Cost of a Knee Replacement Surgery Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's concentrated healthcare market, with most specialists clustered around Wilmington and Dover, creates unique pricing dynamics for Knee Replacement Surgery visits. Patients typically pay between $1,005 and $6,051, with a median out-of-pocket cost of $1,687 based on actual negotiated rates from insurance companies. Delaware maintains 78 active Knee Replacement Surgery providers across the state, giving patients multiple options to compare costs and find quality care within their network.
Average
$2,914
Median
$1,687
Lowest
$1,005
Highest
$6,051
Providers
78
28% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,574 | $6,060 | 91 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $343 | $691 | $2,135 | 83 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $640 | $2,410 | 80 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $773 | $2,073 | 81 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $622 | $1,893 | 99 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,038 | $3,201 | 83 |
| Septoplasty Nasal septum repair | 30520 | $449 | $726 | $2,160 | 78 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $154 | $319 | $698 | 82 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $330 | $602 | $1,435 | 79 |
| Mastectomy Partial or simple mastectomy | 19301 | $95 | $705 | $2,642 | 84 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $354 | $612 | $1,957 | 77 |
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 27447 — Total 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.
Why Knee Replacement Surgery Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's proximity to high-cost northeastern markets and limited provider competition within its small geographic footprint. The state's concentration of specialists in New Castle County creates pricing disparities between northern and southern Delaware communities.
Urban vs. Rural Provider Availability
Most of Delaware's orthopedic specialists practice in the Wilmington metropolitan area, creating access challenges and higher costs for residents of Sussex and Kent counties who may need to travel significant distances for specialized care. Rural patients often face additional indirect costs including time off work and transportation expenses, making the total cost of care higher despite potentially lower procedure fees. Southern Delaware has seen growth in orthopedic services, but options remain limited compared to the northern corridor.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital market, with their employed orthopedic surgeons typically charging higher facility fees than independent practices. Academic affiliations with Jefferson Health and other regional health systems can increase overhead costs that are passed on to patients through higher professional fees. Ambulatory surgery centers in Delaware often provide more cost-effective options for outpatient orthopedic procedures compared to hospital-based facilities.
Insurance Market Competition in Delaware
Highmark holds the largest market share in Delaware, followed by Aetna and UHC, creating an oligopoly that limits competitive pressure on negotiated rates with orthopedic providers. The state's small size means fewer provider network options, reducing insurers' leverage in rate negotiations compared to larger markets. Delaware's lack of a state-based insurance exchange means fewer plan options for individual purchasers, potentially limiting cost-conscious alternatives.
Physician Supply and Demand in Delaware
With 78 active Knee Replacement Surgery providers serving a population of nearly one million residents, Delaware maintains adequate orthopedic specialist availability compared to national averages. The state's proximity to major medical centers in Philadelphia and Baltimore means some complex cases are referred out of state, potentially affecting local pricing dynamics. Delaware's aging population and active lifestyle among retirees creates steady demand for joint replacement services, supporting higher specialist fees in certain markets.
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.
Frequently Asked Questions — Knee Replacement Surgery Costs in Delaware
What is the average cost of a Knee Replacement Surgery visit in Delaware without insurance?
Does Delaware Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Replacement Surgery visit in Delaware?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27447)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,559 | $4,785 |
| 2 | Rhode Island Range: $1,136 – $6,051 | $3,170 |
| 3 | Alaska Range: $1,136 – $6,451 | $3,152 |
| 4 | Massachusetts Range: $1,061 – $6,051 | $3,102 |
| 5 | Connecticut Range: $909 – $6,051 | $2,917 |
| 6 | Delaware Range: $1,005 – $6,051 | $2,914 |
| 7 | Montana Range: $92 – $6,877 | $2,879 |
| 8 | Pennsylvania Range: $909 – $6,051 | $2,837 |
| 9 | Wyoming Range: $1,657 – $4,492 | $2,807 |
| 10 | South Dakota Range: $1,099 – $5,330 | $2,798 |
| 11 | Georgia Range: $1,131 – $5,082 | $2,783 |
| 12 | New York Range: $898 – $6,051 | $2,746 |
| 13 | Minnesota Range: $873 – $5,078 | $2,705 |
| 14 | New Hampshire Range: $1,433 – $4,078 | $2,650 |
| 15 | Iowa Range: $95 – $4,753 | $2,594 |
| 16 | West Virginia Range: $1,204 – $4,734 | $2,556 |
| 17 | Nebraska Range: $1,637 – $3,009 | $2,527 |
| 18 | Washington Range: $1,606 – $3,703 | $2,474 |
| 19 | New Jersey Range: $952 – $4,588 | $2,321 |
| 20 | New Mexico Range: $1,216 – $3,606 | $2,318 |
| 21 | North Carolina Range: $1,136 – $3,785 | $2,311 |
| 22 | Maine Range: $1,713 – $2,689 | $2,297 |
| 23 | Oregon Range: $1,116 – $3,635 | $2,288 |
| 24 | District of Columbia Range: $1,061 – $3,475 | $2,286 |
| 25 | Colorado Range: $1,136 – $3,475 | $2,220 |
| 26 | North Dakota Range: $1,198 – $3,475 | $2,189 |
| 27 | Utah Range: $842 – $2,906 | $2,184 |
| 28 | Kentucky Range: $977 – $3,564 | $2,126 |
| 29 | Michigan Range: $1,136 – $3,355 | $2,121 |
| 30 | Maryland Range: $1,204 – $3,475 | $2,015 |
| 31 | Idaho Range: $1,061 – $3,049 | $2,001 |
| 32 | Indiana Range: $90 – $4,087 | $1,966 |
| 33 | Hawaii Range: $1,018 – $2,946 | $1,953 |
| 34 | Vermont Range: $958 – $3,286 | $1,900 |
| 35 | South Carolina Range: $1,060 – $3,108 | $1,898 |
| 36 | Mississippi Range: $1,039 – $3,303 | $1,895 |
| 37 | Illinois Range: $85 – $3,789 | $1,884 |
| 38 | Arkansas Range: $1,138 – $2,603 | $1,878 |
| 39 | Texas Range: $1,056 – $3,006 | $1,877 |
| 40 | California Range: $75 – $3,286 | $1,863 |
| 41 | Nevada Range: $1,136 – $2,632 | $1,853 |
| 42 | Alabama Range: $964 – $2,946 | $1,845 |
| 43 | Tennessee Range: $1,147 – $2,647 | $1,843 |
| 44 | Missouri Range: $1,272 – $2,246 | $1,811 |
| 45 | Virginia Range: $976 – $2,946 | $1,798 |
| 46 | Louisiana Range: $989 – $2,664 | $1,757 |
| 47 | Kansas Range: $1,272 – $2,223 | $1,698 |
| 48 | Ohio Range: $848 – $2,491 | $1,603 |
| 49 | Arizona Range: $1,097 – $2,276 | $1,503 |
| 50 | Oklahoma Range: $85 – $2,533 | $1,311 |
| 51 | Florida Range: $35 – $2,438 | $843 |