Cost of a Knee Replacement Surgery Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare landscape spans from major academic medical centers in St. Louis and Kansas City to rural critical access hospitals, creating significant variations in Knee Replacement Surgery costs across the state. Based on negotiated insurance rates, patients typically face out-of-pocket costs that reflect this geographic diversity, with over 5,186 active providers offering Knee Replacement Surgery services statewide. Patients can browse all Missouri providers to compare costs and find the most affordable option for their specific insurance plan and location.
Average
$1,811
Median
$1,915
Lowest
$1,272
Highest
$2,246
Providers
5,186
20% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,274 | $1,917 | $2,249 | 5,286 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $502 | $728 | $811 | 5,258 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $507 | $761 | $892 | 5,187 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $623 | $1,127 | $1,300 | 5,243 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $551 | $966 | $1,185 | 5,445 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $822 | $1,163 | $1,375 | 5,264 |
| Septoplasty Nasal septum repair | 30520 | $573 | $821 | $954 | 5,176 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $268 | $480 | $559 | 5,242 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $493 | $892 | $1,027 | 5,182 |
| Mastectomy Partial or simple mastectomy | 19301 | $516 | $824 | $946 | 5,250 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $402 | $614 | $726 | 5,183 |
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 Missouri
These hospitals in Missouri are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAMAR, MO
MONETT, MO
AURORA, MO
LEXINGTON, MO
CHILLICOTHE, MO
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 Missouri
Missouri's Knee Replacement Surgery costs run approximately 5% below national averages, reflecting the state's lower overall healthcare costs compared to coastal markets. The state's mix of major metropolitan areas and extensive rural regions creates significant cost variations across different Missouri communities.
Urban vs. Rural Provider Availability
Missouri's major metropolitan areas of St. Louis and Kansas City concentrate most high-volume Knee Replacement Surgery specialists, while rural counties often have limited orthopedic access requiring patient travel. This geographic disparity means rural Missouri residents may face higher total costs when factoring in travel and lodging expenses for knee replacement procedures. The state's extensive rural geography also limits competition in smaller markets, potentially affecting local pricing for orthopedic services.
Facility Type and Overhead Costs
Hospital-based orthopedic clinics in Missouri typically charge higher facility fees than independent surgical practices, with academic medical centers like those affiliated with Washington University and University of Missouri commanding premium rates. Many Missouri health systems have expanded into ambulatory surgery centers, offering lower-cost alternatives to traditional hospital-based knee replacement procedures. The state's regulatory environment allows for competitive pricing between different facility types, benefiting patients who can choose their surgical venue.
Insurance Market Competition in Missouri
Missouri's insurance market features moderate competition among major carriers including Anthem, UHC, and Cigna, with each negotiating different rates with Knee Replacement Surgery providers across the state. This competitive landscape generally keeps negotiated rates reasonable, though rural Missouri markets may have fewer insurer options limiting competitive pressure. The absence of Medicaid expansion has concentrated more patients in commercial insurance plans, potentially strengthening insurers' negotiating positions with orthopedic providers.
Physician Supply and Demand in Missouri
With over 5,186 active Knee Replacement Surgery providers statewide, Missouri maintains adequate orthopedic capacity in urban areas while facing shortages in rural regions. This supply distribution creates pricing pressures where high-demand specialists in St. Louis and Kansas City can command higher rates, while rural providers may offer more competitive pricing to attract patients. The state's medical schools and residency programs help maintain a steady pipeline of orthopedic surgeons, though many new graduates gravitate toward urban practices rather than rural 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 Missouri
What is the average cost of a Knee Replacement Surgery visit in Missouri without insurance?
Does Missouri Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Missouri?
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 |