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Alabama

Cost of a Knee Replacement Surgery Visit
in Alabama

Reviewed by Momentary Medical Group West PC

Alabama's healthcare market operates at costs roughly 8% below the national average, creating more affordable access to specialized orthopedic care across the state's diverse medical landscape. Knee Replacement Surgery patients typically encounter a range of pricing options, with many of Alabama's active orthopedic providers offering competitive rates. Patients can browse all available Knee Replacement Surgery providers throughout Alabama to compare costs and find the best match for their specific needs and insurance coverage.

Average

$1,845

Median

$1,625

Lowest

$964

Highest

$2,946

Providers

2,353

National avg: $2,275Alabama: $1,845

19% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Alabama?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,512$2,7672,636
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$418$688$1,1952,384
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$382$619$1,1652,356
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$450$822$1,4502,367
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$672$1,2082,672
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$608$1,138$1,8562,372
Septoplasty

Nasal septum repair

30520$433$687$1,3152,358
Tonsillectomy

Tonsillectomy, primary or secondary

42820$195$351$6152,367
Inguinal Hernia Repair

Inguinal hernia repair

49505$356$598$1,1112,352
Mastectomy

Partial or simple mastectomy

19301$366$652$1,2512,366
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$566$9102,356

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27447Total knee arthroplasty). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 27447 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27447 (Total knee arthroplasty), as mandated by the CMS Price Transparency Rule.

What CPT 27447 covers: the provider's professional fee for knee replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Alabama

These hospitals in Alabama are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
82% would recommend141 patient surveys
5/5
78% would recommend111 patient surveys
4/5
90% would recommend512 patient surveys
4/5
79% would recommend5,863 patient surveys
4/5
79% would recommend152 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Knee Replacement Surgery Visit Costs Vary Across Alabama

Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower overall cost of living and competitive provider market. The state's mix of urban medical centers and rural communities creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Major metropolitan areas like Birmingham, Mobile, and Huntsville concentrate most orthopedic specialists, while rural counties often face provider shortages that can affect both access and pricing. Patients in rural Alabama frequently travel to urban centers for knee replacement surgery, though some regional hospitals offer orthopedic services. This geographic distribution influences both wait times and cost structures across the state.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in Alabama typically charge higher facility fees compared to independent surgical centers, reflecting different overhead structures and billing practices. Major health systems like UAB Medicine and Mobile Infirmary operate extensive orthopedic programs with corresponding pricing models. Ambulatory surgery centers often provide more competitive pricing for outpatient procedures.

Insurance Market Competition in Alabama

BCBS Alabama's market dominance reduces insurance competition compared to other states, potentially affecting negotiated rates with orthopedic providers. The concentrated market means fewer payer options for both patients and providers, though this can sometimes create more predictable pricing structures. Limited insurer competition may result in less aggressive rate negotiations.

Physician Supply and Demand in Alabama

Alabama maintains a reasonable supply of orthopedic surgeons relative to its population, though distribution favors urban areas over rural regions. The presence of multiple orthopedic residency programs helps maintain provider supply, while demand for knee replacement surgery continues growing with an aging population. Adequate physician supply in major markets helps maintain competitive pricing for common procedures.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Knee Replacement Surgery Costs in Alabama

What is the average cost of a Knee Replacement Surgery visit in Alabama without insurance?

Without specific visit data available, knee replacement procedures in Alabama show negotiated rates ranging from $964 to $2,946 for the surgical component alone. Consultation visits typically cost significantly less, though exact amounts vary by provider and location. Most uninsured patients can expect to pay several hundred dollars for an initial orthopedic evaluation, with many practices offering cash-pay discounts.

Does Alabama Medicaid cover Knee Replacement Surgery visits?

Alabama Medicaid covers orthopedic visits and knee replacement surgery for eligible beneficiaries, though the state's decision not to expand Medicaid limits eligibility to specific groups like pregnant women, children, and disabled individuals. Traditional Medicaid recipients can access orthopedic care through the state's provider network. Prior authorization may be required for expensive procedures, and patients should verify their specific coverage details before scheduling.

How do I find an affordable Knee Replacement Surgery near me in Alabama?

