Cost of a Knee Replacement Surgery Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's aging population and high rates of arthritis make joint replacement procedures increasingly common, with the state ranking among the highest nationally for joint disease prevalence. Knee Replacement Surgery costs in West Virginia range from $1,203.94 to $4,733.91, with a median cost of $1,729.42 based on actual negotiated insurance rates. The state maintains 88 active Knee Replacement Surgery providers across its mountainous terrain, giving patients options to find quality care throughout West Virginia's diverse healthcare landscape.
Average
$2,556
Median
$1,729
Lowest
$1,204
Highest
$4,734
Providers
88
12% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,677 | $4,590 | 99 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $669 | $1,409 | 95 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $482 | $691 | $1,901 | 89 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $707 | $1,650 | 158 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $754 | $1,557 | 110 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,094 | $2,122 | 98 |
| Septoplasty Nasal septum repair | 30520 | $461 | $780 | $1,698 | 88 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $355 | $748 | 97 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $657 | $1,378 | 86 |
| Mastectomy Partial or simple mastectomy | 19301 | $366 | $777 | $1,695 | 94 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $342 | $567 | $2,006 | 88 |
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 West Virginia
These hospitals in West Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MADISON, WV
BECKLEY, WV
BERKELEY SPRINGS, WV
ROMNEY, WV
WELCH, WV
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 West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural geography. The mountainous terrain and scattered population create unique access challenges that influence both provider distribution and pricing strategies across the state.
Urban vs. Rural Provider Availability
Charleston, Morgantown, and Huntington contain the majority of West Virginia's orthopedic specialists, while rural counties often lack any local Knee Replacement Surgery providers. Patients in remote areas may travel 50+ miles for specialized care, though some practices offer satellite clinics to improve access. This geographic concentration allows urban providers to maintain higher volumes but can limit competition in rural markets.
Facility Type and Overhead Costs
Major health systems like WVU Medicine and Charleston Area Medical Center operate most hospital-based orthopedic clinics, which typically charge higher facility fees than independent practices. These systems benefit from economies of scale but pass facility costs to patients through separate billing. Independent surgical practices often offer more competitive pricing but may have limited imaging and surgical coordination services.
Insurance Market Competition in West Virginia
Highmark WV dominates the individual and small group markets, while UHC and Aetna compete primarily for large employer business. This concentrated market gives insurers significant negotiating power with providers, helping keep rates below national averages. However, limited insurer competition can reduce provider network breadth, particularly in rural areas where single-insurer dominance is common.
Physician Supply and Demand in West Virginia
With 88 active Knee Replacement Surgery providers serving 1.8 million residents, West Virginia maintains adequate specialist coverage despite rural access challenges. The state's aging population drives increasing demand for joint replacement services, potentially tightening provider availability over time. Wait times for non-urgent consultations typically range from 2-6 weeks, with urban practices generally having shorter delays than rural providers.
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 West Virginia
What is the average cost of a Knee Replacement Surgery visit in West Virginia without insurance?
Does West Virginia Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in West Virginia?
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 West Virginia?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in West Virginia?
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 |