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

What does a knee replacement cost in Wyoming?

For a commercially insured patient, a knee replacement in Wyoming typically runs $5,259$15,434 once facility and physician fees are combined. The median reported facility price across 15 hospitals is $4,261. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

Wyoming Medicine (based in Casper) and Banner Health serve much of the state's population, but Wyoming's frontier geography means the nearest hospital is often 50–100 miles away. Many Wyoming residents cross into Colorado or Utah for non-emergency specialty care. Critical access hospitals are widespread, and prices at rural Wyoming facilities often run high relative to the care complexity they handle.

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.

Wyoming prices for a knee replacement span 103.9× across 15 reporting hospitals, from $694 (Campbell County Memorial Hospital in Gillette) up to $72,113 (North Big Horn Hospital) for identical care. The median Wyoming price is $4,261. Most facilities fall between $2,520 and $8,982. Self-pay patients are quoted more than insurers actually pay: the median cash price is $4,538 versus a median negotiated rate of $1,111 — about 4.1× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Where you go inside Wyoming counts as much as which plan you have: Rock Spring's median ($41,095) runs 72.1× Afton's ($570).

Forecast your out-of-pocket cost

How prices are distributed across Wyoming hospitals:
  • Lower-cost hospitals (bottom 25%): under $2,520
  • Median hospital: $4,261
  • Higher-cost hospitals (top 30%): $8,982+

That's a 4× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Afton:
  • Patient A (higher-rate plan or out-of-network): ~$8,982
  • Patient B (lower-rate in-network plan): ~$2,839
Same procedure. Same week. $6,143 difference.

Where knee replacement costs vary in Wyoming

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.

See every Wyoming hospital's price

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Cheapest Knee Replacement Providers in Wyoming

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

# Facility City Price vs Median
1 POWELL VALLEY HEALTHCARE INC WY $1,078 -$3,183
2 Campbell County Memorial Hospital Gillette, WY $2,209 -$2,052
3 Crook County Hospital Sundance, WY $2,356 -$1,905
4 Memorial Hospital of Carbon County Rawlins, WY $2,684 -$1,577
5 Johnson County Memorial Hospital Buffalo, WY $3,072 -$1,189
6 St Johns Health WY $3,104 -$1,157
7 South Lincoln Medical Center WY $3,180 -$1,081
8 SUMMIT MEDICAL LLC Casper, WY $4,261 +$0

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 →

Worth knowing: A small number of hospitals report very high prices above $26,610, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $4,538. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$8,293
Deductible met — 20% coinsurance ~$1,659
Out-of-network provider $18,245+

Based on a typical episode cost of $8,293 (facility + physician fees). 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 $3,691+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Wyoming start around $2,520 or below. Most hospitals cluster between $2,520 and $12,156. 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: Campbell County Memorial Hospital in Gillette (cash price from $2,209); Crook County Hospital in Sundance (cash price from $2,356); Memorial Hospital of Carbon County in Rawlins (cash price from $2,684). These are declared cash prices — contact each facility for a formal quote before scheduling.

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
$1,706–$79,053
  • Facility fee $501–$72,113
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,775–$79,053
  • Facility fee $570–$72,113
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Quick decision guide:
  • Best value hospitals (lowest prices): Star Valley Health: $570; POWELL VALLEY HEALTHCARE INC: $1,078; Campbell County Memorial Hospital: $2,209
  • Most expensive (outpatient): North Big Horn Hospital: ~$72,113; Ivinson Memorial Hospital: ~$12,866

→ Choosing the right facility can save $3,691+ vs. the state median.

