Knee Replacement Cost in Los Angeles, CA – 2025 Complete Guide
Facing a knee replacement can be overwhelming—especially when you’re unsure about the cost. The cost of knee replacement in Los Angeles, CA can vary widely, and understanding what to expect financially is just as important as preparing for the surgery itself. This 2025 guide draws from trusted medical authorities and healthcare cost databases to help you make informed decisions with confidence. Whether you’re insured, underinsured, or paying out of pocket, this resource is designed to answer your most pressing questions.
What is the average cost of knee replacement in Los Angeles, CA?
The average cost of a total knee replacement in Los Angeles, CA ranges from $35,000 to $70,000, depending on several factors including hospital choice, surgeon fees, and insurance coverage. According to Healthcare Bluebook, the fair price for a knee replacement in the Los Angeles area is approximately $37,000, which includes hospital and physician fees. Meanwhile, the Centers for Medicare & Medicaid Services (CMS.gov) reports that Medicare patients typically pay around $1,500 to $2,000 out-of-pocket for the procedure, depending on their plan and supplemental coverage.
Private insurance plans may cover a significant portion of the cost, but deductibles and co-pays can still leave patients with thousands in out-of-pocket expenses. Additionally, FairHealth.org notes that uninsured patients may be charged significantly more, sometimes exceeding $70,000, especially at private hospitals or surgical centers. It’s essential to request a detailed breakdown from your provider to understand what’s included in the quoted price.
What factors affect the cost of knee replacement?
Several variables influence the total cost of a knee replacement in Los Angeles. According to the American Academy of Orthopaedic Surgeons (AAOS), key cost drivers include the type of knee implant used, the complexity of the surgery, the surgeon’s experience, and the facility where the procedure is performed. Teaching hospitals or high-end surgical centers may charge more due to advanced technology and specialized staff.
Additional factors include pre-operative testing, anesthesia fees, hospital stay duration, and post-operative rehabilitation. The American Hospital Association notes that geographic location also plays a role—urban centers like Los Angeles typically have higher costs due to increased overhead and staffing expenses. Lastly, whether the procedure is performed on an inpatient or outpatient basis can significantly impact the final bill.
Does insurance cover knee replacement?
Yes, most health insurance plans, including Medicare and private insurers, cover knee replacement surgery when deemed medically necessary. According to CMS.gov, Medicare Part A covers inpatient hospital costs, while Part B may cover outpatient services and doctor fees. Patients with Medicare Advantage or supplemental plans may have lower out-of-pocket costs.
Private insurance coverage varies by provider and plan. The American Medical Association (AMA) advises patients to obtain preauthorization and confirm network status of both the surgeon and the facility. Co-pays, deductibles, and coinsurance responsibilities can still result in significant out-of-pocket costs, so it’s important to review your Explanation of Benefits (EOB) carefully.
Are there payment plans or financing options available in Los Angeles?
Yes, many hospitals and orthopedic clinics in Los Angeles offer payment plans or financing options for knee replacement surgery. According to the California Orthopaedic Association, most providers partner with third-party financing companies like CareCredit or offer in-house payment arrangements to help patients manage out-of-pocket costs.
These plans may include interest-free periods or extended payment terms, depending on your credit profile and the provider’s policies. Nonprofit hospitals may also offer financial assistance programs for eligible low-income patients. It’s advisable to speak with the billing department before scheduling surgery to explore all available options and avoid unexpected bills.
How does the cost in Los Angeles compare to other California cities?
Los Angeles tends to be on the higher end of the cost spectrum for knee replacement in California. According to FairHealth.org, the average cost in Los Angeles is approximately $37,000, compared to $32,000 in cities like Fresno or Bakersfield. In contrast, San Francisco and San Diego may have similar or slightly higher costs due to comparable urban healthcare markets.
The Healthcare Cost and Utilization Project (HCUP) reports that cost variations are often tied to regional labor rates, facility fees, and demand for specialized orthopedic services. Patients willing to travel may find more affordable options in smaller cities or through outpatient surgical centers in nearby counties.
