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Connecticut

Cost of a Knee Replacement Surgery Visit
in Connecticut

Reviewed by Momentary Medical Group West PC

Connecticut's healthcare costs run approximately 14% above the national average, driven by the state's concentration of academic medical centers and high provider density along the I-95 corridor. For Knee Replacement Surgery visits in Connecticut, patients can expect significant cost variations, with 388 active providers across the state offering competitive options. Browsing all available Knee Replacement Surgery providers in Connecticut helps patients find quality care within their budget constraints.

Average

$2,917

Median

$1,791

Lowest

$909

Highest

$6,051

Providers

388

National avg: $2,275Connecticut: $2,917

28% above national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Connecticut?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$807$1,720$6,060408
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$679$2,135414
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$366$707$2,410395
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$848$1,820418
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$361$774$1,590441
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$527$1,116$3,201399
Septoplasty

Nasal septum repair

30520$432$780$2,160394
Tonsillectomy

Tonsillectomy, primary or secondary

42820$194$361$742393
Inguinal Hernia Repair

Inguinal hernia repair

49505$368$669$1,435384
Mastectomy

Partial or simple mastectomy

19301$426$836$2,642394
Carpal Tunnel Surgery

Open carpal tunnel release

64721$311$618$1,957394

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 Connecticut

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

4/5
80% would recommend767 patient surveys
SHARON HOSPITAL

SHARON, CT

4/5
76% would recommend267 patient surveys
4/5
74% would recommend1,054 patient surveys
4/5
74% would recommend678 patient surveys
4/5
73% would recommend415 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 Connecticut

Connecticut's healthcare costs consistently rank among the nation's highest, running approximately 14% above national averages due to the state's concentration of prestigious medical institutions and limited geographic competition. The state's small size paradoxically contributes to higher costs, as prestigious health systems like Yale New Haven and Hartford HealthCare face less competitive pressure than providers in larger, more diverse markets.

Urban vs. Rural Provider Availability

Connecticut's urban corridor from Greenwich to New Haven boasts exceptional orthopedic surgeon density, with some of the nation's top-ranked joint replacement programs concentrated along I-95. Rural areas in the state's northwest and northeast regions have fewer orthopedic specialists, often requiring patients to travel 30-60 minutes for specialized knee replacement consultations. This geographic disparity creates both access challenges and cost variations across the state.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices dominate Connecticut's market, with major health systems like Yale New Haven, Trinity Health, and Hartford HealthCare acquiring many independent practices over the past decade. These hospital-affiliated clinics typically charge higher facility fees and overhead costs compared to remaining independent surgical centers. Academic medical centers command premium rates due to their teaching mission and research capabilities.

Insurance Market Competition in Connecticut

While Anthem, Cigna, and UnitedHealthcare compete actively in Connecticut's individual and group insurance markets, this competition hasn't translated into lower healthcare costs for consumers. The state's wealthy demographics and concentration of high-cost academic medical centers allow providers to negotiate favorable rates with insurers. Limited geographic competition between health systems further reduces pressure to lower orthopedic surgery pricing.

Physician Supply and Demand in Connecticut

Connecticut's 388 active Knee Replacement Surgery providers represent solid availability relative to the state's population, though demand remains high due to an aging demographic and active lifestyle preferences. This adequate supply helps prevent the extreme wait times seen in some markets, though patients seeking care at prestigious academic centers may still face scheduling delays of 4-8 weeks. Provider availability varies significantly by region, with Fairfield and New Haven counties offering the most options.

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 Connecticut

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

Based on negotiated insurance rates, uninsured patients in Connecticut can expect to pay significantly more than the median negotiated rate of $1,790.97 for knee replacement procedures. Self-pay rates typically range from $2,000 to $8,000 depending on the facility and complexity of the consultation. Many Connecticut orthopedic practices offer cash-pay discounts of 20-40% to help uninsured patients manage these costs.

Does Connecticut Medicaid cover Knee Replacement Surgery visits?

Yes, Connecticut's expanded Medicaid program provides comprehensive coverage for orthopedic consultations and knee replacement surgery when medically necessary. Patients must receive care from Medicaid-participating providers, and prior authorization may be required for expensive procedures. While coverage is extensive, finding participating orthopedic surgeons can be challenging due to limited provider networks.

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

Compare costs across different facility types, as independent surgical centers often charge less than hospital-owned practices. Ask about self-pay discounts if you're uninsured, and consider community health centers in cities like Hartford or New Haven for initial consultations. Geographic location matters significantly in Connecticut, with providers outside Fairfield County typically offering more competitive rates.

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

Initial knee replacement consultations typically cost 2-3 times more than follow-up visits due to comprehensive evaluation requirements and longer appointment times. New patient visits often include imaging review and detailed treatment planning, while established patient visits focus on progress monitoring and adjustment of treatment plans. The complexity of your condition and required diagnostic tests will influence the final cost difference.

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

Yes, both HSA and FSA funds can be used for orthopedic consultations and knee replacement surgery as qualified medical expenses. This includes related costs like imaging studies, physical therapy, and medical equipment prescribed by your surgeon. Keep detailed records of all orthopedic-related expenses throughout the year, as knee replacement procedures often involve multiple appointments and services that qualify for tax-advantaged payment.

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

Telemedicine consultations for orthopedic follow-up visits typically cost 30-50% less than in-person appointments, though initial evaluations usually require physical examination. Connecticut has embraced telehealth since 2020, with many orthopedic practices offering virtual consultations for post-operative care and treatment planning. However, diagnostic imaging and physical examinations still require in-person visits, limiting telemedicine's cost-saving potential for complex knee problems.

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