Compare costs across different facility types, as independent orthopedic practices often charge less than hospital-owned clinics for the same services. Many Alabama providers offer cash-pay discounts for uninsured patients, and some community health centers provide sliding-scale fees based on income. Consider traveling to nearby cities if significant cost differences exist, as Alabama's compact geography makes this practical for many patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial orthopedic consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. While specific visit pricing data isn't available, new patient evaluations generally involve more time and documentation than established patient visits. Follow-up appointments for monitoring recovery or adjusting treatment plans usually cost 30-50% less than initial consultations.

Can I use an HSA or FSA to pay for a Knee Replacement Surgery visit in Alabama?

Yes, both HSA and FSA funds can cover orthopedic consultations and knee replacement surgery as qualified medical expenses under IRS guidelines. These tax-advantaged accounts can pay for surgeon fees, facility charges, and related medical costs like imaging studies or physical therapy. Keep all receipts for tax purposes, as documentation requirements apply to FSA and HSA expenditures.

How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Alabama?

Telemedicine consultations for orthopedic follow-up visits typically cost less than in-person appointments, though initial knee evaluations usually require physical examination. Alabama providers increasingly offer virtual visits for post-surgical monitoring and routine follow-ups, often at reduced rates compared to office visits. Insurance coverage for telehealth varies by plan, though many Alabama insurers expanded coverage during the pandemic and continue to offer these benefits.

Click a state to compare costs

Average Visit Cost

$843
$4,785

Office visit (CPT 27447)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$10,559
$4,785
2Rhode Island
Range: $1,136$6,051
$3,170
3Alaska
Range: $1,136$6,451
$3,152
4Massachusetts
Range: $1,061$6,051
$3,102
5Connecticut
Range: $909$6,051
$2,917
6Delaware
Range: $1,005$6,051
$2,914
7Montana
Range: $92$6,877
$2,879
8Pennsylvania
Range: $909$6,051
$2,837
9Wyoming
Range: $1,657$4,492
$2,807
10South Dakota
Range: $1,099$5,330
$2,798
11Georgia
Range: $1,131$5,082
$2,783
12New York
Range: $898$6,051
$2,746
13Minnesota
Range: $873$5,078
$2,705
14New Hampshire
Range: $1,433$4,078
$2,650
15Iowa
Range: $95$4,753
$2,594
16West Virginia
Range: $1,204$4,734
$2,556
17Nebraska
Range: $1,637$3,009
$2,527
18Washington
Range: $1,606$3,703
$2,474
19New Jersey
Range: $952$4,588
$2,321
20New Mexico
Range: $1,216$3,606
$2,318
21North Carolina
Range: $1,136$3,785
$2,311
22Maine
Range: $1,713$2,689
$2,297
23Oregon
Range: $1,116$3,635
$2,288
24District of Columbia
Range: $1,061$3,475
$2,286
25Colorado
Range: $1,136$3,475
$2,220
26North Dakota
Range: $1,198$3,475
$2,189
27Utah
Range: $842$2,906
$2,184
28Kentucky
Range: $977$3,564
$2,126
29Michigan
Range: $1,136$3,355
$2,121
30Maryland
Range: $1,204$3,475
$2,015
31Idaho
Range: $1,061$3,049
$2,001
32Indiana
Range: $90$4,087
$1,966
33Hawaii
Range: $1,018$2,946
$1,953
34Vermont
Range: $958$3,286
$1,900
35South Carolina
Range: $1,060$3,108
$1,898
36Mississippi
Range: $1,039$3,303
$1,895
37Illinois
Range: $85$3,789
$1,884
38Arkansas
Range: $1,138$2,603
$1,878
39Texas
Range: $1,056$3,006
$1,877
40California
Range: $75$3,286
$1,863
41Nevada
Range: $1,136$2,632
$1,853
42Alabama
Range: $964$2,946
$1,845
43Tennessee
Range: $1,147$2,647
$1,843
44Missouri
Range: $1,272$2,246
$1,811
45Virginia
Range: $976$2,946
$1,798
46Louisiana
Range: $989$2,664
$1,757
47Kansas
Range: $1,272$2,223
$1,698
48Ohio
Range: $848$2,491
$1,603
49Arizona
Range: $1,097$2,276
$1,503
50Oklahoma
Range: $85$2,533
$1,311
51Florida
Range: $35$2,438
$843
Knee Replacement in Other States