What’s included in the knee replacement cost?
The quoted cost of a knee replacement typically includes several components: surgeon’s fees, hospital or facility charges, anesthesia, pre-operative testing, and post-operative care. According to Healthcare Bluebook, a comprehensive knee replacement package should also cover the cost of the implant, operating room time, and a limited number of physical therapy sessions.
However, not all providers include every service in their estimate. The American Association of Hip and Knee Surgeons (AAHKS) recommends asking for a detailed, itemized quote that outlines what is and isn’t included—such as imaging, lab work, follow-up visits, or extended rehabilitation. Understanding these details can help you avoid surprise charges later.
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 AAOS, partial knee replacements are suitable for patients with damage confined to one compartment of the knee and typically result in shorter recovery times. These procedures are less invasive and often less expensive.
FairHealth.org reports that the average cost of a partial knee replacement in Los Angeles ranges from $25,000 to $45,000, compared to $35,000 to $70,000 for a total replacement. Your orthopedic surgeon will determine the most appropriate 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 consultation to full recovery—can take several months. According to the American Academy of Orthopaedic Surgeons, the surgical procedure itself typically lasts 1 to 2 hours. Hospital stays range from same-day discharge to 2–3 days, depending on the patient’s health and whether the surgery is inpatient or outpatient.
Post-operative recovery includes physical therapy, which may last 6 to 12 weeks. Full recovery and return to normal activities can take up to 6 months. The pre-surgical phase, including imaging, lab work, and insurance approvals, may add several weeks to the timeline. Planning ahead can help minimize delays and optimize outcomes.
What is the success rate of knee replacement?
Knee replacement is considered a highly successful procedure. According to the American Association of Hip and Knee Surgeons, over 90% of total knee replacements still function well 15 to 20 years after surgery. Success rates are even higher when patients follow post-operative rehabilitation protocols and maintain a healthy lifestyle.
The Mayo Clinic notes that most patients experience significant pain relief, improved mobility, and enhanced quality of life after surgery. Factors that influence long-term success include the surgeon’s experience, implant quality, and patient adherence to physical therapy. Discussing your specific prognosis with a board-certified orthopedic surgeon can help set realistic expectations.
Are there affordable alternatives to knee replacement?
Yes, non-surgical treatments may be viable alternatives for some patients. According to the American College of Rheumatology, options include physical therapy, corticosteroid injections, viscosupplementation (hyaluronic acid injections), and oral medications like NSAIDs. These treatments can relieve symptoms but may not halt disease progression.
Regenerative therapies such as platelet-rich plasma (PRP) or stem cell injections are also gaining popularity, though they are often not covered by insurance and lack long-term efficacy data. The Cleveland Clinic emphasizes that while these alternatives may delay surgery, they are not permanent solutions for advanced osteoarthritis. A thorough evaluation by an orthopedic specialist is essential to determine the best course of action.
How can I find a qualified orthopedic surgeon in Los Angeles?
Finding a board-certified orthopedic surgeon is crucial for a successful outcome. The American Board of Orthopaedic Surgery (ABOS) maintains a searchable database of certified specialists. You can also consult the California Medical Board for licensing status and any disciplinary history.
Local hospitals such as Cedars-Sinai, UCLA Health, and Keck Medicine of USC are nationally ranked for orthopedic care and offer robust orthopedic departments. Additionally, patient advocacy platforms and hospital websites often include verified patient reviews and surgeon credentials. Be sure to verify that your chosen surgeon is in-network with your insurance provider and has extensive experience in knee replacement procedures.
What should I expect in terms of recovery or long-term outcomes?
Recovery from knee replacement surgery is a gradual process. According to the AAOS, most patients can resume normal daily activities within 6 to 12 weeks, although full recovery may take up to 6 months. Physical therapy plays a critical role in regaining strength, flexibility, and mobility.
Long-term outcomes are generally positive. The National Institutes of Health (NIH) reports that over 90% of patients experience significant pain relief and improved function. However, implant longevity can vary based on activity level, weight, and overall health. Patients are advised to avoid