Cost of a Knee Replacement Surgery Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's rural healthcare landscape creates unique cost dynamics for orthopedic care, with many patients traveling significant distances to access specialized Knee Replacement Surgery services. Patients typically pay between $1,198 and $3,475 for Knee Replacement Surgery procedures, with a median out-of-pocket cost of $1,894 based on actual negotiated rates from insurance transparency data. With 37 active Knee Replacement Surgery providers across the state, patients can browse all providers in North Dakota to find the most cost-effective option for their needs.
Average
$2,189
Median
$1,894
Lowest
$1,198
Highest
$3,475
Providers
37
4% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $91 | $91 | $2,019 | 455 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $746 | $1,609 | 41 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $331 | $752 | $1,591 | 43 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $691 | $6,146 | $6,146 | 470 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $800 | $1,767 | 55 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $610 | $1,240 | $2,597 | 40 |
| Septoplasty Nasal septum repair | 30520 | $381 | $849 | $1,627 | 42 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $237 | $399 | $820 | 38 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $437 | $709 | $1,537 | 39 |
| Mastectomy Partial or simple mastectomy | 19301 | $478 | $885 | $1,820 | 40 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $319 | $596 | $2,591 | 38 |
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.
Why Knee Replacement Surgery Visit Costs Vary Across North Dakota
North Dakota's orthopedic care costs run approximately 4% above national averages, reflecting the state's rural geography and the concentration of specialized services in Fargo and Bismarck. The challenge of maintaining orthopedic expertise across vast rural areas creates unique cost pressures that affect both patients and providers throughout the state.
Urban vs. Rural Provider Availability
The majority of North Dakota's Knee Replacement Surgery specialists practice in Fargo, Bismarck, and Grand Forks, forcing rural patients to travel 100+ miles for specialized care. This geographic concentration allows urban practices to charge premium rates while rural patients face additional costs for travel, lodging, and time off work for multiple appointments.
Facility Type and Overhead Costs
Hospital-owned orthopedic clinics in North Dakota typically charge 20-40% more than independent practices due to higher overhead costs and facility fees. Sanford Health's dominance across multiple markets gives the system significant negotiating power with insurers, often resulting in higher reimbursement rates that get passed on to patients as increased copays and deductibles.
Insurance Market Competition in North Dakota
The limited competition between BCBS ND, Sanford Health Plan, and UHC creates a relatively stable but high-cost insurance environment for orthopedic care. Sanford Health Plan's vertical integration with Sanford Health providers can create cost advantages for members but may limit choice, while BCBS ND maintains broader provider networks at potentially higher negotiated rates.
Physician Supply and Demand in North Dakota
With only 37 active Knee Replacement Surgery providers serving the entire state, North Dakota faces a moderate shortage of orthopedic specialists relative to its aging population and active agricultural workforce. This supply constraint contributes to longer wait times for non-urgent procedures and gives existing providers more pricing power, particularly for complex joint replacement surgeries that require specialized expertise.
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 North Dakota
What is the average cost of a Knee Replacement Surgery visit in North Dakota without insurance?
Does North Dakota Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in North Dakota?
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 North Dakota?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in North Dakota?
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 |