CPT 27488 Surgery - Musculoskeletal

How Much Does Removal of Knee Prosthesis Cost?

Also known as: Removal of knee prosthesis (CPT 27488)

Removal of a knee implant (total or partial knee prosthesis).

The total estimated cost of Removal of Knee Prosthesis (CPT 27488) is $3,696 to $6,929, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,100.

Total Estimated Cost of Care

$3,696 — $6,929

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

Surgeon/Physician Fee
$1,100
Hospital Facility Fee
$3,300
Anesthesia (est.)
$220
Important: The physician fee of $1,100 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)
$1,100
Physician component only — CMS PFS 2026

Patient Guide: Removal of Knee Prosthesis

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon removes the knee replacement components, typically as the first stage of a revision or for infection treatment.

How Long Does It Take?

1-3 hours

Common Reasons Doctors Order This

Infected knee replacement, failed knee replacement, first stage of two-stage revision

How to Prepare

Fast before surgery. May require antibiotic spacer placement. Extended recovery expected.

Procedures Commonly Done Together

These procedures are frequently performed alongside Removal of knee prosthesis

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How to Reduce Your Cost for Removal of knee prosthesis

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.

17.16
Work RVU
12.14
Practice Expense RVU
3.63
Malpractice RVU
32.93
Total RVU

Payment = Total RVU (32.93) x CF ($33.40) = $1,100

Frequently Asked Questions

How much does Removal of knee prosthesis cost?

The Medicare facility rate for Removal of knee prosthesis is $1,100. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Removal of knee prosthesis cost without insurance?

Without insurance, the cost of Removal of knee prosthesis 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 Removal of knee prosthesis?

Most commercial health insurance plans and Medicare cover Removal of knee prosthesis 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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