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Based on Mdguru’s analysis, avg. charge for Total Knee Replacement procedure is $57K but as you may know not all the charges are accepted by insurance providers for submitted amount. Most of the time insurance providers have negotiated rates and discounts that would reduce the actual payment amount significantly. As you can see below, avg. total paid amount is around $14K which is almost down by 75%. If you do not have an insurance then you are at your own risk to negotiate with the provider. You can use the below data to negotiate rates. One key thing to note, avg. out of pocket cost is $1.6K.
Depending on individual situation, it could be a significant amount to pay. And, these rates change from provider to provider and influenced by individual’s clinical risk and severity factors. So, you must check it for all providers in your region to compare and make an informed decision. You can use the tool provided by MDguru’s to compare cost and quality metrics for Total Knee Replacement (TKR).
To access more insights on TKR, please visit our previous article here.
