Knee Replacement Cost in Augusta, GA – 2025 Complete Guide
Facing the possibility of knee replacement surgery can be overwhelming—especially when you’re unsure about the cost. The cost of knee replacement in Augusta, GA, can vary widely, and understanding what to expect financially is just as important as preparing for the procedure itself. This 2025 guide is based on data from trusted sources like the American Academy of Orthopaedic Surgeons, CMS.gov, and Fair Health to help you make informed decisions with confidence.
What is the average cost of knee replacement in Augusta, GA?
The average cost of a total knee replacement in Augusta, GA, ranges from $28,000 to $55,000, depending on several variables such as hospital setting, surgeon fees, and insurance coverage. According to Fair Health, a national database for healthcare costs, the average out-of-pocket cost for an uninsured patient in the Augusta area is approximately $35,000. For insured patients, depending on the plan, out-of-pocket costs may range from $3,000 to $7,000.
CMS.gov data from 2024 shows that Medicare reimburses approximately $13,000–$16,000 for total knee arthroplasty in Georgia, but this does not include deductibles or coinsurance. Academic centers like the Medical College of Georgia at Augusta University may offer bundled pricing or lower rates for certain patients. Always request a detailed estimate from your provider to understand your specific cost.
What factors affect the cost of knee replacement?
Several factors influence the final cost of knee replacement surgery in Augusta, GA. According to the American Academy of Orthopaedic Surgeons (AAOS), key cost drivers include the type of procedure (partial vs. total knee replacement), the surgical facility (hospital vs. outpatient center), the surgeon’s experience, and the type of implant used.
Additional variables include pre-surgical imaging, anesthesia, physical therapy, and post-operative care. The American Hospital Association notes that geographic location and local market competition can also affect pricing. In Augusta, hospital-based surgeries often cost more than those performed in outpatient surgical centers. Insurance coverage, deductibles, and whether the provider is in-network also play a major role in your final bill.
Does insurance cover knee replacement?
Yes, most major insurance plans—including Medicare, Medicaid, and private insurers—typically cover knee replacement surgery when it is deemed medically necessary. According to CMS.gov, Medicare Part B covers 80% of the approved cost for outpatient services after the deductible is met, while Part A covers inpatient hospital stays. Patients are still responsible for copayments, coinsurance, and deductibles.
Private insurance coverage varies by plan. The National Association of Insurance Commissioners (NAIC) reports that most employer-sponsored plans cover knee replacement, but you may need prior authorization. Medicaid coverage in Georgia also includes knee replacement, though eligibility and coverage limits may apply. Always confirm with your insurance provider to understand your specific benefits and any pre-authorization requirements.
Are there payment plans or financing options available in Augusta?
Yes, many orthopedic practices and surgical centers in Augusta offer payment plans or financing options to help manage the cost of knee replacement. According to Healthcare Bluebook, providers may partner with third-party financing companies like CareCredit or offer in-house payment plans with low or no interest for qualified patients.
Nonprofit hospitals in Augusta, such as Augusta University Medical Center, may provide financial assistance or sliding-scale fees based on income. Additionally, some surgical centers offer bundled pricing that includes the surgeon’s fee, facility fee, and anesthesia, which can simplify billing and reduce overall costs. Be sure to ask your provider about available options before scheduling your procedure.
How does the cost in Augusta compare to other Georgia cities?
The cost of knee replacement in Augusta is generally lower than in larger metropolitan areas like Atlanta or Savannah. According to Fair Health, the average cost in Atlanta can range from $32,000 to $60,000, while in Augusta it typically ranges from $28,000 to $55,000. Smaller cities like Macon or Columbus may offer similar or slightly lower rates depending on the facility and surgeon.
Healthcare Bluebook reports that regional pricing differences are influenced by competition, facility type, and local cost of living. Augusta’s mix of academic medical centers and private orthopedic practices offers patients a range of pricing options without the higher costs often seen in urban centers.
What’s included in the knee replacement cost?
