Knee Replacement Cost in New York, NY (2026): Average Prices & What You'll Pay
What does a knee replacement cost in New York, NY?
You could pay $2,481 or $8,113 for the same knee replacement in New York, NY — depending entirely on which facility you choose. The median cash price across 97 reporting hospitals is $4,274. This data comes directly from hospital price transparency files published under federal law.
Self-pay patients are quoted more than insurers actually pay: the median cash price is $4,527 versus a median negotiated rate of $1,116 — about 4.1× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. New York, NY prices for a knee replacement span 58.5× across 97 reporting hospitals, from $559 (Mount Sinai Queens in Long Island City) up to $32,712 (Westchester Medical Center in Valhalla) for identical care. Half of New York, NY facilities price it at or below $4,274, with most clustered between $2,249 and $8,113. Location within the state matters too: Bronx has the lowest metro median ($2,044) while New Hyde Park runs highest ($8,113) — a 4× difference inside New York, NY alone.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $2,249
- Median hospital: $4,274
- Higher-cost hospitals (top 30%): $8,113+
That's a 4× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$8,113
- Patient B (lower-rate in-network plan): ~$2,481
Where knee replacement costs vary in New York, NY
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.
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Cheapest Knee Replacement Providers in New York, NY
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | NYC Health and Hospitals | Brooklyn, NY | $2,044 | -$2,230 |
| 2 | NYC Health and Hospitals | New York, NY | $2,044 | -$2,230 |
| 3 | NYC Health and Hospitals | Bronx, NY | $2,044 | -$2,230 |
| 4 | NYC Health and Hospitals | Bronx, NY | $2,044 | -$2,230 |
| 5 | NYC Health and Hospitals | NY | $2,044 | -$2,230 |
| 6 | NYC Health and Hospitals | Jamaica, NY | $2,044 | -$2,230 |
| 7 | NYC Health and Hospitals | NY | $2,044 | -$2,230 |
| 8 | NYC Health and Hospitals | New York, NY | $2,044 | -$2,230 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Knee Replacement costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$4,274 |
| Deductible met — 20% coinsurance | ~$855 |
| Out-of-network provider | $9,403+ |
Based on the state median facility price of $4,274. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $3,715+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in New York, NY start around $2,249 or below. Most hospitals cluster between $2,249 and $8,113. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Mount Sinai Queens in Long Island City (cash price from $2,031); The Mount Sinai Hospital in New York (cash price from $2,031); NYC Health and Hospitals in Brooklyn (cash price from $2,044). These are declared cash prices — contact each facility for a formal quote before scheduling.
- Best value hospitals (lowest prices): The Rehabilitation Hospital at Raritan Bay Medical Center: $559; Mount Sinai South Nassau: $1,244; Mount Sinai Queens: $2,031
- Most expensive (outpatient): Stony Brook Southampton Hospital: ~$32,712; Westchester Medical Center: ~$25,039
→ Choosing the right facility can save $3,715+ vs. the state median.
New York, NY 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.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | The Rehabilitation Hospital at Raritan Bay Medical Center | Westwood, NY | $559 | -$3,715 | $559 |
| #2 | Mount Sinai South Nassau | Oceanside, NY | $1,244 | -$3,030 | $1,244 |
| #3 | Mount Sinai Queens | Long Island City, NY | $2,031 | -$2,243 | $500–$19,915 |
| #4 | The Mount Sinai Hospital | New York, NY | $2,031 | -$2,243 | $500–$19,915 |
| #5 | NYC Health and Hospitals | Brooklyn, NY | $2,044 | -$2,230 | $801–$30,452 |
| #6 | NYC Health and Hospitals | New York, NY | $2,044 | -$2,230 | $801–$30,452 |
| #7 | NYC Health and Hospitals | Bronx, NY | $2,044 | -$2,230 | $801–$30,452 |
| #8 | NYC Health and Hospitals | NY | $2,044 | -$2,230 | $772–$30,452 |
| #9 | NYC Health and Hospitals | Jamaica, NY | $2,044 | -$2,230 | $772–$30,452 |
| #10 | Mount Sinai Behavioral Health Center | New York, NY | $2,047 | -$2,227 | $508–$27,881 |
| #11 | Mount Sinai Brooklyn | Brooklyn, NY | $2,047 | -$2,227 | $508–$27,881 |
| #12 | Mount Sinai Morningside | New York, NY | $2,047 | -$2,227 | $508–$27,881 |
| #13 | Maimonides Medical Center | Brooklyn, NY | $2,057 | -$2,217 | $777–$4,227 |
