Cost of a Knee Replacement Surgery Visit
in Pennsylvania
Reviewed by Momentary Medical Group West PC
Pennsylvania's healthcare landscape features strong regional clusters around Philadelphia and Pittsburgh, with negotiated rates for Knee Replacement Surgery averaging approximately 18% below national levels according to recent transparency data. Patients typically face out-of-pocket costs ranging from $909 to $6,051 depending on their insurance coverage and chosen provider, with a median cost of $1,551 for this procedure. With over 916 active Knee Replacement Surgery providers across the Commonwealth, patients can browse multiple options to find quality care that fits their budget.
Average
$2,837
Median
$1,551
Lowest
$909
Highest
$6,051
Providers
916
25% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Pennsylvania?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,379 | $6,060 | 1,270 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $618 | $2,135 | 984 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $366 | $623 | $2,410 | 933 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $709 | $1,984 | 1,021 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $632 | $1,669 | 1,389 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $975 | $3,201 | 983 |
| Septoplasty Nasal septum repair | 30520 | $434 | $719 | $2,160 | 910 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $149 | $317 | $742 | 968 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $333 | $562 | $1,448 | 914 |
| Mastectomy Partial or simple mastectomy | 19301 | $250 | $705 | $2,642 | 976 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $317 | $537 | $1,957 | 914 |
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.
Top-Rated Hospitals in Pennsylvania
These hospitals in Pennsylvania are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
WASHINGTON, PA
ROYERSFORD, PA
YORK, PA
WYOMISSING, PA
MUNCY, PA
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 Pennsylvania
Pennsylvania's healthcare costs run approximately 18% below national averages for Knee Replacement Surgery, reflecting the state's competitive provider market and strong insurer negotiation power in major metropolitan areas. The Commonwealth's healthcare landscape is shaped by distinct urban-rural divides, with sophisticated academic medical centers anchoring care in Philadelphia and Pittsburgh while rural counties often rely on smaller community hospitals.
Urban vs. Rural Provider Availability
Pennsylvania's 67 counties show dramatic variation in orthopedic access, with Philadelphia and Allegheny counties hosting the majority of high-volume knee replacement specialists while rural areas may require patients to travel 50+ miles for specialized care. This geographic imbalance creates cost pressures in both directions - urban areas face higher overhead costs but benefit from competition, while rural providers may charge premium rates due to limited alternatives. The state's mountainous central region particularly struggles with specialist access, often requiring referrals to Pittsburgh or Philadelphia health systems.
Facility Type and Overhead Costs
Major health systems like Penn Medicine, UPMC, and Jefferson Health operate large orthopedic practices with hospital-based clinics that typically charge facility fees alongside physician services. Independent orthopedic surgery centers throughout Pennsylvania often provide more transparent pricing and lower overhead costs, particularly in suburban markets around Philadelphia, Pittsburgh, and Harrisburg. Academic medical centers command premium pricing but offer access to the latest surgical techniques and complex case expertise.
Insurance Market Competition in Pennsylvania
The dominance of Highmark (western PA) and Independence Blue Cross (southeastern PA) creates regional pricing variations, with each insurer negotiating different rates based on their local market power. UnitedHealthcare and other national carriers provide competitive pressure in major metros but may have more limited networks in rural areas. This market structure results in significant cost differences between eastern and western Pennsylvania for the same procedures.
Physician Supply and Demand in Pennsylvania
With 916 active Knee Replacement Surgery providers statewide, Pennsylvania maintains adequate orthopedic capacity in urban areas while facing shortages in rural counties that can extend wait times to 4-6 weeks for non-urgent consultations. The state's strong medical education infrastructure, including Penn, Temple, and Pitt medical schools, helps maintain physician supply in metropolitan areas. High provider density in Philadelphia and Pittsburgh creates competitive pricing pressure, while underserved rural areas may see higher costs due to limited alternatives.
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 Pennsylvania
What is the average cost of a Knee Replacement Surgery visit in Pennsylvania without insurance?
Does Pennsylvania Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Pennsylvania?
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 Pennsylvania?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Pennsylvania?
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 |