Title:
Knee Replacement Cost in Augusta, GA – 2025 Complete Guide
Introduction:
Facing the possibility of knee replacement surgery can be overwhelming—especially when you’re unsure about the costs involved. If you’re researching the cost of knee replacement in Augusta, GA, you’re not alone. Many patients worry about affordability, insurance coverage, and what’s actually included in the price. We’ve sourced data from trusted medical authorities, including the American Academy of Orthopaedic Surgeons, CMS.gov, and Healthcare Bluebook, to help you make informed decisions in 2025.
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 factors such as hospital choice, surgeon fees, and insurance coverage. According to Healthcare Bluebook, the fair price for a total knee replacement in the Augusta area is approximately $34,000 as of 2025. This estimate includes the hospital facility fee, surgeon’s fee, and anesthesia.
The Centers for Medicare & Medicaid Services (CMS.gov) reports that Medicare patients typically pay significantly less out of pocket, with average costs ranging from $1,500 to $3,000 after insurance. However, patients without insurance or with high-deductible plans may face the full cost. Local hospitals such as Augusta University Medical Center may offer bundled pricing, which can help reduce overall expenses.
What factors affect the cost of knee replacement?
Several factors can influence the final cost of a knee replacement procedure. According to the American Academy of Orthopaedic Surgeons (AAOS), key cost drivers include the type of implant used, the complexity of the surgery, the surgeon’s experience, and the facility where the procedure is performed. In Augusta, hospital-based procedures often cost more than those done in outpatient surgical centers.
Additional costs may arise from pre-operative imaging, physical therapy, and post-surgical medications. FairHealth.org notes that geographic location and local market rates for medical services also play a significant role. For example, urban areas like Augusta may have slightly higher facility fees compared to rural clinics in Georgia.
Does insurance cover knee replacement?
Yes, most insurance plans—including Medicare, Medicaid, and private insurers—cover knee replacement surgery when deemed medically necessary. According to CMS.gov, Medicare Part B typically covers 80% of the approved cost after the deductible is met, while the patient is responsible for the remaining 20% unless they have supplemental coverage.
Private insurers like Blue Cross Blue Shield and Aetna generally require prior authorization and documentation showing that conservative treatments (e.g., physical therapy, medications) were ineffective. The American Hospital Association (AHA) advises patients to contact their insurance provider directly to confirm coverage details, co-pays, and deductibles specific to providers in the Augusta area.
Are there payment plans or financing options available in Augusta?
Yes, many orthopedic practices and hospitals in Augusta offer payment plans or financing options to help manage the cost of knee replacement surgery. According to the Healthcare Financial Management Association (HFMA), providers often partner with third-party financing companies like CareCredit or offer in-house installment plans.
Local facilities such as Doctors Hospital of Augusta and Augusta University Health may also offer income-based discounts or financial assistance programs for qualifying patients. It’s important to ask about these options during your consultation to avoid unexpected bills later. Some providers may require a down payment or credit check before approving financing.
How does the cost in Augusta compare to other Georgia cities?
Compared to other cities in Georgia, the cost of knee replacement in Augusta is generally in the mid-range. According to Healthcare Bluebook, the fair price in Atlanta is slightly higher, averaging around $36,000, while in smaller cities like Macon or Albany, prices may drop to $30,000–$32,000.
Factors influencing these differences include hospital operating costs, surgeon availability, and local demand for orthopedic services. The Georgia Hospital Association notes that Augusta benefits from being a regional medical hub, which can offer patients access to experienced specialists without the premium pricing found in larger metropolitan areas.
What’s included in the knee replacement cost?
The total cost of a knee replacement typically includes several components. According to the American Academy of Orthopaedic Surgeons (AAOS), this may cover the surgeon’s fee, anesthesia, hospital or surgical center charges, pre-operative testing, and the cost of the implant itself.
In Augusta, bundled pricing options offered by facilities like Augusta University Health may also include post-operative physical therapy and follow-up visits. However, not all services are always bundled. FairHealth.org recommends asking for a detailed cost breakdown to understand what’s included and what may be billed separately, such as durable medical equipment (e.g., walkers) or additional imaging.
