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Nebraska

Cost of a Knee Replacement Surgery Visit
in Nebraska

Reviewed by Momentary Medical Group West PC

Nebraska's healthcare landscape benefits from Medicaid expansion and relatively stable provider networks across both urban centers and rural communities. For Knee Replacement Surgery, patients typically pay between the negotiated insurance rates and facility-specific pricing structures, with median costs varying by location and provider type. The state maintains active Knee Replacement Surgery providers throughout its major metropolitan areas and regional medical centers, allowing patients to browse all available providers in Nebraska for cost comparison and network verification.

Average

$2,527

Median

$2,935

Lowest

$1,637

Highest

$3,009

Providers

2,178

National avg: $2,275Nebraska: $2,527

11% above national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Nebraska?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,627$2,938$3,0122,188
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$641$1,209$1,3132,182
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$655$1,174$1,2942,183
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$796$1,428$1,5262,193
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$726$1,304$1,3962,202
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$1,076$1,972$2,1642,184
Septoplasty

Nasal septum repair

30520$765$1,426$1,6272,181
Tonsillectomy

Tonsillectomy, primary or secondary

42820$347$640$7052,176
Inguinal Hernia Repair

Inguinal hernia repair

49505$637$1,131$1,2142,174
Mastectomy

Partial or simple mastectomy

19301$760$1,392$1,5292,177
Carpal Tunnel Surgery

Open carpal tunnel release

64721$513$939$1,0682,178

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.

Top-Rated Hospitals in Nebraska

These hospitals in Nebraska are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
93% would recommend266 patient surveys
5/5
92% would recommend174 patient surveys
5/5
88% would recommend136 patient surveys
5/5
87% would recommend499 patient surveys
5/5
85% would recommend297 patient surveys

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 Nebraska

Nebraska's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living and moderate provider competition across urban and rural markets. The state's geography creates distinct cost patterns between the Omaha-Lincoln corridor and smaller communities throughout the state.

Urban vs. Rural Provider Availability

Nebraska's population concentration in the eastern corridor around Omaha and Lincoln creates higher provider density and more competitive pricing in these metro areas. Rural counties often rely on regional medical centers or require patients to travel to urban areas for specialized orthopedic surgery, potentially increasing total treatment costs due to travel and lodging expenses.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers in Nebraska typically charge more than independent ambulatory surgery centers due to higher overhead costs and facility fees. The Nebraska Medical Center and CHI Health systems operate major facilities with higher costs but offer comprehensive services, while independent orthopedic practices may provide more cost-effective options for routine procedures.

Insurance Market Competition in Nebraska

BCBS Nebraska, UHC, and Aetna dominate the state's insurance market, with moderate competition helping to keep negotiated rates reasonable compared to more concentrated markets. The state's lack of an all-payer claims database limits price transparency, though the presence of multiple major insurers prevents any single payer from controlling provider reimbursement rates.

Physician Supply and Demand in Nebraska

Nebraska maintains adequate orthopedic surgeon availability relative to its population, with most specialists concentrated in the Omaha and Lincoln metropolitan areas. This reasonable supply-demand balance helps prevent the extreme pricing seen in shortage areas, though patients in rural regions may face longer wait times or need to travel for specialized knee replacement procedures.

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 Nebraska

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

Based on negotiated rates in Nebraska, Knee Replacement Surgery procedures show significant cost variation depending on the specific procedure and facility. Without insurance, patients should expect consultation fees ranging from $200-400, while the actual surgery costs can range from $1,637 to over $3,000 based on our data for CPT 27447, with a median around $2,935. Self-pay discounts may reduce these amounts by 20-40% at many Nebraska facilities.

Does Nebraska Medicaid cover Knee Replacement Surgery visits?

Yes, Nebraska's expanded Medicaid program covers medically necessary Knee Replacement Surgery for eligible adults. Prior authorization is typically required to demonstrate that conservative treatments have been attempted and that surgery is medically necessary. Coverage includes both the surgeon's fees and facility costs, though patients may have small copayments depending on their specific Medicaid plan.

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

Compare costs between hospital-based surgery centers and independent ambulatory surgery centers, as independent facilities often offer lower prices. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding scale fees. Rural Nebraska facilities sometimes have lower overhead costs than urban medical centers, making them more affordable options for appropriate candidates.

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

Initial Knee Replacement Surgery consultations typically cost more than follow-up visits due to comprehensive evaluation and treatment planning requirements. While specific consultation pricing wasn't available in our dataset, the surgical procedure costs we tracked show the significant investment involved in actual knee replacement. Follow-up visits for post-surgical care are generally much less expensive, typically ranging from $150-300 depending on the complexity of the visit.

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

Yes, both HSA and FSA funds can be used for medically necessary Knee Replacement Surgery consultations and procedures in Nebraska. This includes surgeon fees, facility charges, anesthesia costs, and related medical expenses like physical therapy. Keep all receipts and documentation, as these high-cost procedures can quickly utilize your annual HSA or FSA contribution limits.

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

Telemedicine consultations for orthopedic surgery are typically less expensive than in-person visits, ranging from $100-200 for initial evaluations. However, Knee Replacement Surgery requires physical examination and imaging studies that cannot be completed remotely, so virtual visits are mainly useful for initial consultations or post-operative follow-ups. Many Nebraska orthopedic practices adopted telehealth options during the pandemic and continue offering them for appropriate patient interactions.

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