Average Medicaid Knee Replacement Payments in Pikeville, KY: $360.54
Avg. Paid
$360.54
Range
$288.83 – $551.32
Total Claims
194
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pikeville Medical Center Inc
911 Bypass Rd |
$288.83 | 141 | 25 |
|
Kevin Willis Pugh
911 Bypass Rd Bldg A |
$551.32 | 53 | 41 |
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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Knee Replacement in Pikeville, KY is $360.54 per claim, based on 194 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 Pikeville, KY?
There are 2 Medicaid providers offering Knee Replacement related services in Pikeville, KY according to public payment data.
What is the price range for Knee Replacement in Pikeville, KY?
Medicaid reimbursement for Knee Replacement in Pikeville, KY ranges from $288.83 to $551.32 per claim, with an average of $360.54. 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 Pikeville, KY
Office Visit
Avg $34.50
1,279,513 claims
Blood Work & Lab Tests
Avg $13.27
1,226,959 claims
Emergency Room Visit
Avg $104.28
349,778 claims
Psychiatric Evaluation
Avg $55.70
290,250 claims
X-Ray
Avg $36.48
249,058 claims
Substance Abuse Treatment
Avg $43.54
225,767 claims
Urinalysis & Urine Tests
Avg $4.44
169,795 claims
Physical Therapy
Avg $23.66
158,566 claims