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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 27447
  4. Cost Analysis

How Much Does Replacement of knee joint, both sides of knee Cost on Medicare?

Cost analysis for CPT 27447 — Replacement of knee joint, both sides of knee

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 4.0x more than the cheapest for this procedure. MS averages $2162.41 vs SD at $541.26.

StateAvg PaymentTotal PaymentsServicesProviders
MS$2162.41$14.5M6.7K88
HI$1954.86$1.1M58217
OR$1576.65$10.2M6.5K169
MD$1499.22$19.2M12.8K266
GA$1496.27$22.1M14.8K360
MI$1490.71$18.2M12.2K363
NV$1486.61$6.2M4.2K87
TN$1449.68$19.0M13.1K280
AK$1361.75$2.2M1.6K45
MN$1354.47$11.0M8.1K265
CT$1311.25$6.4M4.9K161
NH$1302.97$5.2M4.0K90
AZ$1279.15$16.9M13.2K285
NM$1275.84$3.4M2.7K66
OH$1274.31$28.1M22.1K537
FL$1218.81$46.2M37.9K785
RI$1216.16$2.1M1.7K48
WA$1186.95$14.7M12.4K318
MO$1153.71$12.6M10.9K250
VA$1143.56$20.0M17.5K311
IN$1131.82$17.3M15.2K338
CA$1116.06$40.3M36.1K824
ND$1110.85$2.7M2.5K57
NY$1110.76$21.1M19.0K484
SC$1092.66$13.8M12.6K223
MT$1084.57$4.5M4.2K75
WV$1082.45$2.7M2.5K71
KY$1079.10$7.1M6.6K155
UT$1063.20$6.4M6.0K152
CO$1050.57$11.5M10.9K249
NJ$1046.30$13.9M13.3K272
WY$1015.40$1.6M1.6K50
WI$1005.06$9.5M9.5K282
NC$1000.43$19.0M19.0K455
IL$983.71$22.5M22.9K481
PA$942.22$22.1M23.4K538
DC$929.03$569.5K61316
TX$909.83$29.0M31.9K764
LA$877.75$5.7M6.5K162
IA$871.36$7.8M8.9K187
MA$812.58$10.1M12.5K284
DE$810.16$2.7M3.3K51
ME$771.71$1.6M2.1K63
AR$734.12$4.3M5.9K119
OK$727.59$6.2M8.5K175
AL$709.71$5.0M7.0K213
ID$648.59$2.6M4.1K105
KS$629.81$6.5M10.4K184
NE$606.61$4.1M6.8K141
VT$603.17$586.9K97325
SD$541.26$2.3M4.2K95

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Advanced Center For Joint Surgery, LlcAmbulatory Surgical CenterGA$5.0M709$7046.94
Madison Physician Surgery Center, LlcAmbulatory Surgical CenterMS$4.3M644$6640.87
Advanced Surgery Center Of Orlando LlcAmbulatory Surgical CenterFL$3.4M492$6842.97
Sog Surgery Center LlcAmbulatory Surgical CenterMS$2.8M457$6211.48
Beacon Orthopaedics Surgery Center, LlcAmbulatory Surgical CenterOH$2.6M375$6927.58
Reno Orthopaedic Surgery Center LlcAmbulatory Surgical CenterNV$2.6M361$7065.63
Atlanticare Center For Orthopedic SurgeryAmbulatory Surgical CenterNJ$2.4M322$7559.81
Bon Secours Surgery Center At Harbour View, LlcAmbulatory Surgical CenterVA$2.2M319$6824.04
Musculoskeletal Ambulatory Surgery Center IncAmbulatory Surgical CenterFL$2.1M306$7025.92
Bluegrass Orthopaedics Surgical Division LlcAmbulatory Surgical CenterKY$2.0M299$6806.02
Olympia Orthopaedic Associates PllcAmbulatory Surgical CenterWA$1.8M244$7533.69
Cascade Surgicenter, LlcAmbulatory Surgical CenterOR$1.7M229$7576.05
Landmark Surgical Suites, LlcAmbulatory Surgical CenterIN$1.7M245$6742.61
Surgical Center At Columbia Orthopaedic Group LlcAmbulatory Surgical CenterMO$1.6M233$6694.75
Peninsula Surgery Center, LlcAmbulatory Surgical CenterCA$1.6M147$10554.37
Muve - West Chester Ambulatory Surgical Center, LlcAmbulatory Surgical CenterPA$1.5M210$7311.06
Inov8 Surgical At Memorial CityAmbulatory Surgical CenterTX$1.5M207$7298.32
Cherokee Farm Orthopedic Surgery Center, LlcAmbulatory Surgical CenterTN$1.4M232$6204.82
Orange Asc, LtdAmbulatory Surgical CenterOH$1.4M207$6927.21
White Fence Surgical Suites, LlcAmbulatory Surgical CenterOH$1.4M201$7048.80

🤔 Is Replacement of knee joint, both sides of knee Overpriced?

The data suggests significant pricing inconsistencies for CPT 27447. With a 4.0x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.