2026 Forecast Verified

ACL Surgery (ACL Reconstruction) Cost in Pennsylvania (2026)

In line with national pricing · Regional price parity: 101.8 · PA

Pennsylvania Average
$20,360
Near national average
Typical Range
$10,180 – $30,540
National avg: $20,000
Editorial view of Pennsylvania
Regional Pricing Confidence
90% Confidence Index
The Pennsylvania Market

What Drives Pricing Here

Three factors explain most of why acl surgery (acl reconstruction) costs what it does in Pennsylvania.

Regional Price Parity

Pennsylvania's cost-of-living index sits at 101.8 — near the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

102 facilities perform this procedure in Pennsylvania — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

Pennsylvania tracks within 1.8% of the national average ($20,000) — a typical mid-market pricing environment with wide provider variance.

State Context

ACL Surgery (ACL Reconstruction) in Pennsylvania: What to Know

ACL reconstruction volume is concentrated in the eastern and central regions, with facilities in Allentown, York, and Danville leading in cases performed annually. While specific data on patients traveling out of state for ACL surgery isn't readily available, it's common for individuals to seek specialized care or be closer to family during recovery, potentially leading to some out-of-state travel. Pennsylvania previously had Certificate of Need (CON) laws, which regulated the expansion of healthcare facilities and services, but these were repealed in 1996.

If you're seeking more affordable options, consider exploring facilities outside major metropolitan areas or in neighboring states without CON laws, as these may have more competitive pricing. Also, consider that lower volume hospitals may have lower rates of subsequent revision surgery relative to higher volume hospitals. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in Pennsylvania

Pennsylvania sits near the middle of the pack for acl surgery (acl reconstruction) pricing. The cost components typically split like this.

Facility Fee

OR time and hospital staffing

$4,276 - $7,940

Most significant cost

Surgeon Fee

Expertise and experience level

$4,276 - $7,940

Implants & Supplies

$2,138 - $3,970

Post-Op Care

Recovery and aftercare

$2,138 - $3,970

Anesthesia

Anesthesiologist or CRNA fee

$1,425 - $2,647

Total Estimated Cost

Pennsylvania all-in range

$10,180 – $30,540

Financing Options

Many Pennsylvania clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $20,360 looks like:

$848/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Based on CMS Medicare data and regional price parities. Learn about our methodology →

Ranges adjusted for Pennsylvania's regional price parity (101.8). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in Pennsylvania

These Pennsylvania facilities handle the most acl surgery (acl reconstruction) cases. The negotiated rate reflects what's actually paid after insurer discounts.

Facility City Negotiated Rate Medicare Volume
Lehigh Valley Hospital Allentown $2,943 $2,331 329
Oss Orthopaedic Hospital York $2,850 $2,263 192
Geisinger Medical Center Danville $2,755 $2,184 156
Penn Presbyterian Medical Center Philadelphia $3,196 $2,543 152
Delaware County Memorial Hospital Drexel Hill $3,058 $2,428 148
Lancaster General Hospital Lancaster $2,814 $2,218 148
Surgical Institute Of Reading Wyomissing $2,856 $2,275 137
St Luke's Hospital Bethlehem Bethlehem $2,945 $2,326 131
Crozer Chester Medical Center Upland $3,056 $2,429 124
Evangelical Community Hospital Lewisburg $2,862 $2,278 115
Regional Comparison

ACL Surgery (ACL Reconstruction) Cost in Nearby States

Neighboring states offer a range of acl surgery (acl reconstruction) pricing. Pennsylvania falls in the middle of the pack.

Common Questions

Expert Answers for Pennsylvania Patients

Local regulations, insurance nuance, and surgical standards specific to Pennsylvania.

Compare Pennsylvania with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main acl surgery (acl reconstruction) cost guide.

View full acl surgery (acl reconstruction) guide
How much does acl surgery (acl reconstruction) cost in Pennsylvania?
Pennsylvania patients pay an average of $20,360 for acl surgery (acl reconstruction). Quotes from individual providers generally fall between $10,180 and $30,540, with facility fees and surgeon experience accounting for most of the variation.
Can I use insurance for acl surgery (acl reconstruction) in Pennsylvania?
For medically necessary cases, acl surgery (acl reconstruction) is usually covered. Your out-of-pocket cost in Pennsylvania will depend on your plan's deductible, copay structure, and whether your provider is in-network. Always get a pre-authorization before the procedure.
How long is recovery after acl surgery (acl reconstruction)?
Expect 42 to 180 days before you're fully back to normal after acl surgery (acl reconstruction). Recovery milestones vary by patient, but most people in Pennsylvania find they can handle light errands by day 42 and resume exercise around day 180. Your surgeon's post-op protocol will give you a more personalized timeline.
Are payment plans available for acl surgery (acl reconstruction) in Pennsylvania?
Most Pennsylvania surgeons work with financing companies that offer monthly payment plans. CareCredit and Prosper are the most common. You might also ask about cash-pay pricing — some providers knock 10-20% off the $20,360 sticker price when you pay upfront.
How do I choose a acl surgery (acl reconstruction) facility in Pennsylvania?
Compare facilities on volume (higher volume correlates with better outcomes), accreditation status, and the negotiated rate vs. what you'd pay out of pocket. In Pennsylvania, check whether an outpatient surgery center can perform your acl surgery (acl reconstruction) — ASCs typically charge 30-50% less than hospitals for the same procedure.
Is it worth traveling to another state for acl surgery (acl reconstruction)?
Crossing into West Virginia could save you $2,400 on acl surgery (acl reconstruction). That's $17,960 vs. Pennsylvania's $20,360. The key logistics to sort out: does your insurance cover West Virginia providers, and can your Pennsylvania doctor handle follow-up care after the procedure?
Is acl surgery (acl reconstruction) covered under Pennsylvania's Medicaid program?
Medicaid in Pennsylvania can cover acl surgery (acl reconstruction) when there's a documented medical need. The key is pre-authorization — your physician will need to submit clinical justification to your managed care organization before the procedure is approved.
Data Sources & References

How we calculate acl surgery (acl reconstruction) costs in Pennsylvania

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Pennsylvania's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

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