Cost of Knee Replacement in Sacramento, CA – 2025 Complete Guide
Facing the cost of knee replacement surgery in Sacramento, CA can feel overwhelming, especially when you’re already managing pain or mobility issues. The good news is that in 2025, patients have access to transparent pricing data and expert guidance from trusted medical authorities. This guide breaks down everything you need to know about knee replacement costs in Sacramento, using up-to-date insights from sources like the American Academy of Orthopaedic Surgeons, CMS.gov, and Fair Health. Whether you’re insured, uninsured, or somewhere in between, this article will help you navigate your options with clarity and confidence.
1. What is the average cost of knee replacement in Sacramento, CA?
The average cost of a total knee replacement in Sacramento, CA in 2025 ranges from $35,000 to $65,000, depending on the facility and insurance coverage. According to Fair Health, a national nonprofit that tracks healthcare costs, the typical out-of-pocket cost for insured patients in the Sacramento area is around $4,500 to $7,500, while uninsured patients may face the full procedural cost unless they qualify for financial assistance. The Centers for Medicare & Medicaid Services (CMS) reports that Medicare reimbursement for a standard inpatient knee replacement averages about $13,000 to $16,000 in California, which can influence hospital pricing structures.
Pricing can vary significantly between outpatient surgical centers and large hospitals. For example, the Healthcare Bluebook lists a fair price for knee replacement in Sacramento at approximately $38,000, but some private hospitals may charge significantly more. Always request a detailed itemized estimate from your provider.
2. What factors affect the cost of knee replacement?
Several key factors influence the cost of a knee replacement procedure in Sacramento. First, the type of knee replacement—whether partial or total—has a major impact. According to the American Academy of Orthopaedic Surgeons (AAOS), partial knee replacements are generally less expensive and involve shorter hospital stays. Second, the type of facility matters: outpatient surgery centers often charge less than inpatient hospitals.
Other cost variables include the surgeon’s fees, anesthesia, pre-operative imaging, physical therapy, and the type of implant used. The American Joint Replacement Registry (AJRR) notes that newer implant technologies or custom-fitted components can increase costs. Additionally, your insurance plan, deductible, and network status with the provider will affect your final bill. Patients with comorbidities may also incur higher costs due to extended recovery or complications.
3. Does insurance cover knee replacement?
Yes, most health insurance plans—including Medicare, Medicaid, and private insurance—cover medically necessary knee replacement surgery. According to CMS.gov, Medicare Part A covers inpatient hospital stays, including knee replacement, while Part B covers outpatient services and pre-operative consultations. Patients are typically responsible for deductibles, copays, and coinsurance.
Private insurers like Blue Shield of California and Kaiser Permanente generally cover the procedure if conservative treatments (like physical therapy or injections) have failed. However, prior authorization is usually required. The California Department of Insurance advises patients to verify network status and pre-approval requirements to avoid surprise billing. Medicaid coverage may vary by eligibility and managed care plan, but in California, Medi-Cal typically includes knee replacement under its essential benefits.
4. Are there payment plans or financing options available in Sacramento?
Yes, many hospitals and orthopedic clinics in Sacramento offer payment plans or financing options for knee replacement surgery. According to UC Davis Health, patients can apply for interest-free payment plans through their billing department, often extending payments over 6 to 24 months. Some facilities also partner with third-party medical lenders like CareCredit or AccessOne, which offer extended financing with low or no interest, depending on credit approval.
Nonprofit hospitals may provide income-based financial assistance or charity care programs. Sutter Health, for example, offers a Financial Assistance Program that can significantly reduce or eliminate costs for qualifying patients. Always ask your provider’s billing office about available options before scheduling surgery.
5. How does the cost in Sacramento compare to other California cities?
Compared to other major California cities, Sacramento’s knee replacement costs are generally moderate. According to Healthcare Bluebook, the fair price for a total knee replacement in Los Angeles is about $41,000, while in San Francisco it can exceed $45,000 due to higher facility and provider fees. In contrast, cities like Fresno or Bakersfield may offer lower average costs, closer to $32,000–$36,000, especially in outpatient settings.
