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Louisiana

Cost of a Knee Replacement Surgery Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's healthcare landscape reflects the state's unique challenges, with limited Medicaid expansion creating coverage gaps that affect orthopedic care access across the region. For Knee Replacement Surgery procedures, patients typically pay between $989 and $2,664, with a median out-of-pocket cost of $1,619 based on negotiated insurance rates. Louisiana maintains 863 active Knee Replacement Surgery providers, offering patients multiple options to browse all providers in Louisiana for their orthopedic needs.

Average

$1,757

Median

$1,619

Lowest

$989

Highest

$2,664

Providers

863

National avg: $2,275Louisiana: $1,757

23% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Louisiana?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$960$1,557$2,505877
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$226$617$1,345916
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$394$594$1,089867
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$473$822$1,416895
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$368$694$1,236947
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$997$1,658904
Septoplasty

Nasal septum repair

30520$399$637$1,133864
Tonsillectomy

Tonsillectomy, primary or secondary

42820$189$346$530904
Inguinal Hernia Repair

Inguinal hernia repair

49505$383$608$1,052861
Mastectomy

Partial or simple mastectomy

19301$331$636$1,229905
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$504$979865

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 Louisiana

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

5/5
93% would recommend118 patient surveys
AVALA

COVINGTON, LA

5/5
93% would recommend340 patient surveys
5/5
91% would recommend117 patient surveys
5/5
91% would recommend111 patient surveys
5/5
89% would recommend334 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 Louisiana

Louisiana's healthcare costs run approximately 1% above national averages for orthopedic procedures, reflecting the state's mixed urban-rural geography and concentrated insurance market. The state's unique blend of metropolitan medical centers and underserved rural parishes creates distinct cost patterns across different regions.

Urban vs. Rural Provider Availability

Louisiana's orthopedic specialists cluster heavily in metropolitan areas like New Orleans, Baton Rouge, and Shreveport, leaving many rural parishes with limited local access to Knee Replacement Surgery services. This geographic disparity forces rural patients to travel significant distances for specialty care, while urban markets maintain competitive pricing due to higher provider density.

Facility Type and Overhead Costs

Hospital-based orthopedic clinics in Louisiana often carry higher overhead costs than independent surgical practices, reflected in their pricing structures for consultations and procedures. Major health systems like Ochsner Health and LCMC Health operate extensive networks of hospital-affiliated specialty clinics that may charge facility fees in addition to physician charges.

Insurance Market Competition in Louisiana

Louisiana's insurance landscape features moderate competition among BCBS Louisiana, UHC, and Aetna, though regional market concentration varies across different parishes and metropolitan areas. This competitive dynamic influences negotiated rates for orthopedic services, with some insurers securing better pricing arrangements than others for Knee Replacement Surgery procedures.

Physician Supply and Demand in Louisiana

With 863 active Knee Replacement Surgery providers serving Louisiana's population of 4.6 million, the state maintains adequate specialist availability in urban areas while rural regions face persistent shortages. This supply distribution affects both pricing and wait times, with rural patients often experiencing longer delays for non-urgent orthopedic consultations compared to their urban counterparts.

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 Louisiana

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

Uninsured patients in Louisiana can expect to pay between $989 and $2,664 for Knee Replacement Surgery consultations, with a median cost of $1,619 based on negotiated insurance rates. Many providers offer self-pay discounts that can reduce these amounts by 20-40%, making cash-pay options more affordable. Payment plans are commonly available to help patients manage these costs over several months.

Does Louisiana Medicaid cover Knee Replacement Surgery visits?

Louisiana Medicaid covers medically necessary Knee Replacement Surgery consultations and procedures for eligible beneficiaries, though the state has not expanded Medicaid eligibility. Traditional Medicaid recipients include low-income families, pregnant women, and disabled individuals, while many working adults fall into the coverage gap. Prior authorization may be required for certain orthopedic procedures and imaging studies.

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

Compare costs across different facility types, as independent surgical practices often charge less than hospital-affiliated clinics for the same services. Many Louisiana providers offer significant self-pay discounts and payment plans for uninsured patients. Community health centers and federally qualified health centers throughout the state may provide lower-cost orthopedic referrals and basic musculoskeletal care.

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

Initial Knee Replacement Surgery consultations typically cost between $989 and $2,664 depending on complexity and provider, while follow-up visits generally run significantly less for established patients. The complexity of your condition and required diagnostic studies during the first visit often justify the higher initial consultation fee. Follow-up appointments focus on treatment progress and typically involve shorter visit times and lower charges.

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

Both HSA and FSA funds can be used for medically necessary Knee Replacement Surgery consultations, procedures, and related expenses like diagnostic imaging in Louisiana. These tax-advantaged accounts also cover transportation costs to medical appointments if orthopedic care requires travel to distant specialists. Keep all receipts and documentation for tax purposes when using these accounts for orthopedic expenses.

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

Telemedicine consultations for orthopedic follow-up visits typically cost 20-30% less than in-person appointments, though initial evaluations usually require physical examination. Louisiana expanded telehealth coverage during the pandemic, with many insurers continuing to reimburse virtual orthopedic consultations at comparable rates to office visits. However, diagnostic imaging and hands-on assessments still require in-person visits for most knee conditions.

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