Average Medicaid Knee Replacement Payments in Phoenix, AZ: $4,282
Avg. Paid
$4,282
Range
$116.13 – $5,458
Total Claims
1,598
Providers
4
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chase Thomas Pologa
9321 W Thomas Rd Ste 205 |
$116.13 | 13 | 13 |
|
Courtney Whidden Page
18444 N 25Th Ave Ste 210 |
$145.94 | 24 | 24 |
|
Robert Michael Cercek
9321 W Thomas Rd Ste 205 |
$809.03 | 362 | 349 |
|
Surgical Specialty Hospital Of Arizona, Llc
6501 N 19Th Ave |
$5,458 | 1,199 | 1,141 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in Phoenix, AZ is $4,282 per claim, based on 1,598 claims from 4 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 Phoenix, AZ?
There are 4 Medicaid providers offering Knee Replacement related services in Phoenix, AZ according to public payment data.
What is the price range for Knee Replacement in Phoenix, AZ?
Medicaid reimbursement for Knee Replacement in Phoenix, AZ ranges from $116.13 to $5,458 per claim, with an average of $4,282. 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
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
Columbus, OH
Avg $2,433
483 claims · 2 providers
Other Procedures in Phoenix, AZ
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Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
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Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims