Cost of a Knee Replacement Surgery Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's concentrated healthcare market, anchored by major systems like Lifespan and Care New England, creates a unique cost structure for specialty services. Knee Replacement Surgery patients typically pay between $1,136 and $6,051, with a median out-of-pocket cost of $2,323 based on negotiated insurance rates. With 57 active Knee Replacement Surgery providers throughout the Ocean State, patients can browse all providers in Rhode Island to find the best match for their needs and budget.
Average
$3,170
Median
$2,323
Lowest
$1,136
Highest
$6,051
Providers
57
39% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,978 | $6,060 | 74 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $448 | $960 | $2,135 | 58 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $895 | $2,410 | 58 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $91 | $1,006 | $1,921 | 66 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $884 | $1,752 | 79 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,277 | $3,201 | 60 |
| Septoplasty Nasal septum repair | 30520 | $555 | $1,052 | $2,160 | 56 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $239 | $441 | $742 | 58 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $858 | $1,521 | 57 |
| Mastectomy Partial or simple mastectomy | 19301 | $509 | $1,087 | $2,642 | 61 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $877 | $1,957 | 58 |
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 Rhode Island
Rhode Island's healthcare costs run approximately 13% above the national average, reflecting the state's high cost of living and concentrated provider market. The Ocean State's small geographic footprint creates unique dynamics where patients can easily travel between urban and suburban providers, but limited competition among major health systems keeps prices elevated.
Urban vs. Rural Provider Availability
Rhode Island's compact size means most residents live within 30 minutes of Providence, where the majority of orthopedic specialists practice at hospitals like Rhode Island Hospital and The Miriam Hospital. Smaller communities like Westerly and Newport have fewer specialists, often requiring patients to travel to the Providence metro area for complex knee procedures. This geographic concentration can limit price competition and scheduling flexibility.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices in Rhode Island, particularly those affiliated with Lifespan and Care New England health systems, typically charge higher rates due to facility fees and administrative overhead. Independent orthopedic clinics and ambulatory surgery centers often offer more competitive pricing for consultations and minor procedures. Academic medical centers like Brown University's affiliated hospitals may charge premium rates for specialized expertise.
Insurance Market Competition in Rhode Island
The state's insurance landscape is relatively concentrated, with Blue Cross Blue Shield of Rhode Island holding significant market share alongside UnitedHealthcare and Tufts Health Plan. Limited insurer competition can result in higher negotiated rates between providers and insurance companies. Rhode Island's small market size also means fewer provider network options compared to larger states, potentially limiting patient choice and price competition.
Physician Supply and Demand in Rhode Island
With 57 active Knee Replacement Surgery providers serving the state's 1.1 million residents, Rhode Island has adequate orthopedic coverage concentrated primarily in the Providence metropolitan area. This supply-demand balance generally supports reasonable wait times for non-urgent appointments, though highly specialized procedures may require longer scheduling windows. The state's proximity to Boston also provides additional options for complex cases requiring subspecialty 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 Rhode Island
What is the average cost of a Knee Replacement Surgery visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Rhode Island?
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 |