 16th, 2012 07:07AM
Type of Treatment: Repeat ACLMedical Center: Baptist Med Ctr, Jacksonville, FL
Hosp chg $32k+. After ins disc & 80% cov, my pmt was $3,500. Dr chg $10k+. After discounts & 80% cov, I paid $1,600. Her MRI there that dr set up was a whopping $3,800! And cost ME $750 after insurance. BEWARE--NEVER have an MRI/X-ray at a hosp facility(unless emrgncy) before checking standalone ctrs for cost. Would have been under $800 in charges & less than $100 for me.All in, was over $6k for us with in-network coverage before therapy chgs.
Was this post helpful to you?   yes     no Report prohibited or spam
ACL reconstruction using same side hamstring graft
Amount: $1,916.00
Posted by: mbinct in micddletown, CT.Posted: March 6th, 2012 11:03AM
Type of Treatment: hamstring graftMedical Center: MCAOS Middletown, CT
Total procedure was about $35,000. My out of pocket for my deductible ($1100) and co-pay was $1916. That includes initial visits, Pre-op Physical Therapy, Surgery, knee brace, imobilizer, crutches, medication, follow-up appointments and post-op physical therapy.
Was this post helpful to you?   yes     no Report prohibited or spam
ACL Recocnstruction
Amount: $3,000.00
Posted by: a user in Lake Shore, MD.Posted: January 25th, 2010 06:01AM
Type of Treatment: ACL Recocnstruction AutographMedical Center: SurgCenter of Glen Burnie
ACL Reconstruction using an autograph (my own patella tendon from the injured knee). My insurance covered 90% after the copay. The remaining 10% was under $300 for each charge (MRI, surgery center, surgeon, anes, knee brace, misc). The physical therapy is covered 100% after the $15 copay for each visit. I attend PT 3x's a week which equals $180 a month and happens to be my highest expense. I look at it this way, I need my knee the rest of my life and I'm young, so I don't want to have continuing pain or problems. The expense is worth it, even with my insurance.
Was this post helpful to you?   yes     no Report prohibited or spam
ACL SURGERY
Amount: $75,000.00
Posted by: kbelle in Reidsville, GA.Posted: July 13th, 2009 11:07AM
My daughter had ACL surgery after a cheerleading accident.The pain block didn't take and we had to stay overnight following the procedure.(total 22hrs in hospital/only 1.5hrs for the surgery)
I was taken back when the the bills came in. The expense wasn't in the procedure itself but from the hospital. The facility is owned by the doctors group that did the surgery.I felt sure that when the bills were submitted through the PPO that adjustments would follow however apparently this one slipped through indetected.
MRI $1958.00
surgeon $4893.00
anesthelogist $1680.00
hospital $73662.00
therapy $2679.00
total. . . . .$84872.00
Was this post helpful to you?   yes     no Report prohibited or spam


 

Comment On Your Experience With ACL Reconstruction
 
Subject:  *
Amount Spent:  *
Type of Treatment: Medical Center: 
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  orthoinfo.aaos.org/topic.cfm?topic=A00297
  2.  www.webmd.com/a-to-z-guides/should-i-have-surgery-for-an-anterior-cruciate-ligament-acl...
  3.  /www.abos.org/find-a-certified-orthopaedic-surgeon.aspx
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Do Braces Cost? How Much Does Hip Replacement Cost? How Much Does a Mammogram Cost?

Search Thousands of Topics on CostHelper.com

 


Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Angiogram of heart
Paid: 55150.00
Had this procedure done to check heart due to abnormal stress test. Did not need any stents or any other procedure as everything was negative... [more]
-Pamela Garrett
Angiogram Cost
HELP: asbestos in furance - many questions
Paid: 0.00
I am renting out my home in Grand Rapids, MI and have received a notice from the city that the home must be inspected... [more]
-Busa
Asbestos Removal Cost
Belly
Paid: 45.00
The clamp was annoying so it took away concentration of the tiny sting of the needle. I had just turned 15 at the the time and I've had it for almost a year and it has healed fast and never given me any trouble... [more]
-Madi
Body Piercings Cost
Duckwork
Paid: 3009.00
Single family home... [more]
-Lfdykes
Ductwork Cost
2 half shafts replaced
Paid: 140.00
Bought the axles myself on ebay for 40 each, then had a mobile mechanic come to my house to do the work. It is not a hard job, but has a couple tricky parts for a subaru. Easier for a honda or toyota... [more]
-Subbie Giy
Replacing a CV Boot Cost
Even with insurance looking at going broke
Paid: 55000.00
Recently on a camping vacation my 11 year old became very sick. Took him to the closest hospital. Found out he is type 1 diabetic. Was very sick and had to be flown from Rock Springs WY, to Salt Lake City, UT. 185 mile on the ground... [more]
-Broke and confused.
Air Ambulance Cost