Cost of a Knee Replacement Surgery Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia maintains the nation's highest concentration of healthcare providers per capita, creating a unique competitive landscape for Knee Replacement Surgery services. Patients typically pay between negotiated insurance rates of $1,061 and $3,475, with a median out-of-pocket cost of $2,323 based on transparency data from major health plans. The district hosts 309 active Knee Replacement Surgery providers across hospital systems and specialty centers, allowing patients to browse comprehensive options within the compact metropolitan area.
Average
$2,286
Median
$2,323
Lowest
$1,061
Highest
$3,475
Providers
309
1% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,045 | $2,286 | $3,311 | 318 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $414 | $887 | $1,311 | 318 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $443 | $927 | $1,591 | 314 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $511 | $1,109 | $1,618 | 326 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $413 | $1,016 | $1,405 | 334 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $647 | $1,525 | $3,201 | 348 |
| Septoplasty Nasal septum repair | 30520 | $461 | $1,057 | $1,588 | 311 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $479 | $681 | 315 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $901 | $1,221 | 308 |
| Mastectomy Partial or simple mastectomy | 19301 | $434 | $1,066 | $1,611 | 317 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $328 | $739 | $1,686 | 310 |
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 District of Columbia
District of Columbia's healthcare costs run approximately 20% above national averages, reflecting the region's high cost of living and concentration of academic medical centers. The district's compact geography creates intense competition among providers while maintaining premium pricing due to overhead costs and physician salaries.
Urban vs. Rural Provider Availability
Unlike other states, District of Columbia faces no rural access challenges, with all residents living within the urban core and having access to multiple orthopedic options. The concentration of providers in a small geographic area creates competitive pressure but also allows facilities to maintain premium pricing due to high demand. Patients benefit from easy access to subspecialists and second opinions without traveling long distances.
Facility Type and Overhead Costs
Hospital-based orthopedic clinics affiliated with MedStar, George Washington University Hospital, and Georgetown University Hospital typically charge 30-50% more than independent practices due to higher overhead costs. Academic medical centers command premium pricing but offer access to clinical trials and fellowship-trained subspecialists in complex knee conditions. Ambulatory surgery centers provide cost-effective alternatives for routine procedures and consultations.
Insurance Market Competition in District of Columbia
CareFirst BlueCross BlueShield, United Healthcare, and Aetna dominate the district's insurance landscape, creating moderate competition that helps control negotiated rates with providers. The concentrated market allows insurers significant leverage in rate negotiations, though premium healthcare facilities can still command higher reimbursements. Federal employee health plans add another layer of competition and often secure favorable provider rates.
Physician Supply and Demand in District of Columbia
With 309 active Knee Replacement Surgery providers serving a population of approximately 700,000, District of Columbia enjoys excellent physician availability compared to national ratios. This robust supply helps moderate wait times but doesn't necessarily reduce costs due to the affluent patient base and high practice overhead expenses. The concentration of subspecialists creates healthy competition while maintaining premium pricing for complex cases.
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 District of Columbia
What is the average cost of a Knee Replacement Surgery visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in District of Columbia?
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 |