Average Medicaid Knee Replacement Payments
Typical Medicaid Knee Replacement reimbursement across 94 cities
Avg. Medicaid Paid
$2,382
Price Range
$0.00 – $9,379
Total Claims
15.4K
Cities
94
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.
About This Procedure
Knee replacement surgery (arthroplasty) replaces damaged knee joint surfaces with artificial components to relieve pain and restore function.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Camden, NJ | $726.32 | $726.32 – $726.32 | 65 | 1 |
| North Bergen, NJ | $1,082 | $20.40 – $2,615 | 66 | 2 |
| Morristown, NJ | $270.37 | $270.37 – $270.37 | 68 | 1 |
| Yuba City, CA | $1,497 | $1,138 – $1,980 | 68 | 2 |
| Boston, MA | $614.78 | $614.78 – $614.78 | 70 | 1 |
| Modesto, CA | $4,886 | $1,415 – $9,460 | 71 | 3 |
| Harlingen, TX | $26.15 | $12.98 – $33.30 | 71 | 2 |
| Cayey, PR | $532.25 | $532.25 – $532.25 | 72 | 1 |
| Newark, DE | $431.32 | $431.32 – $431.32 | 80 | 1 |
| Rancho Cucamonga, CA | $1,636 | $1,636 – $1,636 | 84 | 1 |
| Edgewood, KY | $2,381 | $2,381 – $2,381 | 87 | 1 |
| Hanford, CA | $135.00 | $135.00 – $135.00 | 88 | 1 |
| Fremont, CA | $551.22 | $66.91 – $627.69 | 88 | 2 |
| Los Angeles, CA | $505.36 | $107.82 – $567.32 | 89 | 2 |
| Denver, CO | $2,254 | $2,254 – $2,254 | 89 | 1 |
| Lake Charles, LA | $1,248 | $1,248 – $1,248 | 113 | 1 |
| Chino Hills, CA | $1,040 | $1,040 – $1,040 | 117 | 1 |
| Atlanta, GA | $1,573 | $1,573 – $1,573 | 123 | 1 |
| Bridgeport, CT | $3,897 | $3,897 – $3,897 | 126 | 1 |
| San Diego, CA | $966.09 | $922.73 – $1,129 | 143 | 2 |
| Fresno, CA | $29.09 | $29.09 – $29.09 | 159 | 1 |
| New Haven, CT | $8,291 | $8,291 – $8,291 | 175 | 1 |
| Tucson, AZ | $1,538 | $1,538 – $1,538 | 181 | 1 |
| Bakersfield, CA | $1,392 | $247.22 – $1,688 | 182 | 3 |
| Redlands, CA | $823.39 | $138.72 – $972.36 | 183 | 5 |
| Pikeville, KY | $360.54 | $288.83 – $551.32 | 194 | 2 |
| Albuquerque, NM | $5,774 | $5,774 – $5,774 | 207 | 1 |
| Secaucus, NJ | $611.93 | $611.93 – $611.93 | 209 | 1 |
| Milwaukee, WI | $1,684 | $1,684 – $1,684 | 282 | 1 |
| Meriden, CT | $1,471 | $1,471 – $1,471 | 297 | 1 |
| Farmington, CT | $8,420 | $8,420 – $8,420 | 312 | 1 |
| San Bernardino, CA | $8,527 | $8,527 – $8,527 | 359 | 1 |
| Moorestown, NJ | $107.16 | $107.16 – $107.16 | 408 | 1 |
| Houston, TX | $697.47 | $697.47 – $697.47 | 417 | 1 |
| Yuma, AZ | $5,165 | $5,165 – $5,165 | 449 | 1 |
| Columbus, OH | $2,433 | $2,326 – $3,854 | 483 | 2 |
| Cleveland, OH | $2,459 | $1,678 – $2,888 | 512 | 3 |
| Mission Hills, CA | $549.95 | $73.23 – $585.85 | 514 | 2 |
| Detroit, MI | $6,282 | $677.14 – $6,410 | 536 | 2 |
| Hackensack, NJ | $831.04 | $831.04 – $831.04 | 754 | 1 |
| Louisville, KY | $807.37 | $802.39 – $856.27 | 951 | 3 |
| Hartford, CT | $2,967 | $2,137 – $3,590 | 1,061 | 2 |
| Phoenix, AZ | $4,282 | $116.13 – $5,458 | 1,598 | 4 |
| Southfield, MI | $579.80 | $579.80 – $579.80 | 1,749 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.