How much does an anterior cruciate ligament (ACL) repair cost?

Surgical repair of the major ligament that stabilises the knee joint.

~ This pie chart was compiled using the median figure for Medibank cost, Medicare cost, Excess, and out-of-pocket costs based on data for eligible+ members.

+ The above costs for an anterior cruciate ligament (ACL) repair reflect MBS item numbers 49542 and 49544. Medibank pays benefits towards in-hospital medical services based on the MBS. 

For Medibank to pay benefits towards this procedure, your hospital cover must include Joint Reconstructions as an Included or Restricted service. For Included services, we pay benefits towards the treatment, but you may still have some out-of-pocket costs. For Restricted services, we pay the minimum amount set by the government, which can mean higher out-of-pocket costs. You must also have served the relevant waiting period(s). Ask your specialist for the MBS item numbers that apply for your treatment. 

man outdoors holding knee with his hands

No Gap ACL Reconstruction program

We’re working with participating surgeons at participating hospitals to deliver no gap ACL reconstruction procedures. Eligible members could pay no out-of-pocket costs^ for an ACL reconstruction procedure.

Check your eligibility
Things you need to know
^ There may be out-of-pocket expenses associated with outpatient appointments, such as your initial visit with a participating surgeon in their consulting rooms. An excess or per day payment may still be payable, depending on the product a member has chosen and whether they are claiming under their hospital cover for the first time in a calendar year.

While we hope you find this information helpful, please note that it is general in nature. It is not health advice, and is not tailored to meet your individual health needs. You should always consult a trusted health professional before making decisions about your health care. While we have prepared the information carefully, we can’t guarantee that it is accurate, complete or up-to-date. And while we may mention goods or services provided by others, we aren’t specifically endorsing them and can’t accept responsibility for them. For these reasons we are unable to accept responsibility for any loss that may be sustained from acting on this information (subject to applicable consumer guarantees). 

Eligible members could pay no out-of-pocket costs for a ACL repair – less hidden costs, no surprises.
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