Wyoming 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 the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. 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 Star Valley Health Afton, WY $570 -$3,691 $910
#2 POWELL VALLEY HEALTHCARE INC WY $1,078 -$3,183 $1,169
#3 Campbell County Memorial Hospital Gillette, WY $2,209 -$2,052 $694–$5,082
#4 Crook County Hospital Sundance, WY $2,356 -$1,905 $1,986–$5,096
#5 Memorial Hospital of Carbon County Rawlins, WY $2,684 -$1,577 $3,579–$8,428
#6 Johnson County Memorial Hospital Buffalo, WY $3,072 -$1,189 $3,072
#7 St Johns Health WY $3,104 -$1,157 $3,104–$4,542
#8 South Lincoln Medical Center WY $3,180 -$1,081 $4,240
#9 SUMMIT MEDICAL LLC Casper, WY $4,261 +$0 $974–$12,015
#10 Memorial Hospital of Converse County Douglas, WY $4,317 +$56 $925–$17,987
#11 West Park Hospital - Cody Regional WY $4,758 +$497 $5,598–$11,322
#12 Sagewest Health Care Riverton, WY $12,731 +$8,470 $21,219–$41,798
#13 Ivinson Memorial Hospital Laramie, WY $12,866 +$8,605 $1,377–$12,866
#14 ASPEN MOUNTAIN MEDICAL Rock Spring, WY $41,095 +$36,834 $41,095
#15 North Big Horn Hospital WY $72,113 +$67,852 $72,113

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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.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Wyoming:

Where you can save the most on knee replacement in Wyoming

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
Star Valley Health Afton, WY $570 -$3,691
POWELL VALLEY HEALTHCARE INC WY $1,078 -$3,183
Campbell County Memorial Hospital Gillette, WY $2,209 -$2,052
Crook County Hospital Sundance, WY $2,356 -$1,905
Memorial Hospital of Carbon County Rawlins, WY $2,684 -$1,577

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.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive knee replacement providers in Wyoming

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
North Big Horn Hospital WY $72,113 +$67,852
ASPEN MOUNTAIN MEDICAL Rock Spring, WY $41,095 +$36,834
Ivinson Memorial Hospital Laramie, WY $12,866 +$8,605
Sagewest Health Care Riverton, WY $12,731 +$8,470
West Park Hospital - Cody Regional WY $4,758 +$497

Why prices vary this much

A small number of hospitals (3) report very high prices above $26,610, 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 Wyoming: the median outpatient price is $4,261 versus $4,672 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Wyoming facilities reporting prices, 5 fall in a low-cost tier (up to $2,520) while 5 sit in a high-cost tier ($12,156 and up) — a lower-priced option almost always exists within the same state.

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 Wyoming

How much does a knee replacement cost in Wyoming?

Across 15 Wyoming hospitals that publish prices, a knee replacement ranges from $694 to $72,113, with a median of $4,261. Most facilities fall between $2,520 and $8,982. 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 Wyoming?

Based on declared prices, the lowest-cost facility in our Wyoming data is Star Valley Health in Afton at about $570. By metro, Afton has the lowest median ($570). 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 Wyoming hospitals?

Prices vary up to 103.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wyoming, the median cash (self-pay) price is $4,538 versus a median negotiated rate of $1,111 — 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 Wyoming?

