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Maryland

Cost of a Knee Replacement Surgery Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's unique hospital rate-setting system provides greater cost transparency than most states, helping patients understand what they'll pay for Knee Replacement Surgery procedures. Patients typically pay between $1,203 and $3,475 for knee replacement procedures, with a median cost of $1,365 based on negotiated insurance rates. Maryland has nearly 4,000 active Knee Replacement Surgery providers across the state, from Johns Hopkins and University of Maryland systems to independent orthopedic practices, giving patients extensive options to browse all providers in Maryland.

Average

$2,015

Median

$1,365

Lowest

$1,204

Highest

$3,475

Providers

3,921

National avg: $2,275Maryland: $2,015

12% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Maryland?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,124$1,289$2,6673,950
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$477$581$1,0833,982
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$485$559$1,5913,923
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$633$1,3553,993
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$437$573$1,2384,028
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$754$892$1,7794,051
Septoplasty

Nasal septum repair

30520$461$617$1,3953,925
Tonsillectomy

Tonsillectomy, primary or secondary

42820$226$271$6073,971
Inguinal Hernia Repair

Inguinal hernia repair

49505$381$498$1,0793,919
Mastectomy

Partial or simple mastectomy

19301$346$626$1,2923,976
Carpal Tunnel Surgery

Open carpal tunnel release

64721$318$419$9203,931

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.

Why Knee Replacement Surgery Visit Costs Vary Across Maryland

Maryland's healthcare costs run approximately 13% above the national average, driven by the state's affluent demographics and concentration of prestigious medical institutions. The state's unique hospital rate-setting system provides cost transparency but can result in higher baseline pricing compared to market-driven states.

Urban vs. Rural Provider Availability

The Baltimore-Washington corridor contains the majority of Maryland's orthopedic specialists, with over 60% of knee replacement surgeons practicing within 30 miles of these metropolitan areas. Rural counties on the Eastern Shore and Western Maryland face significant access challenges, often requiring patients to travel 1-2 hours for specialized orthopedic care. This geographic disparity creates cost variations as rural patients may need to use higher-priced academic medical centers due to limited local options.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in Maryland typically charge 25-50% more than independent surgery centers due to higher administrative overhead and facility fees. Major health systems like Johns Hopkins, University of Maryland, and MedStar dominate the market, often commanding premium pricing due to their reputation and teaching hospital status. Ambulatory surgery centers and independent orthopedic groups generally offer more competitive pricing while maintaining comparable quality outcomes.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield maintains approximately 50% market share in Maryland, with UnitedHealthcare and Aetna providing additional competition primarily in employer group markets. This relatively concentrated market gives major insurers significant negotiating power with providers, but can limit patient choice in terms of network options. The state's rate-setting authority for hospitals adds another layer of price regulation that affects orthopedic facility costs.

Physician Supply and Demand in Maryland

With nearly 4,000 active providers performing knee replacement procedures, Maryland has a robust supply of orthopedic specialists relative to its population of 6.1 million residents. This healthy provider-to-patient ratio helps contain costs and reduces wait times for non-emergency consultations to typically 1-3 weeks. The presence of multiple residency and fellowship training programs ensures a steady pipeline of new specialists entering the Maryland market.

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 Maryland

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

Self-pay patients in Maryland can expect to pay between $1,203 and $3,475 for knee replacement procedures, with a median cost of $1,365 based on actual negotiated rates. Many providers offer cash-pay discounts of 20-40% for uninsured patients who pay upfront. Independent orthopedic practices typically offer more affordable options than hospital-owned clinics for consultation visits.

Does Maryland Medicaid cover Knee Replacement Surgery visits?

Yes, Maryland expanded Medicaid in 2014, providing comprehensive coverage for knee replacement surgery and orthopedic care to eligible adults with incomes up to 138% of the federal poverty level. Medicaid typically covers both consultation visits and necessary surgical procedures, though prior authorization may be required for expensive treatments. Most major orthopedic practices in Maryland accept Medicaid patients, though appointment availability may be more limited than for private insurance.

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

Compare costs between independent surgery centers and hospital-owned practices, as ambulatory centers often charge 30-40% less for similar services. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding scale fees based on income. Federally Qualified Health Centers in Maryland provide orthopedic referrals and can help coordinate affordable specialty care.

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

Initial Knee Replacement Surgery consultations typically cost $1,203-$3,475 in Maryland based on the complexity of evaluation and diagnostic testing required. Follow-up visits generally cost significantly less, usually ranging from $200-600 depending on the extent of examination and any additional procedures performed. Most insurance plans have the same specialist copay for both initial and follow-up visits, but self-pay patients will see substantial cost differences.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for Knee Replacement Surgery visits and related expenses like copays, deductibles, and prescribed treatments. These accounts provide tax advantages for qualified medical expenses, including orthopedic consultations, imaging studies, and surgical procedures. Keep detailed records of all payments as you may need documentation for tax purposes.

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

Telemedicine consultations for follow-up visits typically cost 20-30% less than in-person appointments, though initial evaluations usually require physical examination of the knee joint. Many Maryland orthopedic practices expanded telehealth services during the pandemic and continue offering virtual consultations for medication adjustments, surgical planning discussions, and post-operative check-ins. Insurance coverage for telehealth varies by plan, but most major Maryland insurers now cover virtual orthopedic visits at the same rate as in-person consultations.

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