Cost analysis for CPT 27447 — Replacement of knee joint, both sides of knee
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 4.0x more than the cheapest for this procedure. MS averages $2162.41 vs SD at $541.26.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MS | $2162.41 | $14.5M | 6.7K | 88 |
| HI | $1954.86 | $1.1M | 582 | 17 |
| OR | $1576.65 | $10.2M | 6.5K | 169 |
| MD | $1499.22 | $19.2M | 12.8K | 266 |
| GA | $1496.27 | $22.1M | 14.8K | 360 |
| MI | $1490.71 | $18.2M | 12.2K | 363 |
| NV | $1486.61 | $6.2M | 4.2K | 87 |
| TN | $1449.68 | $19.0M | 13.1K | 280 |
| AK | $1361.75 | $2.2M | 1.6K | 45 |
| MN | $1354.47 | $11.0M | 8.1K | 265 |
| CT | $1311.25 | $6.4M | 4.9K | 161 |
| NH | $1302.97 | $5.2M | 4.0K | 90 |
| AZ | $1279.15 | $16.9M | 13.2K | 285 |
| NM | $1275.84 | $3.4M | 2.7K | 66 |
| OH | $1274.31 | $28.1M | 22.1K | 537 |
| FL | $1218.81 | $46.2M | 37.9K | 785 |
| RI | $1216.16 | $2.1M | 1.7K | 48 |
| WA | $1186.95 | $14.7M | 12.4K | 318 |
| MO | $1153.71 | $12.6M | 10.9K | 250 |
| VA | $1143.56 | $20.0M | 17.5K | 311 |
| IN | $1131.82 | $17.3M | 15.2K | 338 |
| CA | $1116.06 | $40.3M | 36.1K | 824 |
| ND | $1110.85 | $2.7M | 2.5K | 57 |
| NY | $1110.76 | $21.1M | 19.0K | 484 |
| SC | $1092.66 | $13.8M | 12.6K | 223 |
| MT | $1084.57 | $4.5M | 4.2K | 75 |
| WV | $1082.45 | $2.7M | 2.5K | 71 |
| KY | $1079.10 | $7.1M | 6.6K | 155 |
| UT | $1063.20 | $6.4M | 6.0K | 152 |
| CO | $1050.57 | $11.5M | 10.9K | 249 |
| NJ | $1046.30 | $13.9M | 13.3K | 272 |
| WY | $1015.40 | $1.6M | 1.6K | 50 |
| WI | $1005.06 | $9.5M | 9.5K | 282 |
| NC | $1000.43 | $19.0M | 19.0K | 455 |
| IL | $983.71 | $22.5M | 22.9K | 481 |
| PA | $942.22 | $22.1M | 23.4K | 538 |
| DC | $929.03 | $569.5K | 613 | 16 |
| TX | $909.83 | $29.0M | 31.9K | 764 |
| LA | $877.75 | $5.7M | 6.5K | 162 |
| IA | $871.36 | $7.8M | 8.9K | 187 |
| MA | $812.58 | $10.1M | 12.5K | 284 |
| DE | $810.16 | $2.7M | 3.3K | 51 |
| ME | $771.71 | $1.6M | 2.1K | 63 |
| AR | $734.12 | $4.3M | 5.9K | 119 |
| OK | $727.59 | $6.2M | 8.5K | 175 |
| AL | $709.71 | $5.0M | 7.0K | 213 |
| ID | $648.59 | $2.6M | 4.1K | 105 |
| KS | $629.81 | $6.5M | 10.4K | 184 |
| NE | $606.61 | $4.1M | 6.8K | 141 |
| VT | $603.17 | $586.9K | 973 | 25 |
| SD | $541.26 | $2.3M | 4.2K | 95 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Advanced Center For Joint Surgery, Llc | Ambulatory Surgical Center | GA | $5.0M | 709 | $7046.94 |
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $4.3M | 644 | $6640.87 |
| Advanced Surgery Center Of Orlando Llc | Ambulatory Surgical Center | FL | $3.4M | 492 | $6842.97 |
| Sog Surgery Center Llc | Ambulatory Surgical Center | MS | $2.8M | 457 | $6211.48 |
| Beacon Orthopaedics Surgery Center, Llc | Ambulatory Surgical Center | OH | $2.6M | 375 | $6927.58 |
| Reno Orthopaedic Surgery Center Llc | Ambulatory Surgical Center | NV | $2.6M | 361 | $7065.63 |
| Atlanticare Center For Orthopedic Surgery | Ambulatory Surgical Center | NJ | $2.4M | 322 | $7559.81 |
| Bon Secours Surgery Center At Harbour View, Llc | Ambulatory Surgical Center | VA | $2.2M | 319 | $6824.04 |
| Musculoskeletal Ambulatory Surgery Center Inc | Ambulatory Surgical Center | FL | $2.1M | 306 | $7025.92 |
| Bluegrass Orthopaedics Surgical Division Llc | Ambulatory Surgical Center | KY | $2.0M | 299 | $6806.02 |
| Olympia Orthopaedic Associates Pllc | Ambulatory Surgical Center | WA | $1.8M | 244 | $7533.69 |
| Cascade Surgicenter, Llc | Ambulatory Surgical Center | OR | $1.7M | 229 | $7576.05 |
| Landmark Surgical Suites, Llc | Ambulatory Surgical Center | IN | $1.7M | 245 | $6742.61 |
| Surgical Center At Columbia Orthopaedic Group Llc | Ambulatory Surgical Center | MO | $1.6M | 233 | $6694.75 |
| Peninsula Surgery Center, Llc | Ambulatory Surgical Center | CA | $1.6M | 147 | $10554.37 |
| Muve - West Chester Ambulatory Surgical Center, Llc | Ambulatory Surgical Center | PA | $1.5M | 210 | $7311.06 |
| Inov8 Surgical At Memorial City | Ambulatory Surgical Center | TX | $1.5M | 207 | $7298.32 |
| Cherokee Farm Orthopedic Surgery Center, Llc | Ambulatory Surgical Center | TN | $1.4M | 232 | $6204.82 |
| Orange Asc, Ltd | Ambulatory Surgical Center | OH | $1.4M | 207 | $6927.21 |
| White Fence Surgical Suites, Llc | Ambulatory Surgical Center | OH | $1.4M | 201 | $7048.80 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.