ACL Surgery (ACL Reconstruction) Cost in Rhode Island (2026)

Somewhat above the national average · RPP 104.8 · RI

Rhode Island Average

$20,960

Typical Range

$10,480 – $31,440

National Average

$20,000

▲ +4.8% above national average

ACL Surgery (ACL Reconstruction) in Rhode Island: What to Know

Rhode Island offers several locations for ACL reconstruction, with hubs in Warwick, Providence and Wakefield. Kent County Memorial Hospital in Warwick sees the highest volume. While specific data on out-of-state travel for this surgery is limited, Rhode Island's proximity to other states means you might encounter patients from nearby areas seeking care within the state. Keep in mind that new or expanded tertiary care services are subject to Rhode Island's Certificate of Need process, which regulates healthcare development.

If you have flexibility, consider exploring options outside of the main hospital systems. Ambulatory surgery centers may offer competitive pricing. Also, evaluate costs in neighboring states like Connecticut or Massachusetts, as prices and facility fees can vary. Verify current pricing directly with providers.

Estimated Cost Breakdown in Rhode Island

Rhode Island runs somewhat above the national average for acl surgery (acl reconstruction). Here's where the extra cost comes from.

Component	Estimated Range
Facility Fee	$4,402 - $8,174
Surgeon Fee	$4,402 - $8,174
Implants Supplies	$2,201 - $4,087
Post Op Care	$2,201 - $4,087
Anesthesia	$1,467 - $2,725
Total Estimated Cost	$10,480 – $31,440

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

Ranges adjusted for Rhode Island's regional price parity (104.8). See the national percentage breakdown →

Facility Costs in Rhode Island

Below are the top facilities performing acl surgery (acl reconstruction) in Rhode Island, ranked by volume. Rates shown are negotiated amounts from CMS Medicare data.

Facility	City	Negotiated Rate	Medicare Payment	Volume
Kent County Memorial Hospital	Warwick	$3,106	$2,470	83
Rhode Island Hospital	Providence	$3,052	$2,413	69
South County Hospital Inc	Wakefield	$3,071	$2,417	52
Newport Hospital	Newport	$2,991	$2,368	50
The Miriam Hospital	Providence	$2,860	$2,265	39
Roger Williams Medical Center	Providence	$3,074	$2,410	36
Our Lady Of Fatima Hospital	North Providence	$3,168	$2,518	27

ACL Surgery (ACL Reconstruction) Cost in Neighboring States

Rhode Island has the lowest acl surgery (acl reconstruction) costs in the region. Neighboring states all run higher — here's how they compare.

ACL Surgery (ACL Reconstruction) in Rhode Island: Common Questions

What should I expect to pay for acl surgery (acl reconstruction) in Rhode Island?

In Rhode Island, acl surgery (acl reconstruction) runs about $20,960 on average. Most patients pay between $10,480 and $31,440, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.

Can I use insurance for acl surgery (acl reconstruction) in Rhode Island?

Most insurance plans cover acl surgery (acl reconstruction) when it's deemed medically necessary. You'll typically need pre-authorization from your insurer, and staying in-network with a Rhode Island provider will minimize your out-of-pocket share.

When can I return to work after acl surgery (acl reconstruction)?

Full recovery from acl surgery (acl reconstruction) runs 42 to 180 days on average. Desk workers can often return sooner, while physically demanding jobs require the full recovery window. In Rhode Island, medications and follow-up appointments typically run $629 to $1,677 beyond the base procedure cost.

What payment options exist for acl surgery (acl reconstruction) in Rhode Island?

Most Rhode Island 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 $20,960 sticker price when you pay upfront.

How do I choose a acl surgery (acl reconstruction) facility in Rhode Island?

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 Rhode Island, 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.

Can Medicaid help pay for acl surgery (acl reconstruction) in Rhode Island?

If acl surgery (acl reconstruction) is deemed medically necessary, Rhode Island's Medicaid program may cover it partially or fully. You'll need your doctor to submit documentation to your plan. Elective cases without a medical justification are generally not covered.

Can I use my HSA or FSA for acl surgery (acl reconstruction)?

Medically necessary acl surgery (acl reconstruction) qualifies for HSA and FSA funds. In Rhode Island, that means you could save $4,192 to $7,336 on the $20,960 average by paying with pre-tax dollars instead of after-tax income.

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