Cost of a Knee Replacement Surgery Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's rural healthcare infrastructure serves a population where 35% of residents live in areas with limited specialist access, creating unique cost dynamics for orthopedic care. For Knee Replacement Surgery visits, patients typically pay between $958 and $3,285, with a median out-of-pocket cost of $1,455 based on negotiated insurance rates. With 326 active Knee Replacement Surgery providers across the Green Mountain State, patients can browse all available specialists to find the most cost-effective option for their needs.
Average
$1,900
Median
$1,455
Lowest
$958
Highest
$3,286
Providers
326
17% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $959 | $1,457 | $3,289 | 329 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $643 | $1,548 | 325 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $410 | $629 | $1,326 | 331 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $492 | $746 | $1,597 | 331 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $449 | $682 | $1,463 | 337 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $678 | $1,043 | $2,143 | 325 |
| Septoplasty Nasal septum repair | 30520 | $500 | $821 | $1,577 | 327 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $342 | $693 | 324 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $391 | $596 | $1,271 | 325 |
| Mastectomy Partial or simple mastectomy | 19301 | $491 | $749 | $1,593 | 324 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $519 | $1,053 | 324 |
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 Vermont
Vermont's healthcare costs run approximately 15% above the national average, driven by the state's rural geography, limited provider competition, and higher operational costs for medical facilities. The Green Mountain State's scattered population across mountainous terrain creates access challenges that influence pricing structures.
Urban vs. Rural Provider Availability
Most orthopedic specialists cluster around Burlington and the Chittenden County area, creating cost disparities between urban and rural regions. Patients in the Northeast Kingdom or southern Vermont often travel significant distances for specialized care, sometimes crossing into New Hampshire for more accessible options. Rural areas may have limited choices, reducing price competition among providers.
Facility Type and Overhead Costs
Hospital-affiliated orthopedic clinics, particularly those connected to the University of Vermont Medical Center, typically charge higher facility fees than independent practices. Vermont's certificate-of-need regulations and high operational costs due to rural infrastructure contribute to elevated overhead expenses. Ambulatory surgical centers are less common than in more populated states, limiting lower-cost alternatives.
Insurance Market Competition in Vermont
With BCBS VT and MVP Health Care controlling most of the commercial market, insurer competition remains limited compared to larger states. This concentration can affect negotiated rates with orthopedic providers, though Vermont's regulatory environment emphasizes consumer protection. The small market size means fewer plan options but often more personalized customer service.
Physician Supply and Demand in Vermont
Vermont's 326 active Knee Replacement Surgery providers serve a population of approximately 645,000, indicating reasonable availability relative to state size. However, geographic distribution remains uneven, with some regions experiencing surgeon shortages that can extend wait times and maintain higher prices. The state's quality of life attracts some specialists, but recruitment challenges persist in rural areas.
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 Vermont
What is the average cost of a Knee Replacement Surgery visit in Vermont without insurance?
Does Vermont Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Vermont?
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 |