Cost of a Knee Replacement Surgery Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's healthcare landscape benefits from both urban medical centers in Detroit and Grand Rapids alongside expanded Medicaid coverage that serves over 680,000 residents statewide. Knee Replacement Surgery patients typically pay between $1,136 and $3,355 for their visit, with a median out-of-pocket cost of $1,872 based on negotiated insurance rates. Michigan has many active Knee Replacement Surgery providers across the state, allowing patients to browse all available options when seeking orthopedic care.
Average
$2,121
Median
$1,872
Lowest
$1,136
Highest
$3,355
Providers
1,660
7% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,749 | $2,869 | 2,018 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $776 | $1,073 | 1,788 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $753 | $1,294 | 1,677 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $430 | $1,039 | $1,565 | 1,749 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $833 | $2,021 | 2,239 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $93 | $1,316 | $1,926 | 1,724 |
| Septoplasty Nasal septum repair | 30520 | $532 | $635 | $1,072 | 1,631 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $238 | $409 | $559 | 1,670 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $736 | $1,216 | 1,658 |
| Mastectomy Partial or simple mastectomy | 19301 | $429 | $654 | $1,470 | 1,712 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $359 | $457 | $1,068 | 1,634 |
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 Michigan
These hospitals in Michigan are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ANN ARBOR, MI
CARSON CITY, MI
PAW PAW, MI
HANCOCK, MI
SHELBY, MI
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 Michigan
Michigan's healthcare costs run approximately 3% below national averages, reflecting the state's mix of competitive urban markets and lower-cost rural regions. The state's diverse geography creates significant cost variations between high-demand metropolitan areas like Detroit-Ann Arbor and smaller communities in the Upper Peninsula or northern Lower Peninsula.
Urban vs. Rural Provider Availability
Michigan's orthopedic specialists concentrate heavily in the Detroit metro area, Grand Rapids, and around University of Michigan Health in Ann Arbor, creating cost premiums in these high-demand regions. Rural counties in northern Michigan and the Upper Peninsula often have limited orthopedic access, requiring patients to travel significant distances for specialized knee care. This geographic disparity can drive up total treatment costs when factoring in travel expenses and time off work for rural patients.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices in Michigan, particularly those affiliated with major health systems like Henry Ford Health or Spectrum Health, typically charge higher facility fees than independent surgical groups. Academic medical centers such as University of Michigan Health command premium rates due to their research mission and complex case referrals. Independent orthopedic practices and ambulatory surgery centers often provide more competitive pricing for routine knee procedures and consultations.
Insurance Market Competition in Michigan
Michigan's insurance landscape features strong competition among BCBS Michigan (the dominant player), UHC, and Aetna, creating varied negotiated rates across different orthopedic providers. BCBS Michigan's market leadership often results in broader provider networks and more competitive rates for knee replacement services. Regional health plans and Medicaid managed care organizations add additional complexity to the state's insurance market, with some offering more restrictive networks but lower premiums.
Physician Supply and Demand in Michigan
Michigan has 1,660 active providers performing knee replacement procedures, indicating relatively good specialist availability compared to many other states. This adequate supply helps moderate pricing pressure, though demand remains high in urban areas where patients prefer established orthopedic practices with strong reputations. Wait times for non-urgent knee consultations typically range from 2-6 weeks in metropolitan areas, with shorter waits often available in smaller communities.
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 Michigan
What is the average cost of a Knee Replacement Surgery visit in Michigan without insurance?
Does Michigan Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Michigan?
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 |