Average Medicaid Knee Replacement Payments in North Bergen, NJ: $1,082
Avg. Paid
$1,082
Range
$20.40 – $2,615
Total Claims
66
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 North Bergen, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaitlyn Paige Probasco
7600 River Rd |
$20.40 | 39 | 28 |
|
Hmh Hospitals Corporation
7600 River Rd |
$2,615 | 27 | 26 |
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 North Bergen, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in North Bergen, NJ is $1,082 per claim, based on 66 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 North Bergen, NJ?
There are 2 Medicaid providers offering Knee Replacement related services in North Bergen, NJ according to public payment data.
What is the price range for Knee Replacement in North Bergen, NJ?
Medicaid reimbursement for Knee Replacement in North Bergen, NJ ranges from $20.40 to $2,615 per claim, with an average of $1,082. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Mission Hills, CA
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Other Procedures in North Bergen, NJ
Office Visit
Avg $47.13
428,138 claims
Blood Work & Lab Tests
Avg $5.33
291,676 claims
Physical Therapy
Avg $26.34
269,704 claims
Emergency Room Visit
Avg $207.49
223,041 claims
Vaccines & Immunizations
Avg $12.85
79,814 claims
X-Ray
Avg $18.79
68,626 claims
EKG / ECG (Electrocardiogram)
Avg $14.06
67,952 claims
Dental Cleaning & Exam
Avg $23.71
60,890 claims