Knee replacement is a surgical procedure. Prices are from 2051 US hospitals across 51 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $36,483 — about 2.0× the Medicare rate ($18,054). On the higher side. A fair cash price is usually within ~2× Medicare ($36,108).
💡 Asking for the cash price instead of the $77,849 list price could save about $41,366 (53%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Bridgton Hospital | Bridgton, ME | $5,581 | $29,249 | ★ 3/5 | 118 min | — |
| Jersey City Medical Center | Jersey City, NJ | $5,589 | $6,765 | ★ 3/5 | 187 min | — |
| Iowa Specialty Hospital-Belmond | Belmond, IA | $5,767 | $9,131 | — | 88 min | — |
| Rumford Hospital | Rumford, ME | $5,828 | $29,249 | — | 104 min | — |
| Yoakum Community Hospital | Yoakum, TX | $6,790 | $9,401 | ★ 3/5 | 92 min | — |
| Wilson N Jones Regional Medical Center | Sherman, TX | $7,619 | $20,791 | ★ 2/5 | 156 min | — |
| Opelousas General Health System | Opelousas, LA | $8,373 | $2,021 | ★ 2/5 | 122 min | — |
| Perham Health | Perham, MN | $8,431 | $9,029 | ★ 3/5 | 135 min | — |
| Memorial Health Care Systems | Seward, NE | $8,761 | $4,977 | ★ 3/5 | 99 min | — |
| Oakbend Medical Center | Richmond, TX | $8,820 | $20,489 | ★ 3/5 | 105 min | — |
| San Joaquin General Hospital | French Camp, CA | $9,015 | $12,743 | ★ 2/5 | 213 min | — |
| Madison Hospital | Madison, MN | $9,105 | $10,232 | — | 108 min | — |
| T J Samson Community Hospital | Glasgow, KY | $9,696 | $14,476 | ★ 3/5 | 194 min | — |
| St Charles Parish Hospital | Luling, LA | $10,146 | $22,216 | — | 114 min | — |
| Monroe County Medical Center | Tompkinsville, KY | $10,387 | $10,027 | ★ 1/5 | 128 min | — |
| Adventist Health Delano | Delano, CA | $10,769 | $20,934 | ★ 2/5 | 150 min | — |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $10,935 | $20,171 | ★ 3/5 | 132 min | — |
| Pih Health Downey Hospital | Downey, CA | $11,186 | $13,588 | ★ 4/5 | 242 min | — |
| Montgomery County Memorial Hospital | Red Oak, IA | $11,474 | $10,490 | — | 113 min | — |
| Yalobusha General Hospital | Water Valley, MS | $11,474 | — | — | — | — |
| College Medical Center | Long Beach, CA | $12,293 | $17,522 | ★ 3/5 | 322 min | — |
| College Hospital | Cerritos, CA | $12,293 | $17,522 | — | — | — |
| Glendora Hospital | Glendora, CA | $12,293 | $17,522 | — | — | — |
| South Central Reg Med Ctr | Laurel, MS | $12,307 | $12,495 | ★ 1/5 | 128 min | — |
| Park Place Surgical Hospital | Lafayette, LA | $12,715 | $14,710 | — | — | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Knee replacement
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $36,483; Medicare pays $18,054.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| HealthPartners | 138 |
$1,680 – $45,509 |
| MultiPlan / PHCS network | 347 |
$1,196 – $41,284 |
| Aetna | 1374 |
$2,775 – $40,985 |
| Amerigroup | 154 |
$1,010 – $25,577 |
| Medicaid | 86 |
$5,986 – $20,595 |
| Humana | 1122 |
$4,363 – $48,148 |
| Workers' Comp / No-Fault | 75 |
$8,890 – $35,547 |
| Kaiser Permanente | 256 |
$4,007 – $53,134 |
| Medicare | 480 |
$12,611 – $29,333 |
| Tricare / VA | 372 |
