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New Jersey

Cost of a Knee Replacement Surgery Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's dense population corridor from Newark to Trenton creates one of the nation's most competitive markets for orthopedic care, with over 6,480 Knee Replacement Surgery providers serving the state's 9.3 million residents. Patients seeking knee replacement procedures typically encounter negotiated rates ranging from $952 to $4,588, with a median cost of $1,422 based on current insurer agreements with New Jersey providers. The Garden State's robust network of academic medical centers and specialty orthopedic practices means patients can browse extensive provider options throughout the state.

Average

$2,321

Median

$1,422

Lowest

$952

Highest

$4,588

Providers

6,486

National avg: $2,275New Jersey: $2,321

2% above national average

Compare Similar Procedures

How does knee replacement compare to related procedures in New Jersey?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$953$1,424$4,5906,528
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$625$1,3806,526
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$412$578$1,8456,494
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$388$664$1,8276,521
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$340$546$1,6696,585
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$1,045$2,0936,519
Septoplasty

Nasal septum repair

30520$406$566$1,4116,484
Tonsillectomy

Tonsillectomy, primary or secondary

42820$170$273$8336,523
Inguinal Hernia Repair

Inguinal hernia repair

49505$309$475$1,4356,484
Mastectomy

Partial or simple mastectomy

19301$314$558$1,4466,513
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$519$2,1196,490

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 New Jersey

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

4/5
84% would recommend907 patient surveys
3/5
81% would recommend2,632 patient surveys
3/5
78% would recommend1,326 patient surveys
3/5
77% would recommend343 patient surveys
VALLEY HOSPITAL

PARAMUS, NJ

3/5
76% would recommend1,308 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 New Jersey

New Jersey's healthcare costs run approximately 17% above national averages, reflecting the state's proximity to high-cost New York metropolitan markets and elevated commercial real estate expenses. The state's compact geography concentrates most orthopedic specialists within a 50-mile radius, creating both convenience and pricing competition for knee replacement procedures.

Urban vs. Rural Provider Availability

The densely populated Northeast corridor from Jersey City to Trenton offers abundant orthopedic surgery options, while South Jersey's more rural counties may require longer travel distances to specialty centers. Northern New Jersey benefits from overflow specialist availability from Manhattan practices, often providing more competitive pricing and shorter wait times. Cumberland and Salem counties have fewer local options, potentially driving patients toward Philadelphia-area providers.

Facility Type and Overhead Costs

Major health systems like RWJBarnabas Health, Atlantic Health System, and Hackensack Meridian Health dominate New Jersey's hospital-based orthopedic services, often charging facility fees for outpatient procedures. Independent surgery centers and physician-owned practices typically offer more transparent pricing without additional facility charges. The state's high commercial rent and malpractice insurance costs contribute to elevated baseline pricing across all provider types.

Insurance Market Competition in New Jersey

Horizon Blue Cross Blue Shield maintains the largest market share in New Jersey, followed by competitive positions from Aetna, UnitedHealthcare, and regional players like AmeriHealth. This moderate concentration allows insurers reasonable negotiating leverage with provider networks while maintaining adequate access for patients. The competitive dynamic generally produces negotiated rates that track closely with regional cost-of-living adjustments.

Physician Supply and Demand in New Jersey

With over 6,480 active Knee Replacement Surgery providers serving 9.3 million residents, New Jersey maintains a robust supply ratio that prevents significant access bottlenecks for routine consultations. This healthy supply-demand balance helps moderate pricing pressure and keeps appointment wait times manageable across most regions. The concentration of medical schools and residency programs within the state ensures continued pipeline development for orthopedic specialists.

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 New Jersey

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

Uninsured patients in New Jersey typically pay between $952 and $4,588 for knee replacement procedures, with a median cost of $1,422 based on current negotiated rates between insurers and providers. Many orthopedic practices offer self-pay discounts of 20-40% off these standard rates for patients who pay upfront or within 30 days. Surgery centers often provide the most cost-effective options with bundled pricing that includes facility and anesthesia fees.

Does New Jersey Medicaid cover Knee Replacement Surgery visits?

Yes, New Jersey expanded Medicaid covers medically necessary Knee Replacement Surgery consultations and procedures through managed care plans that contract with orthopedic specialists statewide. Patients must use participating providers within their assigned plan network to receive full coverage benefits. Prior authorization may be required for expensive imaging studies or surgical procedures, but routine consultations typically require only minimal copayments.

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

Compare costs across independent surgery centers, hospital-based clinics, and physician-owned practices, as pricing can vary significantly by facility type and location within New Jersey. Many providers offer cash-pay discounts for uninsured patients, while community health centers may provide sliding-scale fees based on income. Northern New Jersey often has more competitive pricing due to higher provider density, while rural areas may require travel to access the most cost-effective options.

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

Initial knee replacement consultations typically involve comprehensive evaluation, imaging review, and treatment planning, generally costing more than follow-up visits that focus on progress monitoring and care plan adjustments. The median procedure cost of $1,422 in New Jersey reflects the comprehensive nature of knee replacement surgery rather than simple office visits. Follow-up appointments usually cost significantly less as they require less time and fewer resources than initial diagnostic evaluations.

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

Yes, Health Savings Account and Flexible Spending Account funds can be used for medically necessary Knee Replacement Surgery consultations, procedures, and related expenses like prescribed physical therapy or medical devices. Keep detailed receipts and documentation of medical necessity for HSA/FSA reimbursement claims. Pre-procedure consultations, imaging studies, and post-operative care all qualify as eligible medical expenses under IRS guidelines.

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

Telemedicine consultations for knee replacement follow-up visits typically cost 20-50% less than in-person appointments, though initial evaluations usually require physical examination and cannot be conducted remotely. New Jersey maintains favorable telehealth reimbursement policies that encourage virtual follow-up care for appropriate cases. Many orthopedic practices now offer hybrid care models combining in-person procedures with virtual consultations for pre-operative planning and post-operative monitoring to reduce overall treatment costs.

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