| #14 | Nyack Hospital | Nyack, NY | $2,065 | -$2,209 | $952–$72,610 |
| #15 | St. Barnabas Hospital | Bronx, NY | $2,077 | -$2,197 | $3,540–$7,720 |
| #16 | White Plains Hospital | White Plains, NY | $2,107 | -$2,167 | $971–$58,876 |
| #17 | MUSC Health Florence Medical Center | Florence, NY | $2,113 | -$2,161 | $1,443–$19,607 |
| #18 | Wheaton Franciscan Healthcare - Southeast Wisconsin Inc | NY | $2,121 | -$2,153 | $595–$40,016 |
| #19 | Nassau Health Care Corporation | East Meadow, NY | $2,216 | -$2,058 | $1,667–$41,039 |
| #20 | Bergen New Bridge | Paramus, NY | $2,242 | -$2,032 | $984–$24,547 |
| #21 | St. Joseph Hospital | Bethpage, NY | $2,249 | -$2,025 | $1,524–$2,249 |
| #22 | St. Charles Hospital | Port Jefferson, NY | $2,249 | -$2,025 | $1,767–$2,249 |
| #23 | Good Samaritan Hospital | West Islip, NY | $2,249 | -$2,025 | $1,767–$2,249 |
| #24 | Mercy Hospital | Rockville Centre, NY | $2,249 | -$2,025 | $1,767–$2,249 |
| #25 | St. Catherine of Siena Hospital | Smithtown, NY | $2,249 | -$2,025 | $2,249 |
| #26 | EDGERTON HOSPITAL AND HEALTH SERVICES | Edgerton, NY | $2,376 | -$1,898 | $3,255–$4,944 |
| #27 | St. Francis Hospital & Heart Center | Roslyn, NY | $2,400 | -$1,874 | $1,767–$2,400 |
| #28 | Wellington Regional Medical Center | Wellington, NY | $2,516 | -$1,758 | $2,516–$51,517 |
| #29 | Jamaica Hospital | Flushing, NY | $2,538 | -$1,736 | $2,538–$4,285 |
| #30 | CareWell Health Medical Center | East Orange, NY | $2,597 | -$1,677 | $562–$33,215 |
| #31 | St Josephs Hospital - Savannah | Savannah, NY | $2,638 | -$1,636 | $1,847–$2,638 |
| #32 | Newark Beth Israel Medical Center | Newark, NY | $2,699 | -$1,575 | $604–$22,525 |
| #33 | Clara Maass Medical Center | Belleville, NY | $2,699 | -$1,575 | $795–$22,525 |
| #34 | Cooperman Barnabas Medical Center | Livingston, NY | $2,699 | -$1,575 | $805–$22,525 |
| #35 | Community Medical Center | Toms River, NY | $2,699 | -$1,575 | $824–$22,525 |
| #36 | Monmouth Medical Center | Long Branch, NY | $2,699 | -$1,575 | $1,590–$22,525 |
| #37 | Monmouth Medical Center Southern Campus | Lakewood, NY | $2,699 | -$1,575 | $1,983–$22,525 |
| #38 | Jersey City Medical Center | Jersey City, NY | $2,700 | -$1,574 | $533–$22,525 |
| #39 | Robert Wood Johnson University Hospital Rahway | Rahway, NY | $2,851 | -$1,423 | $936–$22,525 |
| #40 | NYU Langone | New York, NY | $3,131 | -$1,143 | $1,363–$3,131 |
| #41 | NYU Langone | Brooklyn, NY | $3,131 | -$1,143 | $1,363–$3,131 |
| #42 | NYU Langone | Mineola, NY | $3,131 | -$1,143 | $1,363–$3,131 |
| #43 | The Brooklyn Hospital Center | Brooklyn, NY | $3,221 | -$1,053 | $3,221–$4,415 |
| #44 | BRONXCARE HEALTH SYSTEM | NY | $3,413 | -$861 | $3,413–$4,168 |
| #45 | Montefiore Mount Vernon Hospital | Mount Vernon, NY | $3,549 | -$725 | $823–$40,954 |
| #46 | Montefiore New Rochelle Hospital | New Rochelle, NY | $3,549 | -$725 | $823–$40,954 |
| #47 | Santa Rosa Hospital - Westover Hills | San Antonio, NY | $4,020 | -$254 | $585–$4,020 |
| #48 | NewYork-Presbyterian Queens | NY | $4,527 | +$253 | $4,527 |
| #49 | NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist Hospital | NY | $4,527 | +$253 | $4,527 |
| #50 | Trinitas Regional Medical Center | Elizabeth, NY | $5,086 | +$812 | $587–$22,812 |
| #51 | Tahoe Forest Health System | NY | $5,216 | +$942 | $5,216–$7,407 |
| #52 | Putnam Hospital Center | Carmel, NY | $5,270 | +$996 | $5,270–$47,276 |
| #53 | Robert Wood Johnson University Hospital New Brunswick | New Brunswick, NY | $5,741 | +$1,467 | $564–$22,541 |
| #54 | Good Samaritan Hospital | Suffern, NY | $5,962 | +$1,688 | $4,909–$5,962 |
| #55 | St. John's Episcopal Hospital | Far Rockaway, NY | $6,257 | +$1,983 | $1,600–$16,280 |
| #56 | Robert Wood Johnson University Hospital Somerset | Somerville, NY | $6,311 | +$2,037 | $622–$21,303 |
| #57 | The Valley Hospital | NY | $6,339 | +$2,065 | $6,339–$17,843 |
| #58 | Jamaica Hospital Medical Center | Jamaica, NY | $7,404 | +$3,130 | $7,404–$8,034 |
| #59 | NewYork-Presbyterian Hudson Valley Hospital | NY | $8,031 | +$3,757 | $4,527 |
