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Indiana

Cost of a Knee Replacement Surgery Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's healthcare market operates at approximately 6% below national averages, creating more affordable access to specialized orthopedic care across the state's diverse urban and rural communities. For Knee Replacement Surgery procedures, patients typically encounter a wide cost range with negotiated rates spanning from $90 to $4,086, though most patients experience costs closer to the median of $1,720 based on insurer agreements with Indiana's 257 active Knee Replacement Surgery providers. Patients throughout Indiana can browse all available providers to find the most cost-effective options for their specific insurance coverage and geographic location.

Average

$1,966

Median

$1,720

Lowest

$90

Highest

$4,087

Providers

257

National avg: $2,275Indiana: $1,966

14% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Indiana?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,619$3,549291
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$669$1,385294
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$90$663$1,642260
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$827$1,834351
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$757$1,804411
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,104$2,719294
Septoplasty

Nasal septum repair

30520$90$683$1,472250
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$347$649274
Inguinal Hernia Repair

Inguinal hernia repair

49505$90$627$1,448250
Mastectomy

Partial or simple mastectomy

19301$85$774$1,818273
Carpal Tunnel Surgery

Open carpal tunnel release

64721$291$559$1,070246

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 Indiana

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

5/5
91% would recommend137 patient surveys
ORTHOINDY HOSPITAL

INDIANAPOLIS, IN

5/5
90% would recommend490 patient surveys
5/5
88% would recommend149 patient surveys
PINNACLE HOSPITAL

CROWN POINT, IN

5/5
84% would recommend114 patient surveys
5/5
81% would recommend137 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 Indiana

Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower overall cost of living and competitive provider market across both urban centers and rural communities. The state's geographic position in the Midwest creates unique dynamics between major metropolitan areas like Indianapolis and Fort Wayne versus smaller cities and farming communities.

Urban vs. Rural Provider Availability

Indianapolis anchors the state's orthopedic care with multiple large health systems and specialty practices, while rural counties often rely on traveling specialists or require patients to drive significant distances for advanced joint replacement consultations. This geographic disparity can create cost advantages in competitive urban markets but may increase total expenses when factoring in travel costs for rural patients.

Facility Type and Overhead Costs

Hospital-owned orthopedic clinics associated with major Indiana health systems like IU Health and Community Health Network typically charge higher facility fees compared to independent orthopedic practices. Ambulatory surgery centers have grown throughout the state, offering lower-cost alternatives for certain procedures while maintaining high quality standards.

Insurance Market Competition in Indiana

Competition between Anthem, UHC, and MDwise creates relatively favorable negotiated rates for orthopedic services, though rural areas may have fewer insurer options. The competitive marketplace helps keep costs below national averages, particularly for specialist consultations and outpatient procedures.

Physician Supply and Demand in Indiana

With 257 active Knee Replacement Surgery providers throughout Indiana, the state maintains adequate specialist availability relative to population, though distribution favors urban areas. This reasonable supply-to-demand ratio helps moderate pricing while typically allowing patients to schedule consultations within reasonable timeframes, particularly in metropolitan areas.

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 Indiana

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

Uninsured patients in Indiana can expect consultation fees ranging from $90 to $4,086 based on negotiated rate data, with most visits falling closer to the median of $1,720. Many orthopedic practices offer self-pay discounts of 20-40% when payment is made at the time of service. Cash-pay patients should inquire about payment plans for more expensive procedures or diagnostic studies that may be recommended during the initial evaluation.

Does Indiana Medicaid cover Knee Replacement Surgery visits?

Indiana Medicaid covers orthopedic consultations for eligible beneficiaries, though the state chose not to expand Medicaid, limiting coverage to adults earning below 22% of the federal poverty level. Covered services typically include specialist visits and medically necessary diagnostic imaging, though prior authorization may be required for certain treatments. Patients should verify their eligibility and confirm that their chosen orthopedic provider accepts Indiana Medicaid before scheduling.

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

Compare costs across different facility types, as independent orthopedic practices often charge less than hospital-based clinics for consultation visits. Many providers throughout Indiana offer self-pay discounts for uninsured patients, and community health centers may provide sliding scale fees based on income. Consider traveling to competitive metropolitan markets like Indianapolis if you live in a rural area with limited provider options.

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

Initial consultations typically cost more than follow-up visits due to the comprehensive evaluation required, including detailed history, physical examination, and treatment planning. Based on the negotiated rate data showing a wide range from $90 to $4,086, new patient visits generally fall toward the higher end of this spectrum. Follow-up appointments usually involve less time and complexity, resulting in lower fees, though costs vary by provider and the extent of care needed during the visit.

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

Orthopedic consultations qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts, allowing you to pay with pre-tax dollars. This includes the consultation fee, any diagnostic imaging ordered during the visit, and prescribed treatments or medical devices. Keep detailed receipts for all orthopedic-related expenses, as the IRS requires documentation for HSA and FSA reimbursements.

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

Telemedicine consultations typically cost 20-30% less than in-person visits, though orthopedic evaluations often require physical examination and imaging review that may limit the effectiveness of virtual visits. Indiana expanded telehealth coverage during the pandemic, and many insurers continue to cover virtual orthopedic consultations for follow-up care or initial screening. However, most knee replacement evaluations will eventually require an in-person visit for comprehensive assessment and treatment planning.

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