Cost of a Knee Replacement Surgery Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare costs run approximately 5% below the national average, making the state an attractive option for patients seeking specialized orthopedic care. Knee Replacement Surgery patients typically pay between $977 and $3,564 for their procedures, with a median out-of-pocket cost of $1,837 based on negotiated insurance rates. Kentucky maintains 148 active Knee Replacement Surgery providers across the state, giving patients options to browse all providers and compare costs before scheduling their procedure.
Average
$2,126
Median
$1,837
Lowest
$977
Highest
$3,564
Providers
148
7% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $386 | $1,784 | $3,244 | 179 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $676 | $1,313 | 184 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $394 | $717 | $1,419 | 153 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $837 | $1,539 | 233 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $776 | $1,415 | 246 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $995 | $2,038 | 191 |
| Septoplasty Nasal septum repair | 30520 | $435 | $792 | $1,627 | 149 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $357 | $679 | 178 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $396 | $673 | $1,220 | 146 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $737 | $1,529 | 182 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $340 | $565 | $1,957 | 145 |
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 Kentucky
These hospitals in Kentucky are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BEREA, KY
FLEMINGSBURG, KY
LOUISA, KY
LEXINGTON, KY
CYNTHIANA, KY
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 Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and moderate provider market concentration. The Commonwealth's mix of urban medical centers and rural practices creates distinct pricing tiers, with significant cost variations between metropolitan areas and smaller communities.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's orthopedic specialists, with these metro areas offering competitive pricing due to provider density. Rural counties often have limited access to Knee Replacement Surgery specialists, requiring patients to travel to urban centers or rely on visiting specialists who may charge premium rates. Eastern Kentucky's mountainous terrain particularly limits access, creating cost disparities for patients in coal country communities.
Facility Type and Overhead Costs
Major health systems like Norton Healthcare, Baptist Health, and UK HealthCare dominate Kentucky's orthopedic market, with hospital-based practices typically charging higher facility fees. Independent orthopedic groups and ambulatory surgery centers often provide more competitive pricing, particularly in competitive markets like Jefferson County. Academic medical centers affiliated with the University of Louisville and University of Kentucky may have higher base costs but offer specialized expertise for complex cases.
Insurance Market Competition in Kentucky
Anthem Blue Cross Blue Shield holds the largest market share in Kentucky, followed by UnitedHealthcare and Humana, creating moderate insurer competition. The state's ACA marketplace offers multiple carrier options in most counties, though some rural areas have limited insurer participation affecting negotiated rates. Kentucky's lack of significant insurance regulation beyond federal requirements allows insurers more flexibility in network design and rate negotiations.
Physician Supply and Demand in Kentucky
Kentucky's 148 active Knee Replacement Surgery providers represent adequate coverage for the state's 4.5 million residents, though distribution heavily favors urban areas. This supply concentration means shorter wait times and more competitive pricing in Louisville and Lexington, while rural patients may face longer delays and higher costs. The state's aging population is increasing demand for joint replacement services, potentially tightening provider availability in coming years.
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 Kentucky
What is the average cost of a Knee Replacement Surgery visit in Kentucky without insurance?
Does Kentucky Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Kentucky?
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 |