| #60 | Mather Hospital | Port Jefferson, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #61 | Plainview Hospital | Plainview, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #62 | Staten Island University Hospital | Staten Island, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #63 | Huntington Hospital | Huntington, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #64 | Peconic Bay Medical Center | Riverhead, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #65 | Lenox Hill Hospital | New York, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #66 | Cohen Children's Medical Center | New Hyde Park, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #67 | Long Island Jewish Valley Stream | Valley Stream, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #68 | Glen Cove Hospital | Glen Cove, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #69 | Phelps Hospital | Sleepy Hollow, NY | $8,113 | +$3,839 | $4,465–$31,864 |
| #70 | South Shore University Hospital | Bay Shore, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #71 | North Shore University Hospital | Manhasset, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #72 | Long Island Jewish Hospital | New Hyde Park, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #73 | Long Island Jewish Forest Hills | Forest Hills, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #74 | Northern Westchester Hospital | Mount Kisco, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #75 | Syosset Hospital | Syosset, NY | $8,113 | +$3,839 | $4,465–$24,963 |
| #76 | Hospital for Special Surgery | New York, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #77 | Hospital for Special Surgery | Paramus, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #78 | Hospital for Special Surgery | NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #79 | Hospital for Special Surgery | Brooklyn, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #80 | Hospital for Special Surgery | Fresh Meadows, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #81 | Hospital for Special Surgery | Uniondale, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #82 | Hospital for Special Surgery | Water Mill, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #83 | Hospital for Special Surgery | White Plains, NY | $10,100 | +$5,826 | $10,100–$28,312 |
| #84 | Memorial Hospital for Cancer and Allied Diseases | NY | $10,950 | +$6,676 | $10,950–$16,950 |
| #85 | Saint Francis Hospital South | Tulsa, NY | $11,050 | +$6,776 | $11,050–$16,863 |
| #86 | Providence Health and Services - Oregon | Milwaukie, NY | $11,490 | +$7,216 | $11,490–$19,177 |
| #87 | Novant Health Huntersville Medical Center | Huntersville, NY | $12,476 | +$8,202 | $12,476–$17,038 |
| #88 | Texas Health Huguley Hospital Fort Worth South | Burleson, NY | $12,567 | +$8,293 | $1,542–$12,567 |
| #89 | Hudson Regional Hospital | NY | $12,899 | +$8,625 | $12,899–$37,086 |
| #90 | Parkview Regional Medical Center | Fort Wayne, NY | $13,583 | +$9,309 | $13,583–$47,628 |
| #91 | Wyckoff Heights Medical Center | Brooklyn, NY | $14,250 | +$9,976 | $14,250–$24,000 |
| #92 | Saint Clares Hospital | Denville, NY | $14,888 | +$10,614 | $36,065–$63,297 |
| #93 | Saint Michaels Medical Center | NY | $14,888 | +$10,614 | $69,628 |
| #94 | Saint Marys Hospital | NY | $15,177 | +$10,903 | $43,821–$63,297 |
| #95 | Stony Brook University Hospital | Stony Brook, NY | $17,387 | +$13,113 | $17,387–$35,098 |
| #96 | Westchester Medical Center | Valhalla, NY | $25,039 | +$20,765 | $60,173–$78,546 |
| #97 | Stony Brook Southampton Hospital | Southampton, NY | $32,712 | +$28,438 | $890–$36,493 |
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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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Compare other procedures in New York, NY:
Where you can save the most on knee replacement in New York, NY
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| The Rehabilitation Hospital at Raritan Bay Medical Center | Westwood, NY | $559 | -$3,715 |
| Mount Sinai South Nassau | Oceanside, NY | $1,244 | -$3,030 |
| Mount Sinai Queens | Long Island City, NY | $2,031 | -$2,243 |
| The Mount Sinai Hospital | New York, NY | $2,031 | -$2,243 |
| NYC Health and Hospitals | Brooklyn, NY | $2,044 | -$2,230 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive knee replacement providers in New York, NY
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Stony Brook Southampton Hospital | Southampton, NY | $32,712 | +$28,438 |
| Westchester Medical Center | Valhalla, NY | $25,039 | +$20,765 |
| Stony Brook University Hospital | Stony Brook, NY | $17,387 | +$13,113 |
| Saint Marys Hospital | NY | $15,177 | +$10,903 |
| Saint Clares Hospital | Denville, NY | $14,888 | +$10,614 |
Why prices vary this much
