Cost of Knee Replacement in Jacksonville, FL – 2025 Complete Guide
Facing the need for a knee replacement can be overwhelming—especially when you’re unsure about the cost. The cost of knee replacement in Jacksonville, FL, varies widely, and understanding what influences that price can help you make informed decisions. This 2025 guide brings together reliable data from trusted sources like the American Academy of Orthopaedic Surgeons, CMS.gov, and Healthcare Bluebook to give you a clear picture of what to expect. Whether you’re insured, uninsured, or somewhere in between, this guide is tailored to help you navigate your options in Jacksonville.
What is the average cost of knee replacement in Jacksonville, FL?
The average cost of a total knee replacement in Jacksonville, FL, ranges from $30,000 to $55,000, depending on several factors including the facility, surgeon, and insurance coverage. According to Healthcare Bluebook, the fair price for a knee replacement in the Jacksonville area is around $36,000. However, this can vary significantly if you are undergoing surgery at a hospital versus an outpatient surgical center.
CMS.gov (Centers for Medicare & Medicaid Services) reports that Medicare-approved rates for knee replacement procedures in Florida typically fall between $15,000 and $25,000, depending on the provider and whether complications arise. Private insurance or self-pay rates can be higher, especially if advanced prosthetics or robotic-assisted surgery is used.
It’s important to get a personalized quote from your provider, as the final cost will depend on your specific medical needs and insurance status.
What factors affect the cost of knee replacement?
Several key factors influence the total cost of a knee replacement procedure. First, the type of knee replacement—partial or total—plays a major role. Total knee replacements are generally more expensive due to longer surgical time and more extensive prosthetics. According to the American Academy of Orthopaedic Surgeons (AAOS), total knee replacements are more common and often recommended for advanced arthritis or joint damage.
The facility type also matters. Outpatient surgical centers often charge less than hospitals. The surgeon’s experience, the use of robotic-assisted technology, and the type of implant used can also increase costs. According to FairHealth.org, the geographic location and local healthcare market also contribute to cost differences—Jacksonville may have lower costs compared to larger Florida cities like Miami or Tampa.
Additional expenses such as pre-operative imaging, post-operative physical therapy, and anesthesia services can also add to the total. Always ask for a detailed breakdown when requesting a quote.
Does insurance cover knee replacement?
Yes, most insurance plans cover knee replacement surgery when deemed medically necessary. Medicare Part B typically covers 80% of the cost after the deductible is met, with the patient responsible for the remaining 20%. According to CMS.gov, Medicare Advantage plans may offer additional coverage, but out-of-pocket costs can vary.
Private insurance plans generally cover knee replacement, but you may need prior authorization. Your copay, deductible, and coinsurance will affect your final cost. The American Association of Hip and Knee Surgeons (AAHKS) notes that insurance coverage often includes the surgery itself, anesthesia, hospital stay, and some post-operative care like physical therapy.
If you’re uninsured, many providers in Jacksonville offer self-pay discounts or bundled pricing. Always check with your insurer and provider to confirm what’s included and what your financial responsibility will be.
Are there payment plans or financing options available in Jacksonville?
Yes, many orthopedic practices and surgical centers in Jacksonville offer payment plans or financing options to help manage the cost of knee replacement surgery. According to the Florida Orthopaedic Society, providers often work with third-party financing companies like CareCredit, which allow patients to pay over time with low or no interest, depending on credit approval.
Some hospitals also offer in-house payment plans or financial assistance programs for qualifying patients. These programs may require proof of income or a financial hardship application. Additionally, nonprofit hospitals in Jacksonville may provide charity care or sliding scale fees based on income.
If you’re considering financing, be sure to ask about interest rates, repayment terms, and any fees. Understanding your options ahead of time can help reduce financial stress during recovery.
How does the cost in Jacksonville compare to other Florida cities?
Jacksonville generally offers more affordable knee replacement costs compared to other major Florida cities. According to Healthcare Bluebook, the fair price for a knee replacement in Jacksonville is about $36,000, while in Miami or Fort Lauderdale, the same procedure may cost $40,000 to $60,000 due to higher facility and provider fees.
