Average Medicaid Knee Replacement Payments in Modesto, CA: $4,886
Avg. Paid
$4,886
Range
$1,415 – $9,460
Total Claims
71
Providers
3
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Physicians Surgery Center Of Modesto Llc
609 E Orangeburg Ave # B |
$9,460 | 30 | 29 |
|
John Joseph Casey
609 E Orangeburg Ave |
$1,610 | 26 | 25 |
|
Jesua Israel Law
609 E Orangeburg Ave Ste 201 |
$1,415 | 15 | 15 |
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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in Modesto, CA is $4,886 per claim, based on 71 claims from 3 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 Modesto, CA?
There are 3 Medicaid providers offering Knee Replacement related services in Modesto, CA according to public payment data.
What is the price range for Knee Replacement in Modesto, CA?
Medicaid reimbursement for Knee Replacement in Modesto, CA ranges from $1,415 to $9,460 per claim, with an average of $4,886. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Knee Replacement in Other Cities
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Avg $579.80
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Phoenix, AZ
Avg $4,282
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Hartford, CT
Avg $2,967
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Louisville, KY
Avg $807.37
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Hackensack, NJ
Avg $831.04
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Detroit, MI
Avg $6,282
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Mission Hills, CA
Avg $549.95
514 claims · 2 providers
Cleveland, OH
Avg $2,459
512 claims · 3 providers
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Avg $28.79
2,335,494 claims
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Avg $7.39
1,231,704 claims
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Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
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Avg $82.65
624,564 claims
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Avg $51.91
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Avg $2.49
526,756 claims
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Avg $8.27
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