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
12% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,124 | $1,289 | $2,667 | 3,950 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $477 | $581 | $1,083 | 3,982 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $485 | $559 | $1,591 | 3,923 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $545 | $633 | $1,355 | 3,993 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $437 | $573 | $1,238 | 4,028 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $754 | $892 | $1,779 | 4,051 |
| Septoplasty Nasal septum repair | 30520 | $461 | $617 | $1,395 | 3,925 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $226 | $271 | $607 | 3,971 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $498 | $1,079 | 3,919 |
| Mastectomy Partial or simple mastectomy | 19301 | $346 | $626 | $1,292 | 3,976 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $318 | $419 | $920 | 3,931 |
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 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.
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.
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 Maryland
What is the average cost of a Knee Replacement Surgery visit in Maryland without insurance?
Does Maryland Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Maryland?
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 |
