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Knee Replacement Cost in Delaware (2026): Average Prices & What You'll Pay

What does a knee replacement cost in Delaware?

For a commercially insured patient, a knee replacement in Delaware typically runs $3,194$12,055 once facility and physician fees are combined. The median reported facility price across 4 hospitals is $2,904. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

ChristianaCare (formerly Christiana Care) is essentially a monopoly in northern Delaware and effectively the dominant system statewide. Low facility count means cash price variation is minimal, but commercial reimbursement rates are among the highest in the Mid-Atlantic region. Patients near the Pennsylvania or Maryland border often find meaningfully lower prices by crossing state lines. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.

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Knee Replacement facility ladder for Delaware Ranked list of reporting facility prices for Knee Replacement in Delaware, cheapest to most expensive. FACILITY LADDER Knee Replacement in Delaware - ranked low to high 4 of 4 reporting facilities shown, cheapest first PAM Squared at Dover LLC $774 PAM Rehabilitation Hospital of Georgeto… $774 Christianacare - Newark, DE $5,035 Beebe Medical Center Inc. - Lewes, DE $10,711

Example: two commercially insured patients in the same area could pay ~$774 and ~$5,603 for the identical procedure - a $4,829 difference driven entirely by facility choice.

Where knee replacement costs vary in Delaware

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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Cheapest Knee Replacement Providers in Delaware

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 PAM Squared at Dover LLC Dover, DE $774 -$2,130
2 PAM Rehabilitation Hospital of Georgetown LLC DE $774 -$2,130
3 Christianacare Newark, DE $5,035 +$2,131
4 Beebe Medical Center Inc. Lewes, DE $10,711 +$7,807

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • PAM Squared at Dover LLC is the lowest-cost option at $774 - $2,130 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $7,873, and it's often lower than what insurance pays before your deductible is satisfied.
  • Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.

How where you go changes what you pay for knee replacement

The same knee replacement bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$1,979–$17,651
  • Facility fee $774–$10,711
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$6,240–$11,975
  • Facility fee $5,035–$5,035
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Delaware Knee Replacement prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

# Facility City Your Price vs Median Gross Charge
#1 PAM Squared at Dover LLC Dover, DE $774 -$2,130 $774–$1,681
#2 PAM Rehabilitation Hospital of Georgetown LLC DE $774 -$2,130 $774–$1,681
#3 Christianacare Newark, DE $5,035 +$2,131 $5,035
#4 Beebe Medical Center Inc. Lewes, DE $10,711 +$7,807 $12,602–$21,848

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $2,904 versus $5,035 inpatient (about 1.7× more), so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$6,936
Deductible met - 20% coinsurance ~$1,387
Out-of-network provider $15,259+

Frequently asked questions: knee replacement costs in Delaware

How much does a knee replacement cost in Delaware?

Across 4 Delaware hospitals that publish prices, a knee replacement ranges from $774 to $21,848, with a median of $2,904. Most facilities fall between $774 and $5,603. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a knee replacement in Delaware?

Based on declared prices, the lowest-cost facility in our Delaware data is PAM Squared at Dover LLC in Dover at about $774. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a knee replacement so much cheaper at some Delaware hospitals?

Prices vary up to 28.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Delaware, the median cash (self-pay) price is $7,873 versus a median negotiated rate of $774 - about 10.2× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a knee replacement in Delaware?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Delaware

