CPT 27487 Surgery - Musculoskeletal

How Much Does Revise/replace Knee Joint Cost?

Also known as: Revise/replace knee joint (CPT 27487)

Complex revision knee replacement surgery requiring removal of components and bone reconstruction.

The total estimated cost of Revise/replace Knee Joint (CPT 27487) is $5,290 to $9,920, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,575.

Total Estimated Cost of Care

$5,290 — $9,920

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$1,575
Hospital Facility Fee
$4,724
Anesthesia (est.)
$315
Important: The physician fee of $1,575 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$1,575
Physician component only — CMS PFS 2026

Patient Guide: Revise/replace Knee Joint

What you need to know before your appointment

What to Expect

The surgeon removes the failed knee replacement, addresses bone loss with grafts or augments, and implants new, often larger components. This is a complex surgery with longer recovery.

How Long Does It Take?

3-5 hours of surgery

Common Reasons Doctors Order This

Failed knee replacement with significant bone loss, complex revision with infection, periprosthetic fracture

How to Prepare

Follow all pre-operative instructions. Expect an extended hospital stay and longer rehabilitation period.

Procedures Commonly Done Together

These procedures are frequently performed alongside Revise/replace knee joint

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How to Reduce Your Cost for Revise/replace 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.

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.

26.43
Work RVU
15.11
Practice Expense RVU
5.60
Malpractice RVU
47.14
Total RVU

Payment = Total RVU (47.14) x CF ($33.40) = $1,574

Frequently Asked Questions

How much does Revise/replace knee joint cost?

The Medicare facility rate for Revise/replace knee joint is $1,575. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Revise/replace knee joint cost without insurance?

Without insurance, the cost of Revise/replace 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 Revise/replace knee joint?

Most commercial health insurance plans and Medicare cover Revise/replace 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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