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

Other Wyoming 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 Wyoming. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ADVANCED SURGICAL CARE OF WYOMING, LLC
3076603934
GILLETTE, WY Ambulatory Surgical Center
CAMPBELL COUNTY HOSPITAL DISTRICT
3076887000
GILLETTE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
CAMPBELL COUNTY HOSPITAL DISTRICT
3076888602
GILLETTE, WY Ambulatory Surgical Center
CAMPBELL COUNTY HOSPITAL DISTRICT
3076888600
GILLETTE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
CASPER MEDICAL CENTER LLC
3079958100
CASPER, WY General Acute Care Hospital $1,706–$79,053 bundled est.
CASPER MEDICAL CENTER LLC
3079958100
CODY, WY General Acute Care Hospital $1,706–$79,053 bundled est.
CASPER WY ENDOSCOPY ASC LLC
3072651792
CASPER, WY Ambulatory Surgical Center
CENTER FOR DERMATOLOGIC SURGERY
3076350226
CHEYENNE, WY Ambulatory Surgical Center
CENTER FOR SURGICAL EXCELLENCE INC
3076822233
GILLETTE, WY Ambulatory Surgical Center
CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC
3075772950
CASPER, WY Ambulatory Surgical Center
CHEYENNE MEDICAL PLAZA SURGERY CENTER, LLC
3076357070
CHEYENNE, WY Ambulatory Surgical Center
CHEYENNE OCULAR SURGERY
3076322020
CHEYENNE, WY Ambulatory Surgical Center
▼ Show 63 more Wyoming hospitals and ambulatory surgery centers
CHEYENNE OCULAR SURGERY
3076342020
CHEYENNE, WY Ambulatory Surgical Center
CHEYENNE REGIONAL MEDICAL CENTER
3076337670
CHEYENNE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
CHEYENNE SURGICAL CENTER LLC
3076338121
CHEYENNE, WY Ambulatory Surgical Center
CHEYENNE VAMC
9135784409
CHEYENNE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
COMMUNITY BIRTH GROUP
8003418598
POWELL, WY General Acute Care Hospital $1,706–$79,053 bundled est.
COMMUNITY HOSPITAL
3075322107
TORRINGTON, WY Critical Access Hospital $1,706–$79,053 bundled est.
COMMUNITY HOSPITAL
3075324181
TORRINGTON, WY Critical Access Hospital $1,706–$79,053 bundled est.
COMMUNITY HOSPITAL
3075324181
TORRINGTON, WY Critical Access Hospital $1,706–$79,053 bundled est.
COMUNITY HEALTH CENTER OF CENTRAL WYOMING
3072336000
CASPER, WY Ambulatory Surgery Center
CROOK COUNTY MEDICAL SERVICES DISTRICT
3072833501
SUNDANCE, WY Long Term Care Hospital $1,706–$79,053 bundled est.
CROOK COUNTY MEDICAL SERVICES DISTRICT
3072833501
SUNDANCE, WY Critical Access Hospital $1,706–$79,053 bundled est.
EVANSTON HOSPITAL CORPORATION
3077893636
EVANSTON, WY General Acute Care Hospital $1,706–$79,053 bundled est.
FSC LLC
3076703500
GILLETTE, WY Ambulatory Surgical Center
GEM CITY BONE & JOINT PC
3077458851
LARAMIE, WY Ambulatory Surgical Center
INTERNAL MEDICINE GROUP PC
3076354141
CHEYENNE, WY Ambulatory Surgical Center
IVINSON MEMORIAL HOSPITAL
3077669525
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
IVINSON MEMORIAL HOSPITAL
3077422141
LARAMIE, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
LAGRECA EYE CLINIC, P.C.
3073325272
LANDER, WY Ambulatory Surgical Center
LANDER REGIONAL HOSPITAL
3073356384
LANDER, WY General Acute Care Hospital $1,706–$79,053 bundled est.
LANDER VALLEY AMBULATORY SURGERY CENTER LLC
3073356565
LANDER, WY Ambulatory Surgical Center
LANDER VALLEY MEDICAL CENTER LLC
3073324420
LANDER, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
MEMORIAL HOSPITAL OF CARBON COUNTY
3073248221
RAWLINS, WY Critical Access Hospital $1,706–$79,053 bundled est.
MEMORIAL HOSPITAL OF CONVERSE COUNTY
3073582122
DOUGLAS, WY Critical Access Hospital $1,706–$79,053 bundled est.
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
