Average Medicaid Knee Replacement Payments in Lancaster, OH: $1,615
Avg. Paid
$1,615
Range
$1,615 – $1,615
Total Claims
26
Providers
1
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 Lancaster, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark M D'Onofrio
2656 N Columbus St Ste D |
$1,615 | 26 | 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 Lancaster, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in Lancaster, OH is $1,615 per claim, based on 26 claims from 1 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 Lancaster, OH?
There are 1 Medicaid providers offering Knee Replacement related services in Lancaster, OH according to public payment data.
What is the price range for Knee Replacement in Lancaster, OH?
Medicaid reimbursement for Knee Replacement in Lancaster, OH ranges from $1,615 to $1,615 per claim, with an average of $1,615. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Knee Replacement in Other Cities
Southfield, MI
Avg $579.80
1,749 claims · 1 providers
Phoenix, AZ
Avg $4,282
1,598 claims · 4 providers
Hartford, CT
Avg $2,967
1,061 claims · 2 providers
Louisville, KY
Avg $807.37
951 claims · 3 providers
Hackensack, NJ
Avg $831.04
754 claims · 1 providers
Detroit, MI
Avg $6,282
536 claims · 2 providers
Mission Hills, CA
Avg $549.95
514 claims · 2 providers
Cleveland, OH
Avg $2,459
512 claims · 3 providers
Other Procedures in Lancaster, OH
Office Visit
Avg $50.30
559,428 claims
Blood Work & Lab Tests
Avg $9.90
271,954 claims
Home Health Visit
Avg $39.13
269,599 claims
Psychiatric Evaluation
Avg $67.44
228,531 claims
Substance Abuse Treatment
Avg $100.16
198,133 claims
Behavioral & Mental Health Therapy
Avg $76.56
156,025 claims
Emergency Room Visit
Avg $86.82
139,499 claims
Physical Therapy
Avg $23.10
103,203 claims