Itemized  ·  Procedures  ·  Total knee replacement  ·  with Medicaid / Medi-Cal

Total knee replacement with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for total knee replacement at 60 US hospitals. Range: $41 to $33,025. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Medicaid / Medi-Cal rate.

#HospitalMedicaid / Medi-Cal rate
1
Dallas, TX
$41 – $169
2
San Diego, CA
$90 – $38,071
3
Philadelphia, PA
$220 – $2,520
4
Pittsburgh, PA
$264 – $2,616
5
Monroeville, PA
$264 – $8,536
6
Jefferson Hills, PA
$264 – $2,616
7
Montebello, CA
$298 – $477
8
Palo Alto, CA
$396 – $3,709
9
Glendale, CA
$650 – $7,174
10
Detroit, MI
$721 – $7,449
11
West Bloomfield, MI
$721 – $7,449
12
Jamaica, NY
$727 – $1,455
13
New York, NY
$733 – $1,465
14
Bronx, NY
$749 – $16,026
15
Brooklyn, NY
$758 – $1,515
16
Brooklyn, NY
$758 – $1,515
17
Minneapolis, MN
$857 – $11,999
18
New York, NY
$899 – $1,415
19
Pittsburgh, PA
$931
20
Queens, NY
$957 – $1,455
21
Bronx, NY
$957 – $1,515
22
New York, NY
$957 – $1,465
23
New York, NY
$957 – $1,515
24
Dallas, TX
$1,025 – $1,199
25
Dallas, TX
$1,104
26
Charlotte, NC
$1,160
27
Cleveland, OH
$1,167 – $1,351
28
Phoenix, AZ
$1,345 – $13,714
29
New York, NY
$1,364 – $4,754
30
Los Angeles, CA
$1,489 – $19,320
31
Monterey Park, CA
$1,489 – $14,861
32
Norwalk, CA
$1,519
33
Nashville, TN
$1,609 – $5,249
34
Long Beach, CA
$1,709 – $13,469
35
Los Angeles, CA
$1,709 – $18,212
36
Northridge, CA
$1,709 – $13,469
37
San Luis Obispo, CA
$1,709 – $2,694
38
Redwood City, CA
$1,709 – $3,313
39
Santa Cruz, CA
$1,709 – $2,694
40
Sacramento, CA
$1,709 – $9,185
41
Carmichael, CA
$1,709 – $9,185
42
Sacramento, CA
$1,709 – $9,185
43
Woodland, CA
$1,709 – $9,185
44
Lynwood, CA
$2,136 – $2,777
45
Glendale, CA
$2,670 – $13,469
46
Redding, CA
$3,396 – $9,185
47
Queens / Nassau, NY
$4,127 – $5,406
48
New York, NY
$4,127 – $5,406
49
Manhasset, NY
$4,127 – $5,406
50
Staten Island, NY
$4,127 – $5,406

Estimate what you'd actually pay with Medicaid / Medi-Cal.

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Medicaid / Medi-Cal plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicaid / Medi-Cal plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Total knee replacement overview shows the cash-pay column alongside.