The total cost of knee replacement surgery typically includes several components: pre-operative consultations, imaging (like X-rays or MRIs), the surgeon’s fee, anesthesia, facility fees, the knee implant, and post-operative care such as physical therapy. According to the American Association of Hip and Knee Surgeons (AAHKS), post-surgical rehabilitation can add $2,000–$5,000 to the total cost.
Some providers in Augusta offer bundled pricing, which includes most or all of these services in a single quote. However, items like durable medical equipment (e.g., walkers), medications, and follow-up visits may be billed separately. Always request a detailed cost breakdown to avoid unexpected charges.
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. According to the AAOS, partial knee replacement is appropriate when damage is limited to one compartment of the knee. It is less invasive and typically has a shorter recovery time. The cost for partial knee replacement in Augusta ranges from $20,000 to $35,000, while total knee replacement ranges from $28,000 to $55,000, per Fair Health data.
Your orthopedic surgeon will use imaging and physical assessments to determine the best option. Partial replacements may not be suitable for patients with widespread arthritis or ligament damage. Total knee replacement is more common and generally offers longer-lasting results.
How long does the knee replacement process take?
The entire knee replacement process—from evaluation to full recovery—can take several months. The surgery itself typically lasts 1 to 2 hours. According to the American Academy of Orthopaedic Surgeons, most patients stay in the hospital for 1 to 3 days, although outpatient procedures are increasingly common.
Post-operative recovery includes physical therapy, which usually begins within 24 hours of surgery and continues for 6 to 12 weeks. Full recovery can take 3 to 6 months, depending on your age, health status, and commitment to rehabilitation. Augusta providers often offer pre-surgical education programs to help patients prepare for the recovery process.
What is the success rate of knee replacement?
Knee replacement is considered one of the most successful orthopedic procedures. The American Association of Hip and Knee Surgeons reports that over 90% of patients experience significant pain relief and improved mobility. The implants used in modern total knee replacements typically last 15 to 20 years or more.
Success rates are influenced by factors such as the patient’s age, weight, activity level, and underlying health conditions. According to a 2023 study published in The Journal of Bone and Joint Surgery, patients in their 50s and 60s who maintain a healthy lifestyle post-surgery have the best long-term outcomes. Augusta’s orthopedic specialists are trained in the latest surgical techniques to maximize success and minimize complications.
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. According to the AAOS, these include physical therapy, corticosteroid injections, hyaluronic acid injections, and platelet-rich plasma (PRP) therapy. These treatments can cost anywhere from $500 to $2,500 per session, depending on the provider.
In Augusta, many orthopedic clinics offer these alternatives, especially for early-stage osteoarthritis. However, these options may only provide temporary relief and are less effective for advanced joint degeneration. Your physician will help determine if non-surgical treatments are appropriate or if surgery is the best long-term solution.
How can I find a qualified orthopedic specialist in Augusta?
Finding a board-certified orthopedic surgeon is key to a successful knee replacement. Start by checking the American Board of Orthopaedic Surgery (ABOS) directory to verify certification. You can also consult the Georgia Composite Medical Board for state licensure and disciplinary history.
Local hospitals like Augusta University Medical Center and Doctors Hospital of Augusta have orthopedic departments with experienced specialists. Patient reviews, referrals from your primary care provider, and consultations with multiple surgeons can help you make an informed choice. Look for a provider who performs a high volume of knee replacements annually and offers comprehensive pre- and post-operative care.
What should I expect in terms of recovery or long-term outcomes?
Recovery from knee replacement involves a combination of rest, physical therapy, and gradual return to daily activities. According to the AAOS, most patients resume normal activities within 6 to 12 weeks, though high-impact sports are generally discouraged. Long-term outcomes are highly favorable, with over 90% of patients reporting improved quality of life and reduced pain.
In Augusta, many providers offer coordinated rehabilitation programs to support recovery. Following your surgeon’s guidance, attending physical therapy sessions, and maintaining a healthy weight