Cost of a Knee Replacement Surgery Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas operates one of the nation's largest healthcare markets with over 600 ambulatory surgery centers, creating significant competition that drives Knee Replacement Surgery costs approximately 4% below national averages. Patients typically pay between $1,056 and $3,006 for Knee Replacement Surgery procedures, with a median out-of-pocket cost of $1,568 based on negotiated insurance rates across more than 5,200 active providers statewide. The Lone Star State's expansive geography and diverse provider network mean patients can browse all Knee Replacement Surgery specialists in Texas to find the most cost-effective option for their specific location and insurance plan.
Average
$1,877
Median
$1,568
Lowest
$1,056
Highest
$3,006
Providers
5,230
18% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| IUD Removal Cost of intrauterine device (IUD) removal across the US, with state-by-state pricing for both office-based and hospital outpatient settings. | 58301 | $60 | $105 | $199 | 6,391 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,139 | $2,602 | 8,415 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $691 | $1,210 | 6,544 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $421 | $625 | $1,250 | 5,233 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $776 | $1,300 | 11,548 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $663 | $1,155 | 13,126 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $977 | $1,912 | 5,874 |
| Septoplasty Nasal septum repair | 30520 | $90 | $638 | $1,309 | 7,864 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $313 | $597 | 5,861 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $407 | $602 | $1,086 | 5,176 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $722 | $1,341 | 5,830 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $469 | $895 | 8,448 |
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 Texas
These hospitals in Texas are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BRYAN, TX
AMARILLO, TX
SAN ANTONIO, TX
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 Texas
Texas healthcare costs run approximately 4% below national averages due to the state's large provider supply and competitive market dynamics across major metropolitan areas. The state's sprawling geography creates significant cost disparities between urban medical centers and rural counties with limited specialist access.
Urban vs. Rural Provider Availability
Major Texas metro areas like Houston, Dallas, San Antonio, and Austin concentrate most orthopedic specialists, creating competitive pricing and shorter wait times. Rural counties across East Texas and the Panhandle often have limited or no local Knee Replacement Surgery options, forcing patients to travel significant distances. This geographic dispersion can add travel costs but may offer access to higher-volume centers with better outcomes.
Facility Type and Overhead Costs
Large health systems like Texas Health Resources, Houston Methodist, and Baylor Scott & White operate hospital-based orthopedic programs with higher overhead costs reflected in pricing. Independent orthopedic surgery centers throughout Texas often provide the same procedures at 30-50% lower costs due to streamlined operations. Ambulatory surgery centers have proliferated across Texas, offering cost-effective alternatives for outpatient knee procedures.
Insurance Market Competition in Texas
UnitedHealth, Blue Cross Blue Shield of Texas, Aetna, and Cigna compete aggressively in major metropolitan markets, leading to varied negotiated rates with orthopedic providers. Rural areas may have limited insurer options, reducing competitive pressure on pricing. The absence of Medicaid expansion concentrates more patients in commercial insurance plans, affecting negotiated rate structures.
Physician Supply and Demand in Texas
With over 5,200 active Knee Replacement Surgery providers statewide, Texas maintains adequate orthopedic specialist supply in urban areas but significant shortages in rural regions. This distribution creates pricing pressure in competitive metro markets while allowing premium pricing in underserved areas. High-volume centers in major cities often offer more competitive pricing due to economies of scale and case volume efficiency.
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 Texas
What is the average cost of a Knee Replacement Surgery visit in Texas without insurance?
Does Texas Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Texas?
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 |