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Ohio

Cost of a Knee Replacement Surgery Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare landscape features over 140 hospitals and a robust network of orthopedic specialists, making it a competitive market for Knee Replacement Surgery procedures. Patients typically pay between $847.96 and $2,491.43 for knee replacement procedures, with a median negotiated rate of $1,470.96 across the state's 3,206 active providers. Ohio maintains costs approximately 2% below national averages, while patients can browse all qualified Knee Replacement Surgery providers throughout the state's major metropolitan and rural regions.

Average

$1,603

Median

$1,471

Lowest

$848

Highest

$2,491

Providers

3,206

National avg: $2,275Ohio: $1,603

30% below national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Ohio?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,415$2,4913,692
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$335$613$1,0873,282
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$585$9833,234
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$85$667$1,1854,653
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$355$660$1,1854,341
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$917$1,5973,541
Septoplasty

Nasal septum repair

30520$357$592$1,1163,245
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$297$5593,518
Inguinal Hernia Repair

Inguinal hernia repair

49505$328$547$1,0393,201
Mastectomy

Partial or simple mastectomy

19301$303$598$1,1753,266
Carpal Tunnel Surgery

Open carpal tunnel release

64721$268$453$7973,211

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 Ohio

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

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 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 Ohio

Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of major metropolitan areas and extensive rural regions creates distinct pricing patterns across different communities.

Urban vs. Rural Provider Availability

Major cities like Columbus, Cleveland, and Cincinnati offer abundant orthopedic specialists, creating competitive pricing, while rural counties in southeastern and northwestern Ohio may have limited options. Patients in rural areas sometimes travel to urban centers for specialized knee procedures, though this can increase overall treatment costs including travel expenses.

Facility Type and Overhead Costs

Large health systems like Cleveland Clinic, OhioHealth, and Mercy Health dominate Ohio's orthopedic landscape, often charging facility fees for outpatient procedures. Independent orthopedic practices and ambulatory surgery centers typically offer more competitive pricing without additional facility charges.

Insurance Market Competition in Ohio

The presence of multiple major insurers including Medical Mutual, Anthem, and UHC creates competitive negotiated rates for orthopedic procedures across Ohio. This multi-insurer environment prevents any single payer from dominating rate negotiations, helping maintain moderate pricing for Knee Replacement Surgery procedures.

Physician Supply and Demand in Ohio

With 3,206 active providers offering Knee Replacement Surgery procedures, Ohio maintains adequate specialist availability relative to its population of 11.8 million residents. This healthy supply-to-demand ratio helps prevent the pricing premiums seen in physician-shortage states, while reasonable wait times keep patients from seeking more expensive emergency alternatives.

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 Ohio

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

Without insurance, Knee Replacement Surgery procedures in Ohio range from $847.96 to $2,491.43, with a median cost of $1,470.96 based on negotiated rates from over 3,200 providers. Self-pay patients often receive discounts from these published rates, potentially reducing costs by 20-40%. Many Ohio orthopedic practices offer payment plans to help manage these expenses over time.

Does Ohio Medicaid cover Knee Replacement Surgery visits?

Yes, Ohio's expanded Medicaid program covers medically necessary Knee Replacement Surgery consultations and procedures for eligible residents. Coverage includes both initial consultations and surgical procedures when conservative treatments have failed and surgery is deemed medically appropriate. Patients should verify that their chosen orthopedic surgeon accepts Ohio Medicaid, as some specialists have limited Medicaid patient capacity.

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

Compare costs across different facility types, as ambulatory surgery centers often cost less than hospital-based clinics in Ohio. Ask about self-pay discounts if you're uninsured, and consider community health centers or academic medical centers that may offer sliding-scale pricing. Rural providers sometimes offer lower rates than urban specialists, though travel costs should be factored into your decision.

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 evaluations and treatment planning requirements. While specific consultation pricing wasn't provided in our Ohio data, the median procedural rate of $1,470.96 represents the surgical component rather than office visits. Follow-up visits generally cost 30-50% less than initial consultations and focus on monitoring recovery progress.

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

Yes, both HSA and FSA funds can be used for medically necessary Knee Replacement Surgery consultations, procedures, and related medical expenses in Ohio. These tax-advantaged accounts cover orthopedic visits, imaging studies, surgical procedures, and even travel expenses for medical care. Keep all receipts and documentation for tax purposes when using HSA or FSA funds for orthopedic care.

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

Telemedicine consultations for orthopedic follow-ups typically cost 20-40% less than in-person visits in Ohio, though initial evaluations usually require physical examination. Many Ohio orthopedic practices adopted telehealth during the pandemic and continue offering virtual follow-ups for post-surgical care and conservative treatment monitoring. Insurance coverage for orthopedic telemedicine visits varies by plan, so verify coverage before scheduling virtual appointments.

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