$12,181 – $32,827 |
| Molina Healthcare | 542 |
$12,068 – $36,405 |
| Coventry | 95 |
$4,165 – $49,061 |
| Devoted Health | 342 |
$14,305 – $28,018 |
| Bright Health | 69 |
$14,978 – $34,693 |
| Anthem | 493 |
$3,169 – $41,748 |
| Cigna | 1046 |
$3,065 – $64,577 |
| UPMC Health Plan | 96 |
$9,347 – $36,173 |
| UCare | 25 |
$9,480 – $42,865 |
| MVP Health Care | 48 |
$12,017 – $52,691 |
| Geisinger | 52 |
$68 – $67,278 |
| Centene / Ambetter | 827 |
$12,641 – $38,857 |
| Sanford Health Plan | 17 |
$15,177 – $34,769 |
| UnitedHealthcare | 1511 |
$3,199 – $57,519 |
| Independent Health | 39 |
$15,040 – $35,336 |
| AmeriHealth | 169 |
$12,057 – $49,683 |
| Healthcare Highways | 49 |
$4,478 – $60,000 |
| Medica | 124 |
$7,999 – $53,267 |
| AvMed | 53 |
$2,797 – $53,067 |
| Priority Health | 44 |
$15,360 – $45,328 |
| Oscar Health | 249 |
$15,709 – $46,235 |
| Highmark | 109 |
$13,637 – $56,114 |
| Security Health Plan | 24 |
$14,737 – $63,091 |
| Health Net | 189 |
$14,699 – $91,557 |
| Harvard Pilgrim | 22 |
$17,660 – $69,168 |
| SelectHealth | 41 |
$15,201 – $54,377 |
| Univera | 10 |
$12,068 – $35,483 |
| Blue Cross Blue Shield | 1292 |
$14,096 – $69,894 |
| EmblemHealth | 82 |
$17,476 – $84,445 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Maine | $5,828 |
| Mississippi | $14,224 |
| Alabama | $16,340 |
| Minnesota | $20,041 |
| Hawaii | $20,324 |
| Nevada | $21,863 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Joseph Kanclerz, MSN, NP-C, RNFA | Nurse Practitioner | Braselton, GA | 666 |
| Alexander Sah, MD | Orthopedic Surgery | Fremont, CA | 513 |
| Manish Patel, MD,FAAOS | Orthopedic Surgery | Franklin, VA | 441 |
| Martin Roche, MD | Orthopedic Surgery | Ft. Lauderdale, FL | 411 |
| Timothy Kavanaugh, MD | Orthopedic Surgery | Scottsdale, AZ | 350 |
| Charles Decook, MD | Orthopedic Surgery | Cumming, GA | 346 |
| Megan Armstrong | Physician Assistant | Fremont, CA | 336 |
| Herman Botero, D.O. | Orthopedic Surgery | Knoxville, TN | 330 |
| Kevin Schoonover, PA-C | Physician Assistant | Knoxville, TN | 329 |
| John Dearborn, MD | Orthopedic Surgery | Menlo Park, CA | 318 |
| Yogesh Mittal, MD | Orthopedic Surgery | Tulsa, OK | 317 |
| Robert Mehrle, MD | Orthopedic Surgery | Jackson, MS | 303 |
Commonly billed under: MS-DRG 469, MS-DRG 470.
Does Medicare cover Knee replacement?
Yes — Medicare generally covers Knee replacement. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $18,054. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2051 US hospitals across 51 states, the typical (median) cash price is $36,483, versus a chargemaster (list) price around $77,849, a median insurer-negotiated rate of $24,469, a Medicare rate of about $18,054. Most cash prices fall between $16,900 and $92,083 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Knee replacement cost without insurance?
Does Medicare cover Knee replacement?
What does Medicare pay for Knee replacement?
Why do Knee replacement prices vary between hospitals?
Is the cash price lower than using insurance?
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