Cost of a Knee Replacement Surgery Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's aging population and active outdoor lifestyle contribute to higher orthopedic care utilization, with Knee Replacement Surgery procedures showing significant cost variation across the state. Based on negotiated insurance rates, patients typically pay between $1,713 and $2,689 for Knee Replacement Surgery procedures, with a median cost around $2,488. Maine has over 1,500 active providers offering these services, reflecting robust availability despite the state's rural geography.
Average
$2,297
Median
$2,488
Lowest
$1,713
Highest
$2,689
Providers
1,522
1% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,585 | $2,491 | $2,639 | 1,529 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $643 | $1,068 | $1,123 | 1,524 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $634 | $1,054 | $1,087 | 1,528 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $746 | $1,250 | $1,286 | 1,541 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $682 | $1,144 | $1,177 | 1,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,043 | $1,716 | $1,776 | 1,529 |
| Septoplasty Nasal septum repair | 30520 | $811 | $1,310 | $1,346 | 1,526 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $342 | $573 | $578 | 1,524 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $630 | $998 | $1,022 | 1,521 |
| Mastectomy Partial or simple mastectomy | 19301 | $749 | $1,255 | $1,274 | 1,523 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $850 | $888 | 1,519 |
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 Maine
These hospitals in Maine are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AUGUSTA, ME
HOULTON, ME
BANGOR, ME
PORTLAND, ME
BAR HARBOR, ME
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 Maine
Maine's healthcare costs run approximately 12% above national averages, reflecting the state's rural geography and concentrated provider markets in urban centers like Portland and Bangor. Limited competition among health systems and higher operational costs in remote areas contribute to premium pricing for specialized orthopedic services.
Urban vs. Rural Provider Availability
Portland and southern Maine offer the highest concentration of orthopedic specialists, while northern and eastern regions rely heavily on traveling surgeons or referrals to larger centers. This geographic disparity creates both access challenges and cost variations, with rural patients often facing higher travel costs but potentially lower facility fees. Some communities depend on regional medical centers that may charge different rates than major teaching hospitals.
Facility Type and Overhead Costs
Maine Medical Center and Eastern Maine Medical Center dominate the hospital-based orthopedic market, typically charging higher facility fees than independent surgical centers. Ambulatory surgery centers in Maine often provide the same procedures at 20-30% lower costs due to reduced overhead. Some practices operate hybrid models with both office consultations and surgical center partnerships to optimize patient costs.
Insurance Market Competition in Maine
Anthem holds significant market share in Maine, with Harvard Pilgrim and UHC providing additional competition primarily in southern regions. This concentrated market can limit negotiating power for providers, sometimes resulting in lower reimbursement rates that benefit patients. Rural areas may have fewer insurer options, potentially affecting both network adequacy and negotiated rates for specialized procedures.
Physician Supply and Demand in Maine
With over 1,500 active providers offering knee replacement services, Maine shows relatively good access despite its rural nature and aging population. However, subspecialty fellowship-trained joint replacement surgeons remain concentrated in urban areas, creating supply constraints for complex cases. This specialist distribution affects both wait times and pricing, with high-demand surgeons often commanding premium rates.
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 Maine
What is the average cost of a Knee Replacement Surgery visit in Maine without insurance?
Does Maine Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Maine?
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 |