Regional cost differences are influenced by local labor costs, hospital competition, and insurance market dynamics. The California Health Care Foundation reports that Northern California tends to have higher healthcare prices overall, but Sacramento remains more affordable than the Bay Area. Patients willing to travel within the state may find cost savings, but should weigh that against continuity of care and convenience.
6. What’s included in the knee replacement cost?
The total cost of a knee replacement typically includes several components: pre-operative consultations, imaging (like X-rays or MRIs), the surgical procedure itself, anesthesia, the implant, hospital or facility fees, and post-operative care such as physical therapy. According to the American Academy of Orthopaedic Surgeons, rehabilitation is a critical part of recovery and may add several thousand dollars to the total cost if not covered by insurance.
CMS.gov notes that Medicare bundles many of these services into a single payment under the Comprehensive Care for Joint Replacement (CJR) model, which encourages hospitals to manage costs and outcomes more efficiently. However, not all providers participate in bundled payment programs. Always request a detailed breakdown of what’s included to avoid unexpected charges.
7. Do I need a partial or total knee replacement, and how much does it cost?
The decision between a partial and total knee replacement depends on the extent of joint damage. According to the American Association of Hip and Knee Surgeons (AAHKS), partial knee replacements are suitable for patients with arthritis limited to one compartment of the knee. These procedures are less invasive and typically cost 20–30% less than total replacements.
In Sacramento, a partial knee replacement may cost between $25,000 and $40,000, while a total replacement ranges from $35,000 to $65,000. Recovery time is also shorter for partial replacements, which can reduce associated rehab costs. Your orthopedic surgeon will use imaging and clinical evaluation to determine the best option for your condition and lifestyle.
8. How long does the knee replacement process take?
The entire knee replacement process—from initial consultation to full recovery—can span several months. The surgery itself typically takes 1 to 2 hours. According to the AAOS, most patients stay in the hospital for 1 to 3 days, although outpatient procedures are increasingly common for healthier individuals. Post-operative rehabilitation lasts 6 to 12 weeks, depending on the patient’s age, health, and adherence to physical therapy.
Pre-surgical preparation, including imaging and medical clearance, may take 2 to 4 weeks. The American Joint Replacement Registry recommends patients begin prehabilitation exercises before surgery to improve outcomes. Full recovery, including return to low-impact activities, generally occurs within 3 to 6 months, though some patients continue to improve for up to a year.
9. What is the success rate of knee replacement?
Knee replacement surgery has a high success rate, particularly when performed by experienced orthopedic surgeons. According to the American Academy of Orthopaedic Surgeons, more than 90% of knee replacements are still functioning well 10 to 15 years after surgery. The procedure is considered one of the most effective treatments for severe osteoarthritis and joint degeneration.
Patient satisfaction is also high. A 2022 study published in The Journal of Arthroplasty found that 85% of patients reported significant pain relief and improved mobility within six months of surgery. Success depends on factors such as the patient’s overall health, adherence to rehabilitation, and the quality of the implant used. Choosing a board-certified specialist with experience in joint replacement is crucial for optimal outcomes.
10. Are there affordable alternatives to knee replacement?
Yes, several nonsurgical and less invasive treatments may serve as alternatives to knee replacement, especially in the early stages of joint degeneration. According to the AAOS, options include physical therapy, corticosteroid or hyaluronic acid injections, weight loss, bracing, and oral medications like NSAIDs. Platelet-rich plasma (PRP) therapy and stem cell injections are also being explored, though they are often not covered by insurance and lack long-term efficacy data.
For patients with mild to moderate arthritis, these alternatives can delay the need for surgery. However, the American College of Rheumatology cautions that once conservative treatments fail to relieve pain or restore function, surgical intervention may be the most effective option. Discuss your symptoms and goals with an orthopedic specialist to determine the best course of action.
11. How can I find a qualified orthopedic specialist in Sacramento?
Finding a board-certified orthopedic surgeon with experience in knee replacement is essential for a successful outcome. Start by checking the American Board of Orthopaedic Surgery (ABOS) directory to verify certification. You can also search local hospital networks like UC Davis Health, Sutter Health, and Dignity Health, all of which have