A small number of hospitals (3) report very high prices above $16,909, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in New York, NY: the median outpatient price is $4,274 versus $3,131 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the New York, NY facilities reporting prices, 31 fall in a low-cost tier (up to $2,249) while 43 sit in a high-cost tier ($8,113 and up) — a lower-priced option almost always exists within the same state.
Among the cities with the most reporting hospitals, New York has a median reported price of $3,131 across 11 facilities, while facilities in Bronx tend to report lower prices (median: $2,044). City-level variation within a state often reflects local market structure, not procedure complexity.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Compare knee replacement costs in nearby states
Frequently asked questions: knee replacement costs in New York, NY
How much does a knee replacement cost in New York, NY?
Across 97 New York, NY hospitals that publish prices, a knee replacement ranges from $559 to $32,712, with a median of $4,274. Most facilities fall between $2,249 and $8,113. 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 New York, NY?
Based on declared prices, the lowest-cost facility in our New York, NY data is The Rehabilitation Hospital at Raritan Bay Medical Center in Westwood at about $559. By metro, Bronx has the lowest median ($2,044). 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 New York, NY hospitals?
Prices vary up to 58.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New York, NY, the median cash (self-pay) price is $4,527 versus a median negotiated rate of $1,116 — about 4.1× 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 New York, NY?
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.
Explore all knee replacement cost data
→ See knee replacement costs across all states
Where You Get a Knee Replacement Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Ambulatory Surgery Center
Ambulatory Surgery Center typically carries a mid-range price for a knee replacement. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
Hospital Inpatient
Hospital Inpatient typically carries the highest price for a knee replacement. DRG-based billing bundles most services. Professional fees billed separately. Length of stay drives cost.
What's Actually on Your Knee Replacement Bill
A knee replacement involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Asc
- ASC Facility Fee — Device-intensive (J8 payment indicator) — ASC payment = OPPS payment minus device offset. MRF data shows 30–70% less than hospital OP in some markets.
- Orthopedic Surgeon Professional Fee
- Anesthesia
- Implant Device Cost
Hospital Inpatient
- Drg Facility Stay — DRG 470 (major joint replacement without MCC) most common.
- Orthopedic Surgeon Professional Fee
- Anesthesia
- Implant Device Cost
Knee Replacement Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Total Knee Replacement
A recognized variation that can change the billing code and what you owe. Most common. Replaces entire joint surface.
Partial Knee Replacement (Unicompartmental)
A recognized variation that can change the billing code and what you owe. Less invasive when only one compartment is damaged. Faster recovery.
Knee Revision Surgery
A recognized variation that can change the billing code and what you owe. Replacement of a failed implant. Significantly more complex and expensive.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Knee Replacement is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than ASC for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Prior Authorization Is Usually Required
Most commercial and Medicare Advantage plans require pre-approval for knee replacement before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.
Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.
The Implant Is the Largest Cost Driver
For knee replacement, the implant or device typically accounts for 40–70% of the total hospital bill. Surgeons have preferred device relationships that affect which implant is used — and different implants can vary by $5,000–$15,000 in cost.
What to ask: Request an itemized estimate that breaks out the implant separately. Ask your surgeon whether a comparable implant is available at a lower cost.
Who performs this: Knee Replacement is typically performed by a Orthopedic Surgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
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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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