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 37 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
Jefferson Hills, PA
$264 – $2,616
6
Montebello, CA
$298 – $477
7
Palo Alto, CA
$396 – $3,709
8
Glendale, CA
$650 – $7,174
9
Detroit, MI
$721 – $7,449
10
West Bloomfield, MI
$721 – $7,449
11
New York, NY
$733 – $1,465
12
Bronx, NY
$749 – $16,026
13
Brooklyn, NY
$758 – $1,515
14
New York, NY
$899 – $1,415
15
Pittsburgh, PA
$931
16
Queens, NY
$957 – $1,455
17
Bronx, NY
$957 – $1,515
18
Dallas, TX
$1,025 – $1,199
19
Dallas, TX
$1,104
20
Cleveland, OH
$1,167 – $1,351
21
Phoenix, AZ
$1,345 – $13,714
22
New York, NY
$1,364 – $4,754
23
Los Angeles, CA
$1,489 – $19,320
24
Monterey Park, CA
$1,489 – $14,861
25
Norwalk, CA
$1,519
26
Nashville, TN
$1,609 – $5,249
27
Long Beach, CA
$1,709 – $13,469
28
Los Angeles, CA
$1,709 – $18,212
29
Northridge, CA
$1,709 – $13,469
30
Lynwood, CA
$2,136 – $2,777
31
Glendale, CA
$2,670 – $13,469
32
New York, NY
$4,528 – $5,207
33
Queens, NY
$4,528 – $5,207
34
Phoenix, AZ
$8,928
35
New York, NY
$10,714
36
Los Angeles, CA
$24,769 – $33,025
37
Los Angeles, CA
$33,025

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.