The Florida Health Price Finder, a tool developed by the Agency for Health Care Administration (AHCA), shows that Jacksonville’s healthcare market tends to have more competitive pricing, especially for orthopedic procedures. Smaller cities like Gainesville or Tallahassee may offer even lower costs, but availability of specialized surgeons and advanced technology may be limited.
Ultimately, Jacksonville strikes a balance between affordability and access to high-quality care, making it a strong option for knee replacement surgery in Florida.
What’s included in the knee replacement cost?
The total cost of a knee replacement typically includes several components: the surgeon’s fee, hospital or facility charges, anesthesia, the knee implant, and post-operative care such as physical therapy. According to the American Academy of Orthopaedic Surgeons, the implant alone can cost between $4,000 and $8,000, depending on the type and manufacturer.
Pre-operative services like X-rays, MRIs, and lab tests may be billed separately. Post-operative costs can include physical therapy, follow-up visits, and medications. Some providers in Jacksonville offer bundled pricing, which includes all major components in a single fee. This can be especially helpful for self-pay patients or those with high-deductible insurance plans.
Always ask for an itemized estimate to understand what is—and isn’t—included in your quoted price.
Do I need a partial or total knee replacement, and how much does it cost?
Whether you need a partial or total knee replacement depends on the extent of joint damage. Partial knee replacements are typically recommended when only one part of the knee is affected, often due to early-stage osteoarthritis. According to the American Association of Hip and Knee Surgeons, partial replacements involve less bone removal and often lead to faster recovery.
Cost-wise, partial knee replacements are generally less expensive. Healthcare Bluebook estimates the fair price for a partial knee replacement in Jacksonville to be around $28,000, compared to $36,000 or more for a total knee replacement. However, not all patients are candidates for partial procedures, and long-term outcomes may vary.
Your orthopedic surgeon will determine the best option based on imaging, physical exams, and your overall health status.
How long does the knee replacement process take?
The entire knee replacement process—from initial consultation to full recovery—can take several months. The surgery itself typically lasts 1 to 2 hours. Most patients stay in the hospital for 1 to 3 days, though outpatient procedures are becoming more common. According to the American Academy of Orthopaedic Surgeons, patients can begin walking with assistance within a day of surgery.
Rehabilitation is a critical part of recovery and can last 6 to 12 weeks. Physical therapy usually starts within days of surgery and continues several times a week. Full recovery, including regaining strength and mobility, may take up to 6 months or longer depending on your age, health, and commitment to rehab.
Planning ahead for time off work and arranging home support can significantly improve your recovery experience.
What is the success rate of knee replacement?
Knee replacement surgery is considered highly successful, with over 90% of patients reporting significant pain relief and improved mobility. According to the American Academy of Orthopaedic Surgeons, more than 90% of knee implants are still functioning well 10 to 15 years after surgery.
Success rates are influenced by factors such as the surgeon’s experience, the type of implant used, and the patient’s adherence to rehabilitation. The Journal of Bone and Joint Surgery reports that patients who maintain a healthy weight and stay active post-surgery tend to have better long-term outcomes.
Choosing a board-certified orthopedic surgeon and following a structured rehab plan are key to maximizing your results.
Are there affordable alternatives to knee replacement?
Yes, there are several non-surgical and minimally invasive alternatives to knee replacement that may be appropriate depending on the severity of your condition. These include physical therapy, corticosteroid injections, hyaluronic acid injections, and platelet-rich plasma (PRP) therapy. According to the American College of Rheumatology, these treatments can offer temporary relief for mild to moderate osteoarthritis.
Costs for these alternatives vary. For example, a corticosteroid injection typically costs between $100 and $300, while PRP therapy can range from $500 to $2,000 per session and is often not covered by insurance. These options may delay the need for surgery but are unlikely to provide long-term relief if joint damage is severe.
Consult with an orthopedic specialist to determine whether these treatments are suitable for your condition