Do I need additional procedures, and how much do they cost?
Some patients may require additional procedures either before or after knee replacement. According to the American Association of Hip and Knee Surgeons (AAHKS), common pre-surgical procedures include MRIs or CT scans, which can cost $500–$2,000 in Augusta. Post-surgical needs may include physical therapy, which typically costs $100–$150 per session if not covered by insurance.
In some cases, patients may require a partial knee replacement or a revision surgery. Revision surgeries are more complex and can cost upwards of $60,000, according to CMS data. It’s important to discuss your full treatment plan with your orthopedic surgeon to anticipate any additional procedures and associated costs.
How long does the knee replacement process take?
The full knee replacement process—from initial consultation to full recovery—can take several months. According to the American Academy of Orthopaedic Surgeons (AAOS), the surgical procedure itself typically lasts 1–2 hours. Most patients stay in the hospital for 1–3 days, although outpatient options are increasingly common in Augusta.
Recovery time varies, but most patients begin walking with assistance within a day and resume normal activities within 6–12 weeks. Full recovery and optimal joint function can take up to 6 months. Local providers often recommend pre-surgical physical therapy, known as “prehab,” to improve outcomes and shorten recovery time.
What is the success rate of knee replacement?
Knee replacement is considered a highly successful procedure. According to the American Association of Orthopaedic Surgeons (AAOS), more than 90% of patients experience significant pain relief and improved mobility. The implants used today have a lifespan of 15–20 years or more, depending on activity level and overall health.
Augusta-based orthopedic centers report outcomes that align with national averages. A study published in the Journal of Bone and Joint Surgery found that patient satisfaction rates exceed 85% one year post-surgery. Choosing an experienced, board-certified orthopedic surgeon can further improve your chances of a successful outcome.
Are there affordable alternatives to knee replacement?
Yes, there are several alternatives to knee replacement that may be appropriate depending on the severity of your condition. According to the American Academy of Orthopaedic Surgeons (AAOS), non-surgical options include physical therapy, corticosteroid injections, hyaluronic acid injections, and platelet-rich plasma (PRP) therapy.
In Augusta, physical therapy sessions typically cost $100–$150 without insurance, while injections can range from $300 to $1,200 per treatment. These options may provide temporary relief but are generally less effective for advanced osteoarthritis. Your orthopedic specialist can help determine whether these treatments are suitable for your condition and budget.
How can I find a qualified orthopedic surgeon in Augusta?
Finding a qualified orthopedic surgeon is crucial for a successful knee replacement. The American Board of Orthopaedic Surgery (ABOS) recommends choosing a board-certified surgeon with specific experience in joint replacement. In Augusta, top-rated providers include those affiliated with Augusta University Health and Doctors Hospital of Augusta.
You can verify a surgeon’s credentials through the ABOS website and check for hospital affiliations, patient reviews, and complication rates via CMS’s Hospital Compare tool. It’s also helpful to schedule consultations with multiple providers to compare treatment plans, costs, and bedside manner before making a decision.
What is the recovery process like after knee replacement?
Recovery after knee replacement involves a combination of rest, physical therapy, and gradual return to daily activities. According to the American Academy of Orthopaedic Surgeons (AAOS), most patients can walk with assistance within a day of surgery and resume driving within 4–6 weeks.
In Augusta, rehabilitation services are widely available through local hospitals and outpatient centers. Full recovery can take 3–6 months, depending on your age, overall health, and adherence to physical therapy. Long-term outcomes are generally positive, with most patients reporting reduced pain and improved mobility for many years post-surgery.
Conclusion:
Understanding the cost of knee replacement in Augusta, GA, involves more than just a price tag—it’s about evaluating your insurance, surgeon, facility, and recovery options. With average costs ranging from $28,000 to $55,000, and many variables at play, it’s essential to gather accurate, localized information before proceeding.