Cost of a Knee Replacement Surgery Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts ranks among the top states for healthcare quality but also maintains some of the nation's highest medical costs, with knee replacement procedures averaging 20% above national rates. Patients undergoing Knee Replacement Surgery in the state typically encounter negotiated insurance rates ranging from $1,061 to $6,051, with a median cost of $2,196 based on transparency data from over 1,000 active providers. The Bay State's robust network of orthopedic specialists and teaching hospitals offers patients extensive options for knee replacement care across urban centers like Boston and Worcester as well as smaller communities throughout the Pioneer Valley and Cape Cod regions.
Average
$3,102
Median
$2,196
Lowest
$1,061
Highest
$6,051
Providers
1,004
36% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $2,012 | $6,060 | 1,302 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $935 | $2,078 | 1,014 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $438 | $892 | $2,410 | 1,023 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $476 | $1,057 | $2,717 | 1,072 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $834 | $2,485 | 1,368 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $710 | $1,297 | $3,890 | 1,012 |
| Septoplasty Nasal septum repair | 30520 | $456 | $1,001 | $2,788 | 1,010 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $219 | $455 | $1,237 | 1,012 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $397 | $834 | $2,168 | 1,003 |
| Mastectomy Partial or simple mastectomy | 19301 | $350 | $988 | $2,408 | 1,009 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $721 | $1,957 | 1,008 |
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 Massachusetts
These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GREAT BARRINGTON, MA
BOSTON, MA
OAK BLUFFS, MA
BOSTON, MA
BOSTON, MA
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above national averages, driven by the state's concentration of prestigious teaching hospitals, high cost of living, and robust regulatory framework that prioritizes quality over cost containment. The Commonwealth's small geographic size means most residents can access Boston-area specialists, but this convenience comes with premium pricing typical of major metropolitan medical markets.
Urban vs. Rural Provider Availability
The Greater Boston area hosts dozens of orthopedic practices and hospital systems, creating competitive pricing in some segments while academic medical centers like Massachusetts General Hospital and Brigham and Women's command premium rates. Rural western Massachusetts and Cape Cod regions have fewer specialist options, often requiring patients to travel to Springfield, Worcester, or Boston for advanced knee replacement expertise.
Facility Type and Overhead Costs
Hospital-owned orthopedic clinics affiliated with major health systems like Mass General Brigham and Beth Israel Lahey Health typically charge facility fees that can double the cost of a consultation compared to independent practices. Community hospitals in cities like Lowell, Fall River, and Pittsfield often provide more affordable alternatives while maintaining quality care standards.
Insurance Market Competition in Massachusetts
The state's insurance market is dominated by Blue Cross Blue Shield of Massachusetts (holding nearly 60% market share), Tufts Health Plan, and Harvard Pilgrim Health Care, creating moderate competition that helps control some premium growth. These major insurers have negotiated different rate structures with orthopedic providers, meaning identical procedures can vary significantly in out-of-pocket costs depending on your specific plan and network tier.
Physician Supply and Demand in Massachusetts
With over 1,000 providers performing knee replacements across the state, Massachusetts enjoys strong orthopedic specialist availability relative to its 7 million residents. This robust supply helps moderate wait times for consultations, though the concentration of high-demand surgeons at prestigious Boston hospitals can still create scheduling bottlenecks and premium pricing for certain specialists.
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 Massachusetts
What is the average cost of a Knee Replacement Surgery visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Massachusetts?
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 |