CPT 27446 Surgery - Musculoskeletal

How Much Does Partial Knee Replacement Surgery Cost?

Also known as: Revision of knee joint (CPT 27446)

Surgery to replace only the damaged part of the knee joint, preserving healthy bone and tissue.

Partial Knee Replacement Surgery (CPT 27446) costs $1,047 at Medicare rates. Hospital outpatient rate: $13.

Cost Comparison by Payer

How much Revision of knee joint costs across different settings and payers

Medicare
Facility rate
$1,047
Hospital Outpatient
OPPS rate
$13
Surgery Center
ASC rate
$9
Medicare (Facility)
$1,047
CMS PFS 2026 national rate
Hospital Outpatient
$13
OPPS rate
Surgery Center (ASC)
$9
Ambulatory surgery center

Patient Guide: Partial Knee Replacement Surgery

What you need to know before your appointment

What to Expect

The surgeon replaces only the worn part of the knee with an artificial component. Recovery is typically faster than total knee replacement.

How Long Does It Take?

1-2 hours surgery, 1-2 days hospital stay

Common Reasons Doctors Order This

Arthritis affecting only one part of the knee, knee pain limited to one compartment

How to Prepare

Same preparation as total knee replacement. Recovery is typically faster with earlier return to activities.

Procedures Commonly Done Together

These procedures are frequently performed alongside Revision of knee joint

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How to Reduce Your Cost for Revision of knee joint

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $9, compared to $13 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

16.70
Work RVU
11.13
Practice Expense RVU
3.53
Malpractice RVU
31.36
Total RVU

Payment = Total RVU (31.36) x CF ($33.40) = $1,047

Consider These Alternatives

Depending on your clinical situation, these alternatives may be appropriate and could save you money.

Note: Alternative procedures may not be clinically appropriate for all patients. Always consult your physician to determine the best option for your specific situation.

Frequently Asked Questions

How much does Revision of knee joint cost?

The Medicare facility rate for Revision of knee joint is $1,047. In a hospital outpatient setting, the rate is $13. At an ambulatory surgery center, the rate is $9. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Revision of knee joint cost without insurance?

Without insurance, the cost of Revision of knee joint can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Revision of knee joint?

Most commercial health insurance plans and Medicare cover Revision of knee joint when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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