Cost analysis for CPT 27446 — Replacement of knee joint on side of knee
Average Medicare Payment
$1753.04
2023 data
Total Payments (2023)
$21.8M
Services (2023)
10.8K
Price Change (2014–2023)
+65.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $1061.02 | $13.2M | 12.8K | — |
| 2015 | $1039.06 | $13.2M | 12.4K | -2.1% |
| 2016 | $1054.54 | $16.4M | 14.3K | +1.5% |
| 2017 | $1040.10 | $16.3M | 14.4K | -1.4% |
| 2018 | $1172.60 | $18.0M | 14.5K | +12.7% |
| 2019 | $1307.93 | $20.6M | 14.4K | +11.5% |
| 2020 | $1488.25 | $19.1M | 10.9K | +13.8% |
| 2021 | $1663.85 | $21.0M | 11.2K | +11.8% |
| 2022 | $1725.05 | $21.6M | 11.0K | +3.7% |
| 2023 | $1753.04 | $21.8M | 10.8K | +1.6% |
The most expensive state pays 5.2x more than the cheapest for this procedure. MD averages $3358.49 vs MT at $650.58.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MD | $3358.49 | $1.5M | 461 | 15 |
| NH | $3111.59 | $585.0K | 188 | 7 |
| MS | $2918.86 | $1.7M | 594 | 9 |
| IN | $2628.67 | $1.9M | 718 | 21 |
| FL | $2613.11 | $2.4M | 911 | 39 |
| MI | $2417.80 | $1.4M | 559 | 22 |
| GA | $2411.18 | $342.4K | 142 | 8 |
| NC | $2309.07 | $658.1K | 285 | 18 |
| MO | $2250.74 | $1.0M | 449 | 10 |
| AZ | $2216.00 | $1.2M | 538 | 20 |
| OH | $2175.81 | $953.0K | 438 | 17 |
| WA | $2169.98 | $792.0K | 365 | 18 |
| KY | $2078.43 | $336.7K | 162 | 6 |
| NJ | $2056.77 | $417.5K | 203 | 13 |
| TN | $1997.86 | $781.2K | 391 | 14 |
| AL | $1625.58 | $219.5K | 135 | 5 |
| IL | $1576.23 | $521.7K | 331 | 17 |
| VA | $1357.81 | $676.2K | 498 | 18 |
| CA | $1303.86 | $1.4M | 1.1K | 42 |
| PA | $980.82 | $361.9K | 369 | 19 |
| NY | $969.45 | $161.9K | 167 | 11 |
| TX | $955.79 | $572.5K | 599 | 30 |
| MA | $851.25 | $177.9K | 209 | 11 |
| MT | $650.58 | $70.3K | 108 | 6 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sog Surgery Center Llc | Ambulatory Surgical Center | MS | $860.2K | 140 | $6144.51 |
| Surgcenter At National Harbor, Llc | Ambulatory Surgical Center | MD | $683.2K | 95 | $7191.54 |
| Surgical Center At Columbia Orthopaedic Group Llc | Ambulatory Surgical Center | MO | $676.6K | 105 | $6443.64 |
| Landmark Surgical Suites, Llc | Ambulatory Surgical Center | IN | $656.7K | 99 | $6633.67 |
| Physicians Surgery Center At Glendale Adventist, Llc | Ambulatory Surgical Center | CA | $626.4K | 85 | $7369.77 |
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $598.0K | 90 | $6644.27 |
| Midwest Specialty Surgery Center, Llc | Ambulatory Surgical Center | IN | $563.3K | 79 | $7130.73 |
| Osi, Llc | Ambulatory Surgical Center | MI | $448.2K | 68 | $6591.33 |
| White Fence Surgical Suites, Llc | Ambulatory Surgical Center | OH | $446.3K | 64 | $6973.49 |
| Physicians Day Surgery Center, Llc | Ambulatory Surgical Center | FL | $427.0K | 63 | $6777.12 |
| Capital Orthopaedic Surgery Center, Llc | Ambulatory Surgical Center | MD | $397.1K | 54 | $7353.96 |
| Surgcenter Tucson, Llc | Ambulatory Surgical Center | AZ | $392.4K | 59 | $6651.11 |
| Hss Palm Beach Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | FL | $313.9K | 46 | $6822.86 |
| Portsmouth Surgicenter, Llc | Ambulatory Surgical Center | NH | $301.5K | 42 | $7178.85 |
| Specialty Surgical Suites, Llc | Ambulatory Surgical Center | HI | $268.9K | 33 | $8147.16 |
| Tlc Asc, Llc | Ambulatory Surgical Center | FL | $264.8K | 39 | $6789.69 |
| Bluegrass Orthopaedics Surgical Division Llc | Ambulatory Surgical Center | KY | $252.6K | 38 | $6648.02 |
| Deer Pointe Surgical Center, Llc | Ambulatory Surgical Center | MD | $247.3K | 36 | $6868.29 |
| Bloomington Advanced Surgery Center, Llc | Ambulatory Surgical Center | IN | $236.4K | 34 | $6954.12 |
| Chippenham Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | VA | $230.8K | 34 | $6788.24 |
The data suggests significant pricing inconsistencies for CPT 27446. With a 5.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 65.2% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.