Average Medicaid Knee Replacement Payments in Harlingen, TX: $26.15
Avg. Paid
$26.15
Range
$12.98 – $33.30
Total Claims
71
Providers
2
Typical Payment Range
Typical Medicaid Knee Replacement payments fall between $294.35 and $2,254 per claim (median: $972.36). The top 10% of payments exceed $5,472.
Based on per-provider averages across all Medicaid claims in this category.
Knee replacement surgery (arthroplasty) replaces damaged knee joint surfaces with artificial components to relieve pain and restore function.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Knee Replacement in Harlingen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rick William Bassett
1601 Treasure Hills Blvd |
$33.30 | 46 | 38 |
|
Jaime Dones
2121 Pease St Ste 600 |
$12.98 | 25 | 25 |
What to Expect: Knee Replacement
Knee replacement surgery takes 1-2 hours under general or spinal anesthesia. The surgeon removes damaged cartilage and bone and positions metal and plastic implants. Hospital stay is typically 1-3 days. Physical therapy begins the same day or next day. Full recovery takes 3-6 months with regular physical therapy. Most people can walk with support within days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 27447 | Total knee arthroplasty | $2,357 | 15,564 | 126 |
| 27438 | Arthroplasty femoral condyles | — | — | — |
| 27440 | Arthroplasty knee hinge | — | — | — |
| 27441 | arthroplasty knee tibial | — | — | — |
| 27442 | Arthroplasty femoral condyles | — | — | — |
| 27443 | Arthroplasty fem/tibial | — | — | — |
| 27445 | Arthroplasty knee hinge prost | — | — | — |
| 27446 | Arthroplasty knee medial compt | — | — | — |
| 27486 | Revision total knee arthroplasty | — | — | — |
| 27487 | Revision knee arthroplasty | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Knee Replacement cost in Harlingen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in Harlingen, TX is $26.15 per claim, based on 71 claims from 2 providers. Typical payments fall between $294.35 and $2,254. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Knee Replacement in Harlingen, TX?
There are 2 Medicaid providers offering Knee Replacement related services in Harlingen, TX according to public payment data.
What is the price range for Knee Replacement in Harlingen, TX?
Medicaid reimbursement for Knee Replacement in Harlingen, TX ranges from $12.98 to $33.30 per claim, with an average of $26.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Harlingen, TX
Office Visit
Avg $30.32
632,837 claims
Blood Work & Lab Tests
Avg $5.05
331,329 claims
Personal Care Services
Avg $55.77
319,886 claims
Home Health Visit
Avg $23.45
263,732 claims
Physical Therapy
Avg $45.23
217,946 claims
Dental Cleaning & Exam
Avg $38.77
204,573 claims
Vaccines & Immunizations
Avg $5.95
170,740 claims
Emergency Room Visit
Avg $124.90
168,271 claims