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Oregon

Cost of a Knee Replacement Surgery Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare costs run approximately 9% above national averages, reflecting the state's concentration of providers in the Portland metro area and rural access challenges. Knee Replacement Surgery patients typically pay between $1,115 and $3,636, with a median out-of-pocket cost of $2,114 based on negotiated insurance rates. Oregon maintains 165 active Knee Replacement Surgery providers across the state, allowing patients to browse multiple options when seeking orthopedic care.

Average

$2,288

Median

$2,114

Lowest

$1,116

Highest

$3,635

Providers

165

National avg: $2,275Oregon: $2,288

1% above national average

Compare Similar Procedures

How does knee replacement compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,921$3,637201
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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.

Why Knee Replacement Surgery Visit Costs Vary Across Oregon

Oregon's healthcare costs run 9% above national averages, driven by the state's geographic challenges and concentration of specialty services in urban areas. The Cascade Range effectively divides the state into distinct healthcare markets, with limited competition in rural eastern Oregon contributing to higher prices.

Urban vs. Rural Provider Availability

The Portland metro area contains over 60% of Oregon's orthopedic surgeons, creating a competitive market with more pricing options for knee replacement services. Rural counties east of the Cascades often have limited or no local orthopedic coverage, forcing patients to travel long distances and potentially pay travel-related costs. This geographic disparity contributes to both higher costs and longer wait times in underserved regions.

Facility Type and Overhead Costs

Oregon Health & Science University and Legacy Health dominate the Portland market, operating hospital-based orthopedic clinics that typically charge facility fees in addition to physician services. Independent orthopedic practices and ambulatory surgery centers throughout the state often provide the same services at lower total costs due to reduced overhead expenses. The growing presence of specialty orthopedic hospitals has increased competition and created more transparent pricing options.

Insurance Market Competition in Oregon

Regence Blue Cross Blue Shield, PacificSource, and UnitedHealthcare compete actively across most of Oregon, creating relatively favorable negotiated rates for orthopedic services. Rural areas may have limited insurer options, reducing competitive pressure on provider rates. The state's emphasis on coordinated care organizations for Medicaid has created additional pricing transparency and cost control measures.

Physician Supply and Demand in Oregon

With 165 active Knee Replacement Surgery providers serving 4.2 million residents, Oregon maintains adequate orthopedic coverage in urban areas but faces shortages in rural regions. This supply-demand imbalance allows urban providers to maintain higher pricing while rural patients face limited options and potential travel costs. Wait times for non-urgent procedures typically range from 2-6 weeks in Portland to several months in rural areas.

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 Oregon

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

Uninsured patients in Oregon typically pay between $1,116 and $3,635 for a knee replacement surgery consultation, with a median cost of $2,114 based on negotiated insurance rates. Many providers offer self-pay discounts of 20-40% off these rates, making the actual cash price often lower. Independent orthopedic practices generally charge less than hospital-based clinics due to lower overhead costs.

Does Oregon Medicaid cover Knee Replacement Surgery visits?

Yes, Oregon expanded Medicaid covers orthopedic consultations and knee replacement surgeries for eligible residents. The Oregon Health Plan requires prior authorization for non-urgent specialist visits and may have preferred provider networks. Coverage includes both the consultation and necessary imaging studies when medically appropriate, though patients may need a referral from their primary care provider.

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

Compare costs between hospital-based clinics and independent orthopedic practices, as independent providers often charge 30-50% less for the same services. Look into federally qualified health centers in your area, which offer sliding fee scales based on income. Many Oregon providers offer significant cash-pay discounts and payment plans, particularly at ambulatory surgery centers and specialty orthopedic hospitals.

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

Initial orthopedic consultations in Oregon range from $1,116 to $3,635 with a median of $2,114, as these visits involve comprehensive evaluation and treatment planning. Follow-up visits typically cost 40-60% less than initial consultations since they focus on monitoring progress and adjusting treatment plans. The exact cost difference depends on whether additional procedures or imaging are performed during the visit.

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

Yes, both Health Savings Accounts and Flexible Spending Accounts can be used to pay for orthopedic consultations and related medical expenses in Oregon. These accounts allow you to pay with pre-tax dollars, effectively reducing your cost by your tax rate. You can also use HSA/FSA funds for related expenses like prescribed physical therapy, medical imaging, and orthopedic devices recommended by your surgeon.

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

Telemedicine consultations with orthopedic surgeons typically cost 30-50% less than in-person visits, though physical examination limitations make them most suitable for follow-ups or second opinions. Oregon has strong telehealth infrastructure and insurance coverage requirements that expanded during the pandemic. However, initial evaluations for knee problems usually require in-person examination for proper diagnosis and treatment planning.

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