Knee Replacement, elsewhere

Other Delaware Hospitals and ambulatory surgery centers for Knee Replacement

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Delaware. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ADVANCE ENDOSCOPY CENTER LLC
3026780725
DOVER, DE Ambulatory Surgical Center -
AMERICAN MOBILE HEALTHCARE
3026453235
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ATLANTIC WOMENS MEDICAL SRV
3027641900
WILMINGTON, DE Ambulatory Surgical Center -
ATLANTIC WOMENS MEDICAL SRV OF DOVER
3026783383
DOVER, DE Ambulatory Surgical Center -
BAYHEALTH
3027447135
DOVER, DE General Acute Care Hospital $1,979–$17,651 bundled est.
BAYHEALTH MEDICAL CENTER, INC.
3026744700
DOVER, DE General Acute Care Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3026453728
LEWES, DE Women's Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3026453728
LEWES, DE Women's Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3022491448
GEORGETOWN, DE General Acute Care Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE Critical Access Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
BEEBE HEALTHCARE
3026453300
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
▼ Show 72 more Delaware hospitals and ambulatory surgery centers
BEEBE MEDICAL CENTER
3029472500
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
BEEBE MEDICAL CENTER, INC.
3026453300
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
C & S MEDICAL, LLC
3022250177
NEWARK, DE Ambulatory Surgical Center -
CEDAR TREE SURGICAL LLC
3026984441
CAMDEN, DE Ambulatory Surgical Center -
CENTER FOR SPINE SURGERY LLC
3029847178
WILMINGTON, DE Ambulatory Surgical Center -
CENTRAL DELAWARE ENDOSCOPY UNIT LLC
3024223393
DOVER, DE Ambulatory Surgical Center -
CENTRE FOR COSMETIC SURGERY & MEDICINE LLC
3029948492
LEWES, DE Ambulatory Surgical Center -
CHARLENE JENKINS
3026453300
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE
3029819931
CLAYTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE
3027331000
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE
9179214618
NEW CASTLE, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027336339
NEW CASTLE, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332410
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332666
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027335582
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027334387
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027331000
NEWARK, DE Critical Access Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SERVICES INC
3027331000
WILMINGTON, DE Ambulatory Surgical Center -
CHRISTIANA CARE HEALTH SERVICES, INC.
3027331000
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331042
NEWARK, DE Critical Access Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3026232593
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331000
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
2158887564
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027334176
NEWARK, DE Critical Access Hospital $1,979–$17,651 bundled est.
CHRISTIANA CARE HOSPITAL
6104057662
NEWARK, DE Critical Access Hospital $1,979–$17,651 bundled est.
CHRISTIANA HOSPITAL
2036452903
NEW CASTLE, DE Critical Access Hospital $1,979–$17,651 bundled est.
CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC
3026027000
NEWARK, DE Ambulatory Surgical Center -
CHRISTIANACAREHEALTHSERVICES
3027317449
NEWARK, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CLEARWAY SURGERY CENTER OF DOVER LLC
8555277246
DOVER, DE Ambulatory Surgical Center -
COMMUNITY BIRTH GROUP
8003418598
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
CTS SURGICAL ASSOCIATES LLC
3029459730
MILLSBORO, DE Ambulatory Surgical Center -
DAI OK MOON MD PA
3027310600
WIMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
DELAWARE EYE SURGERY CENTER, LLC
3026452300
REHOBOTH BEACH, DE Ambulatory Surgical Center -
DELAWARE INSTITUTE FOR REPRODUCTIVE MEDICINE
3027384600
NEWARK, DE Ambulatory Surgical Center -
DELAWARE SURGERY CENTER, LLC
3023464000
DOVER, DE Ambulatory Surgical Center -
DELMARVA INTEGRATED NETWORK
3026453300
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
DIRM SURGERY CENTER
3027384600
NEWARK, DE Ambulatory Surgery Center -
DOVER OPHTHALMOLOGY ASC, LLC
3026784688
DOVER, DE Ambulatory Surgical Center -
DOVER SURGICENTER, LLC
3022702798
DOVER, DE Ambulatory Surgical Center -
EGNM LLC
3026443466
LEWES, DE Ambulatory Surgical Center -
FIRST STATE SURGERY CENTER, LLC
3026830700
NEWARK, DE Ambulatory Surgical Center -
FOULK ROAD SURGERY CENTER
3027774800
WILMINGTON, DE Ambulatory Surgical Center -
GLASGOW MEDICAL CENTER LLC
3028363539
NEWARK, DE Ambulatory Surgical Center -
INFINITY ASC LLC
6103600636
WILMINGTON, DE Ambulatory Surgical Center -
JENIFER RUSSELL
3026453100
LEWES, DE General Acute Care Hospital $1,979–$17,651 bundled est.
KIRKWOOD ENDOSCOPY CENTER LLC
3024539171
NEWARK, DE Ambulatory Surgical Center -
LEWES DE ENDOSCOPY ASC LLC
3026443852
LEWES, DE Ambulatory Surgical Center -
LIMESTONE MEDICAL CENTER, LLC
3029929831
WILMINGTON, DE Ambulatory Surgical Center -
MID-ATLANTIC ENDOSCOPY CENTER, LLC
3029930310
NEWARK, DE Ambulatory Surgical Center -
MINIMALLY INVASIVE SURGICAL AND NEUROSCIENCE LLC
3027380300
NEWARK, DE Ambulatory Surgical Center -
NANTICOKE SURGICAL CENTER LLC
3025366094
SEAFORD, DE Ambulatory Surgical Center -
NASPAC 1 PRO LLC
3024393063
NEWARK, DE Ambulatory Surgical Center -
NEWARK ENDOSCOPY ASC LLC
3028922710
NEWARK, DE Ambulatory Surgical Center -
OCEAN ENDOSCOPY CENTER LLC
3026449190
REHOBOTH BEACH, DE Ambulatory Surgical Center -
ORTHOPAEDIC SPECIALISTS SURGI-CENTER, LLC
3023514848
NEWARK, DE Ambulatory Surgical Center -
OUTPATIENT UROLOGY CENTER OF DOVER, LLC
3027368808
DOVER, DE Ambulatory Surgical Center -
PENINSULA ENDOSCOPY CENTER
3022833300
NEWARK, DE Ambulatory Surgical Center -
PENINSULA REGIONAL MEDICAL CENTER
4105437437
MILLSBORO, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ROCKLAND SURGERY CENTER, L.P.
3029990200
WILMINGTON, DE Ambulatory Surgical Center -
SEAFORD SPECIALTY SURGERY CENTER LLC
3027347246
SEAFORD, DE Ambulatory Surgical Center -
SELECT SPECIALTY HOSPITAL - WILMINGTON INC
3024214591
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST FRANCIS HEALTHCARE, INC.
3024214100
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST. FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST. FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST. FRANCIS HOSPITAL
3024214368
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST. FRANCIS HOSPITAL INC.
3024214100
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
ST.FRANCIS HOSPITAL
3025758041
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.
SURGERY CENTERS OF DELMARVA, LLC
3028384330
NEWARK, DE Ambulatory Surgical Center -
UNION HOSPITAL OF CECIL COUNTY
4103984000
MIDDLETOWN, DE General Acute Care Hospital $1,979–$17,651 bundled est.
WESTERN KENTUCKY AMBULATORY SURGERY CENTER LLC
3025422770
LEWES, DE Ambulatory Surgical Center -
WILLS EYE SURGERY CENTER
3027774800
WILMINGTON, DE Ambulatory Surgical Center -
WILMINGTON VAMC
7172776568
WILMINGTON, DE General Acute Care Hospital $1,979–$17,651 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same knee replacement - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

What's on your bill

A knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for knee replacement before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.

Your personalized cost report includes:

  • ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
  • ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
  • ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
  • ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
  • ✓ A real patient billing breakdown, line by line

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Other Procedure Costs in Delaware

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published July 17, 2026

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