Logo
California

Cost of a Knee Replacement Surgery Visit
in California

Reviewed by Momentary Medical Group West PC

California's healthcare costs run approximately 18% above the national average, reflecting the state's high cost of living and concentrated provider markets. Knee Replacement Surgery costs typically range widely based on facility type and geographic location, with many active providers across the state's diverse metropolitan and rural regions. Patients can browse all available Knee Replacement Surgery providers in California to compare costs and find the most suitable option for their needs.

Average

$1,863

Median

$2,228

Lowest

$75

Highest

$3,286

Providers

3,142

National avg: $2,275California: $1,863

18% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in California?

ProcedureCPTLowMedianHighProviders
Endometrial Ablation

Cost of endometrial ablation procedures including NovaSure (hysteroscopic), thermal balloon, and cryoablation, with state-by-state pricing.

58563$245$1,904$6,978778
Chin Liposuction

Cost of chin (submental) liposuction across the US, with state-by-state pricing for both office-based and ambulatory surgery center settings.

15876$304$510$97239
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$2,021$3,0123,930
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$1,210$1,4012,015
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$80$8,7674,867
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$75$1,094$1,7146,358
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$933$1,3757,138
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,135$2,7581,473
Septoplasty

Nasal septum repair

30520$80$820$2,160897
Tonsillectomy

Tonsillectomy, primary or secondary

42820$80$265$7051,717
Inguinal Hernia Repair

Inguinal hernia repair

49505$423$975$1,2162,424
Mastectomy

Partial or simple mastectomy

19301$85$961$1,9721,786
Carpal Tunnel Surgery

Open carpal tunnel release

64721$80$261$1,9302,261

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 California

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

5/5
90% would recommend136 patient surveys
5/5
90% would recommend544 patient surveys
5/5
89% would recommend411 patient surveys
MAMMOTH HOSPITAL

MAMMOTH LAKES, CA

5/5
87% would recommend104 patient surveys
5/5
86% would recommend243 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 California

California's healthcare costs run approximately 18% above national averages, driven by the state's high cost of living, expensive real estate, and concentrated provider markets in major metropolitan areas. The Golden State's vast geographic diversity creates stark cost disparities between urban centers like San Francisco and Los Angeles versus rural Central Valley and mountain regions.

Urban vs. Rural Provider Availability

California's major metropolitan areas like the Bay Area, Los Angeles, and San Diego feature high concentrations of orthopedic surgeons and state-of-the-art surgical facilities, while rural counties in the Central Valley and northern regions face significant provider shortages. This geographic disparity forces many rural patients to travel long distances for specialized knee replacement surgery, potentially adding travel and lodging costs. Urban areas typically offer more competitive pricing due to provider density, while rural facilities may charge premium rates due to limited competition.

Facility Type and Overhead Costs

California's dominant health systems like Kaiser Permanente, Sutter Health, and Dignity Health operate numerous hospital-based outpatient centers with higher overhead costs reflected in pricing. Independent orthopedic practices and ambulatory surgery centers often provide more competitive rates for knee replacement procedures. The state's stringent regulatory environment and high real estate costs contribute to elevated facility expenses across all provider types.

Insurance Market Competition in California

Major insurers Anthem Blue Cross, Kaiser Permanente, and UnitedHealthcare dominate California's market, with Kaiser's integrated model creating unique pricing dynamics for its members. Competitive metropolitan markets like Los Angeles and San Francisco typically see better negotiated rates between insurers and providers compared to rural areas with limited insurer participation. The state's insurance exchange marketplace provides additional competition in individual markets, though employer-sponsored plans remain predominant.

Physician Supply and Demand in California

California maintains a robust supply of orthopedic surgeons with over 3,000 providers reporting Knee Replacement Surgery rates, indicating healthy competition that can help moderate pricing in major markets. However, subspecialty fellowship-trained joint replacement surgeons remain concentrated in academic medical centers and urban areas, creating access challenges in rural regions. High surgeon supply in metropolitan areas typically correlates with more competitive pricing and shorter wait times for non-urgent 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 California

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

Uninsured patients in California can expect costs ranging from $75 to over $3,200 for knee replacement consultations, with a median cost around $2,228 based on negotiated rates. These prices reflect what insurers actually pay providers, though self-pay patients may qualify for discounts. The wide range reflects differences between initial consultations, follow-up visits, and whether additional procedures like injections are performed during the visit.

Does California Medicaid cover Knee Replacement Surgery visits?

Yes, California's Medi-Cal program covers orthopedic consultations and knee replacement surgery as medically necessary services, benefiting from the state's Medicaid expansion. Patients typically need referrals from their primary care providers and may face longer wait times due to limited provider participation. Coverage includes pre-operative consultations, surgery, hospital stays, and post-operative follow-up care when performed by Medi-Cal participating providers.

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

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital-based clinics for the same procedures. Many California providers offer self-pay discounts of 20-40% for uninsured patients, and community health centers in underserved areas may provide sliding-scale fees. Consider traveling within California if necessary, as rural providers sometimes offer lower rates than urban specialists.

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

Initial knee replacement consultations typically cost significantly more than follow-up visits, as they involve comprehensive evaluation, review of imaging, and treatment planning. Based on the available data showing median costs around $2,228, follow-up visits generally cost 30-50% less than new patient consultations. The complexity of your condition and whether procedures like joint injections are performed during the visit can affect the final cost.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for orthopedic consultations and knee replacement surgery as qualified medical expenses. This includes deductibles, copays, coinsurance, and any out-of-pocket costs not covered by insurance. Keep all receipts and documentation for potential auditing purposes, and note that HSA funds can be used for qualified medical expenses throughout your lifetime.

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

Telemedicine consultations for orthopedic follow-up visits typically cost 20-30% less than in-person appointments, though initial evaluations for knee replacement usually require physical examination and imaging review. California expanded telehealth coverage during the pandemic, with many insurers now covering virtual orthopedic consultations at the same rate as in-person visits. However, pre-operative planning and post-surgical care often necessitate in-person visits for optimal outcomes.

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