Cost of a Knee Replacement Surgery Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's orthopedic surgery landscape includes major academic medical centers like UW Health and regional health systems serving both urban Milwaukee-Madison corridors and rural communities. Knee Replacement Surgery costs in Wisconsin reflect these geographic and facility variations, with negotiated rates showing significant spread across the state's 2,606 active providers. Wisconsin patients can browse all available Knee Replacement Surgery specialists to compare costs and find the most affordable option for their specific needs.
Average
$4,785
Median
$3,723
Lowest
$73
Highest
$10,559
Providers
2,606
110% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $73 | $3,602 | $10,564 | 2,707 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $95 | $10,062 | 3,125 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $73 | $1,658 | $4,236 | 2,595 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $73 | $1,221 | $4,635 | 3,551 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $73 | $1,115 | $5,429 | 4,057 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $73 | $1,742 | $5,848 | 5,130 |
| Septoplasty Nasal septum repair | 30520 | $95 | $1,082 | $4,419 | 1,138 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $547 | $1,404 | 1,113 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $73 | $1,248 | $4,031 | 2,412 |
| Mastectomy Partial or simple mastectomy | 19301 | $73 | $984 | $3,947 | 2,389 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $85 | $747 | $5,357 | 2,273 |
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 Wisconsin
These hospitals in Wisconsin are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GLENDALE, WI
ALTOONA, WI
PRAIRIE DU SAC, WI
MADISON, WI
WOODRUFF, WI
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 Wisconsin
Wisconsin's healthcare costs run approximately 1% above national averages, reflecting the state's mix of urban medical centers and rural access challenges. The state's robust agricultural economy and manufacturing base create diverse insurance coverage patterns affecting orthopedic care pricing across different regions.
Urban vs. Rural Provider Availability
Wisconsin's orthopedic specialists concentrate heavily in the Milwaukee-Madison corridor and Green Bay area, leaving many rural counties with limited local access to Knee Replacement Surgery. Patients in northern Wisconsin or southwestern regions often travel significant distances for specialized joint replacement care, potentially affecting overall treatment costs. The state's 72 counties vary dramatically in provider density, with some rural areas served by visiting specialists or requiring referrals to urban centers.
Facility Type and Overhead Costs
Wisconsin's major health systems like Advocate Aurora, Ascension Wisconsin, and UW Health operate numerous hospital-based orthopedic practices with higher overhead costs than independent surgical centers. Academic medical centers in Madison and Milwaukee typically charge premium rates for complex cases but offer access to cutting-edge techniques and research protocols. Ambulatory surgery centers throughout Wisconsin often provide knee arthroscopy and minor procedures at lower facility fees than hospital outpatient departments.
Insurance Market Competition in Wisconsin
Wisconsin maintains moderate insurer competition with BCBS Wisconsin (Anthem), UnitedHealthcare, and regional player WEA Trust negotiating different rates with orthopedic providers. The state's group health cooperative tradition and strong employer-sponsored coverage create negotiating leverage that helps contain some specialty care costs. Rural areas may have fewer insurer options, potentially limiting network choices for Knee Replacement Surgery services compared to urban markets.
Physician Supply and Demand in Wisconsin
With 2,606 active providers handling knee replacement procedures, Wisconsin maintains reasonable specialist access relative to its population, though geographic distribution remains uneven. The state's medical training programs at Medical College of Wisconsin and UW School of Medicine help maintain adequate orthopedic residency pipelines. Strong retention rates among Wisconsin-trained surgeons help stabilize pricing and reduce the premium costs often associated with physician recruitment in underserved markets.
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 Wisconsin
What is the average cost of a Knee Replacement Surgery visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Wisconsin?
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 |