3073528136
ROCK SPRINGS, WY General Acute Care Hospital $1,706–$79,053 bundled est.
NIOBRARA COUNTY HOSPITAL DISTRICT
3073344000
LUSK, WY Critical Access Hospital $1,706–$79,053 bundled est.
NORTH BIG HORN HOSPITAL PHARMACY
3075485200
LOVELL, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
NORTH EAST WYOMING SURGERY CENTER LLC
3076868283
GILLETTE, WY Ambulatory Surgical Center
NORTHERN WYOMING SURGICAL CENTER, LLC
3075872139
CODY, WY Ambulatory Surgical Center
PLATTE COUNTY HOSPITAL
3073223861
GUERNSEY, WY Critical Access Hospital $1,706–$79,053 bundled est.
PLATTE COUNTY HOSPITAL
3073223861
WHEATLAND, WY Critical Access Hospital $1,706–$79,053 bundled est.
PLATTE COUNTY MEMORIAL HOSPITAL
3073223636
WHEATLAND, WY Critical Access Hospital $1,706–$79,053 bundled est.
POWDER RIVER SURGERY CENTER
3076968240
GILLETTE, WY Ambulatory Surgical Center
POWELL VALLEY HEALTH CARE INC
3077541101
POWELL, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
PREMIER SURGICAL CENTER, LLC
3074443600
EVANSTON, WY Ambulatory Surgical Center
RIVERPEAK HEALTH
3078409503
RIVERTON, WY General Acute Care Hospital $1,706–$79,053 bundled est.
RIVERTON MEMORIAL HOSPITAL LLC
3073324420
LANDER, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
ROCK SPRINGS PLASTIC SURGERY CENTER
3073628211
ROCK SPRINGS, WY Ambulatory Surgical Center
SHERIDAN SURGICAL CENTER, LLC
3076727874
SHERIDAN, WY Ambulatory Surgical Center
SHERIDAN VAMC
9135784409
SHERIDAN, WY General Acute Care Hospital $1,706–$79,053 bundled est.
SOUTH LINCOLN HOSPITAL DISTRICT
3078774401
KEMMERER, WY Ambulatory Surgical Center
SOUTH LINCOLN HOSPITAL DISTRICT
3078774401
KEMMERER, WY Rural Acute Care Hospital $1,706–$79,053 bundled est.
SUBLETTE COUNTY HOSPITAL DISTRICT
3073670099
PINEDALE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
SUMMIT MEDICAL CENTER, LLC
3072326600
CASPER, WY General Acute Care Hospital $1,706–$79,053 bundled est.
SWEETWATER SURGERY CENTER LLC
3073826873
ROCK SPRINGS, WY Ambulatory Surgical Center
TETON COUNTY HOSPITAL DISTRICT
3077333636
JACKSON, WY General Acute Care Hospital $1,706–$79,053 bundled est.
TETON OUTPATIENT SERVICES LLC
3077338677
JACKSON, WY Ambulatory Surgical Center
THE EYE SURGERY CENTER
3074383613
LANDER, WY Ambulatory Surgical Center
THOMAS E. SPICER, MD, PC
3073628211
ROCK SPRINGS, WY Ambulatory Surgical Center
VAMC CHEYENNE
3077787550
CHEYENNE, WY General Acute Care Hospital $1,706–$79,053 bundled est.
WASHAKIE MEDICAL CENTER
3073476952
WORLAND, WY Critical Access Hospital $1,706–$79,053 bundled est.
WASHAKIE MEDICAL CENTER
3073473221
WORLAND, WY Critical Access Hospital $1,706–$79,053 bundled est.
WESTERN AMBULATORY SURGERY LLC
3072372511
CASPER, WY Ambulatory Surgical Center
WESTERN WYOMING MEDICAL LLC
3183727510
LANDER, WY Ambulatory Surgical Center
WOPS INC
3076341311
CHEYENNE, WY Ambulatory Surgical Center
WYOMING BEHAVIORAL INSTITUTION
3072377444
CASPER, WY General Acute Care Hospital $1,706–$79,053 bundled est.
WYOMING ENDOSCOPY CENTER LLC
3076354141
CHEYENNE, WY Ambulatory Surgical Center
WYOMING MEDICAL CENTER INC
3075772171
CASPER, WY General Acute Care Hospital $1,706–$79,053 bundled est.
WYOMING SURGICAL CENTER LLC
3074728781
CASPER, WY Ambulatory Surgical Center

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.

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)

Other Procedure Costs in Wyoming

Interested in understanding healthcare costs and managing your medical expenses?

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 May 15, 2026 · Updated May 15, 2026

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