Revision of thigh and lower leg bone components of total knee joint prosthesis
Medicare pricing data for 7,838 providers across 51 states
This procedure has a 5.4x markup — hospitals charge $6,170 but Medicare allows only $1,135. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $859 in Vermont to $1,785 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Revision of thigh and lower leg bone components of total knee joint prosthesis (HCPCS code 27487) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,135, but hospitals typically charge $6,170 — a 5.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,135, your out-of-pocket cost would be approximately $227.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $904.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,785 | $7,332 | 17 | 53 | +57.2% |
| Hawaii | $1,515 | $3,831 | 15 | 44 | +33.4% |
| New York | $1,426 | $12,880 | 347 | 1,034 | +25.6% |
| West Virginia | $1,311 | $4,763 | 38 | 102 | +15.5% |
| Massachusetts | $1,290 | $7,799 | 174 | 489 | +13.6% |
| California | $1,275 | $5,783 | 567 | 1,895 | +12.3% |
| Michigan | $1,219 | $4,649 | 231 | 664 | +7.4% |
| Maryland | $1,214 | $5,401 | 162 | 625 | +6.9% |
| Illinois | $1,212 | $10,166 | 281 | 968 | +6.8% |
| Pennsylvania | $1,207 | $5,773 | 360 | 1,187 | +6.3% |
| Virginia | $1,202 | $5,735 | 196 | 679 | +5.9% |
| New Jersey | $1,201 | $14,601 | 194 | 640 | +5.8% |
| Tennessee | $1,187 | $5,223 | 172 | 584 | +4.6% |
| Nevada | $1,185 | $6,365 | 63 | 282 | +4.4% |
| Louisiana | $1,178 | $5,311 | 104 | 370 | +3.8% |
| Mississippi | $1,171 | $5,097 | 57 | 192 | +3.1% |
| Kentucky | $1,166 | $4,212 | 100 | 398 | +2.7% |
| Missouri | $1,158 | $6,388 | 150 | 583 | +2.0% |
| Georgia | $1,145 | $6,458 | 191 | 508 | +0.9% |
| Texas | $1,145 | $5,362 | 513 | 1,934 | +0.9% |
| Minnesota | $1,141 | $6,645 | 191 | 510 | +0.5% |
| North Dakota | $1,141 | $5,025 | 34 | 94 | +0.5% |
| Florida | $1,131 | $5,398 | 550 | 2,089 | -0.3% |
| New Mexico | $1,130 | $3,922 | 40 | 87 | -0.5% |
| North Carolina | $1,092 | $4,667 | 298 | 1,024 | -3.8% |
| Connecticut | $1,089 | $7,609 | 108 | 234 | -4.1% |
| Oklahoma | $1,087 | $3,344 | 114 | 475 | -4.3% |
| Oregon | $1,083 | $4,921 | 98 | 249 | -4.6% |
| New Hampshire | $1,065 | $11,064 | 52 | 194 | -6.2% |
| Arizona | $1,052 | $4,208 | 218 | 730 | -7.4% |
| South Carolina | $1,047 | $5,518 | 128 | 423 | -7.7% |
| Rhode Island | $1,043 | $5,901 | 31 | 91 | -8.2% |
| Iowa | $1,040 | $5,886 | 94 | 343 | -8.4% |
| Washington | $1,034 | $3,977 | 207 | 568 | -8.9% |
| Ohio | $1,033 | $4,694 | 325 | 1,046 | -9.0% |
| Wyoming | $1,029 | $7,430 | 30 | 86 | -9.4% |
| Colorado | $1,022 | $5,053 | 184 | 611 | -10.0% |
| Montana | $1,005 | $4,042 | 50 | 205 | -11.5% |
| Utah | $1,000 | $3,592 | 93 | 332 | -11.9% |
| Delaware | $997 | $5,570 | 37 | 118 | -12.2% |
| Alabama | $996 | $5,733 | 113 | 366 | -12.3% |
| Indiana | $987 | $5,496 | 210 | 766 | -13.0% |
| Wisconsin | $984 | $12,915 | 177 | 471 | -13.3% |
| Arkansas | $977 | $3,786 | 75 | 427 | -13.9% |
| Kansas | $977 | $4,570 | 127 | 546 | -14.0% |
| Nebraska | $962 | $6,205 | 89 | 341 | -15.3% |
| Idaho | $936 | $4,442 | 61 | 259 | -17.6% |
| South Dakota | $923 | $4,023 | 64 | 211 | -18.7% |
| Maine | $906 | $3,231 | 28 | 87 | -20.2% |
| Alaska | $881 | $7,671 | 25 | 82 | -22.4% |
| Vermont | $859 | $4,708 | 15 | 37 | -24.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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