Cost of a Knee Replacement Surgery Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare delivery model, with critical access hospitals serving vast geographic areas, creates unique cost structures for specialized orthopedic procedures. Knee Replacement Surgery patients typically pay between $1,061 and $3,049, with a median out-of-pocket cost of $1,894 based on negotiated insurance rates. Idaho maintains 78 active Knee Replacement Surgery providers across the state, allowing patients to browse all providers and compare costs before scheduling their procedure.
Average
$2,001
Median
$1,894
Lowest
$1,061
Highest
$3,049
Providers
78
12% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,843 | $3,023 | 93 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $797 | $1,348 | 101 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $838 | $4,173 | 201 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $738 | $1,480 | 145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $719 | $1,349 | 182 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,196 | $2,021 | 96 |
| Septoplasty Nasal septum repair | 30520 | $80 | $785 | $1,422 | 122 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $388 | $679 | 96 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $438 | $690 | $1,197 | 76 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $839 | $1,484 | 93 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $581 | $1,031 | 80 |
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.
Top-Rated Hospitals in Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's healthcare costs run approximately 3% below the national average, reflecting the state's lower cost of living and reduced physician overhead compared to coastal markets. The state's sparse population density outside of the Treasure Valley creates unique access challenges that influence both pricing and availability of specialized orthopedic care.
Urban vs. Rural Provider Availability
Boise and Idaho Falls concentrate most of Idaho's orthopedic specialists, while rural counties often lack local Knee Replacement Surgery options entirely. Patients in areas like northern Idaho or the southeastern border may travel 2-3 hours for specialized care, though telehealth consultations are increasingly available for follow-up visits. This geographic disparity creates higher effective costs for rural patients when factoring in travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-based orthopedic clinics in Idaho typically charge 20-40% more than independent surgical practices due to higher facility fees and administrative overhead. Saint Alphonsus and St. Luke's Health System dominate the Boise market, while smaller regional hospitals serve outlying areas with generally lower costs. Ambulatory surgery centers offer a middle-ground option for outpatient procedures with reduced facility fees.
Insurance Market Competition in Idaho
Limited insurer competition in Idaho, with Regence BlueCross and PacificSource controlling most of the market, reduces negotiating pressure on provider rates. Rural areas often have even fewer insurance options, sometimes leaving residents with just one or two network choices for orthopedic care. This market concentration can lead to higher negotiated rates compared to more competitive state markets.
Physician Supply and Demand in Idaho
With 78 active Knee Replacement Surgery providers serving Idaho's 1.9 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. High demand for joint replacement procedures among Idaho's aging population creates longer wait times for elective surgeries, particularly in the Boise metro area. This supply-demand imbalance allows established practices to maintain premium pricing while newer providers may offer competitive rates to build patient volume.
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 Idaho
What is the average cost of a Knee Replacement Surgery visit in Idaho without insurance?
Does Idaho Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Idaho?
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 |