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Georgia

Cost of a Knee Replacement Surgery Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's healthcare landscape features significant regional variations, with Atlanta's dense medical hub contrasting sharply with underserved rural counties across the state. Patients seeking Knee Replacement Surgery in Georgia typically pay between $1,131 and $5,082, with a median out-of-pocket cost of $2,136 according to negotiated insurance rates. With 2,851 active Knee Replacement Surgery providers throughout the state, patients can browse all providers in Georgia to find the most cost-effective options for their specific needs.

Average

$2,783

Median

$2,136

Lowest

$1,131

Highest

$5,082

Providers

2,851

National avg: $2,275Georgia: $2,783

22% above national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,115$2,021$5,0882,920
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$93$811$2,0053,287
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$450$854$2,0242,855
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$553$1,141$2,4902,917
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$976$2,0383,158
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,337$2,8553,043
Septoplasty

Nasal septum repair

30520$499$950$2,1902,853
Tonsillectomy

Tonsillectomy, primary or secondary

42820$196$478$9813,030
Inguinal Hernia Repair

Inguinal hernia repair

49505$421$902$1,9692,843
Mastectomy

Partial or simple mastectomy

19301$350$982$2,4733,025
Carpal Tunnel Surgery

Open carpal tunnel release

64721$344$646$1,9302,848

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 Georgia

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

5/5
94% would recommend180 patient surveys
5/5
89% would recommend103 patient surveys
5/5
85% would recommend163 patient surveys
ADVENTHEALTH MURRAY

CHATSWORTH, GA

5/5
80% would recommend122 patient surveys
5/5
80% would recommend491 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 Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living outside metropolitan Atlanta. The state's mixture of urban medical hubs and expansive rural territories creates significant disparities in both access and pricing for specialty orthopedic services.

Urban vs. Rural Provider Availability

Atlanta and its surrounding counties contain the majority of Georgia's orthopedic specialists, while rural areas often have limited or no local options for knee replacement surgery. Patients in South Georgia or mountain regions frequently travel 100+ miles to reach specialized orthopedic care, adding transportation costs to their total healthcare expenses. This geographic concentration allows urban providers to maintain higher prices due to limited competition in outlying areas.

Facility Type and Overhead Costs

Large health systems like Emory Healthcare, Piedmont Healthcare, and Augusta University Health dominate Georgia's orthopedic landscape, often charging facility fees that independent practices cannot impose. Hospital-owned orthopedic clinics typically have higher overhead costs that get passed to patients through higher consultation fees and surgical charges. Independent orthopedic surgery centers and private practices generally offer more competitive pricing but may have limited capacity for complex cases requiring hospital resources.

Insurance Market Competition in Georgia

Anthem dominates Georgia's individual insurance market while UHC and Cigna compete primarily in employer-sponsored plans, creating moderate negotiating leverage for these major carriers. Rural counties often have only one or two insurer options, reducing competitive pressure on negotiated rates with providers. The lack of a state-based insurance exchange limits transparency in plan comparisons and may contribute to higher administrative costs.

Physician Supply and Demand in Georgia

With 2,851 active providers handling knee replacement procedures, Georgia maintains adequate specialist availability in metropolitan areas but faces shortages in rural regions. This supply-demand imbalance allows urban specialists to maintain premium pricing while rural patients face longer wait times or must travel significant distances. The concentration of residency programs and fellowship training in Atlanta continues to attract new orthopedic surgeons to the metro area rather than distributing them throughout the state.

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 Georgia

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

Uninsured patients in Georgia can expect to pay between $1,131 and $5,082 for a knee replacement surgery consultation, with a median cost of $2,136 based on negotiated insurance rates. Many providers offer cash-pay discounts of 30-50% off these standard rates for uninsured patients. The final cost depends on the complexity of your case, facility type, and geographic location within Georgia.

Does Georgia Medicaid cover Knee Replacement Surgery visits?

Georgia Medicaid covers orthopedic consultations for eligible beneficiaries, but the state has not expanded Medicaid, limiting coverage to very low-income individuals and families. Adults without dependent children and earning above 44% of the federal poverty level typically don't qualify for Georgia Medicaid. Prior authorization may be required for specialty visits, and patients should verify their provider accepts Medicaid before scheduling.

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

Compare costs across different facility types, as independent practices typically charge less than hospital-owned clinics in Georgia. Ask about self-pay discounts if you're uninsured, and consider providers outside major metropolitan areas where overhead costs may be lower. Community health centers and federally qualified health centers throughout Georgia may offer sliding-scale fees based on income for orthopedic services.

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

Initial consultations typically cost between $1,131 and $5,082 with a median of $2,136 based on the comprehensive evaluation required for new patients. Follow-up visits are generally less expensive since they focus on progress monitoring rather than complete diagnostic workups. The exact cost difference depends on your insurance plan's copay structure and whether additional procedures or imaging are needed during the visit.

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

Yes, orthopedic consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay for copays, deductibles, and coinsurance related to your knee replacement surgery visit. Keep all receipts and documentation for tax purposes, as you may need to provide proof of the medical nature of the expense.

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

Telemedicine consultations typically cost 20-40% less than in-person visits, though physical examination limitations make them most suitable for follow-up appointments rather than initial evaluations. Many Georgia orthopedic practices expanded telehealth options during the pandemic and continue offering virtual consultations for medication management and surgical planning discussions. Insurance coverage for telemedicine varies by plan, so verify your benefits before scheduling a virtual appointment.

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