HRHospitalRates.comCompare prices

Procedure price report · Other OR therapeutic procedures on joints

Removal of knee replacement implant, with or without spacer

CPT 27488the billing code this page is about

Surgery to take out a knee prosthesis and its bone cement, sometimes placing a temporary spacer in the joint.

Hospitals typically charge $2,955 cash for this outpatient procedure — the median across 428 hospitals that filed a usable cash price; the average of the middle 60% is $3,412. Most fall between $1,699 and $6,251 (20th–80th percentile).

Hospitals
428
States
46
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 428 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,080$1,891$2,955$5,893$12,055

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,080 vs $12,055).

How the prices are spread

$700 – $966: 17 hospitals$700$966 – $1,335: 25 hospitals$1,335 – $1,843: 38 hospitals$1,335$1,843 – $2,545: 70 hospitals$2,545 – $3,515: 76 hospitals$2,545$3,515 – $4,854: 51 hospitals$4,854 – $6,703: 58 hospitals$4,854$6,703 – $9,257: 15 hospitals$9,257 – $12,783: 17 hospitals$9,257$12,783 – $17,654: 20 hospitals$12,783median $2,955price bands are equal on a log scale
Hospitals per price band (387 of 428 — the bands cover the 5th to 95th percentile)
FromToHospitals
$700$96617
$966$1,33525
$1,335$1,84338
$1,843$2,54570
$2,545$3,51576
$3,515$4,85451
$4,854$6,70358
$6,703$9,25715
$9,257$12,78317
$12,783$17,65420

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$2,955
Cash as a multiple of Medicare0.23×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,955.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,331 across 11 hospitalsWA$2,331Idaho: median $6,077 across 12 hospitalsID$6,077Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $5,053 across 21 hospitalsMN$5,053Illinois: median $2,026 across 16 hospitalsIL$2,026Wisconsin: median $6,251 across 33 hospitalsWI$6,251Michigan: median $2,922 across 31 hospitalsMI$2,922New York: median $3,217 across 29 hospitalsNY$3,217Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,600 across 16 hospitalsOR$2,600Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,955 across 27 hospitalsIA$2,955Indiana: median $2,173 across 13 hospitalsIN$2,173Ohio: median $2,959 across 12 hospitalsOH$2,959Pennsylvania: median $881 across 18 hospitalsPA$881New Jersey: median $5,741 across 20 hospitalsNJ$5,741Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,310 across 14 hospitalsCA$2,310Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $3,167 across 10 hospitalsNE$3,167Missouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,324 across 11 hospitalsWV$1,324Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,515 across 13 hospitalsOK$2,515Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,955. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI33$6,251+112%$5,893 – $11,192
Idaho ID12$6,077+106%$2,404 – $19,343
New Jersey NJ20$5,741+94%$4,350 – $9,270
Minnesota MN21$5,053+71%$2,408 – $6,637
New York NY29$3,217+9%$1,243 – $13,117
Nebraska NE10$3,167+7%$1,789 – $4,367
Ohio OH12$2,9590%$1,827 – $4,576
Iowa IA27$2,9550%$2,298 – $3,445
Michigan MI31$2,922−1%$2,318 – $6,251
Oregon OR16$2,600−12%$2,218 – $3,955
Oklahoma OK13$2,515−15%$2,515 – $3,196
Washington WA11$2,331−21%$1,891 – $3,238
California CA14$2,310−22%$937 – $2,999
Indiana IN13$2,173−26%$1,391 – $3,367
Illinois IL16$2,026−31%$1,391 – $2,955
West Virginia WV11$1,324−55%$1,270 – $2,988
Pennsylvania PA18$881−70%$745 – $5,773
Kansas KS9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,955.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care283$2,955$1,545 – $6,839
Children’s7fewer than 20 hospitals
Critical access137$2,922$1,728 – $6,251
Ownership
For-profit40$6,077$1,676 – $18,652
Government84$2,580$1,865 – $4,435
Non-profit303$2,955$1,497 – $6,251
System affiliation
Part of a system315$2,955$1,442 – $6,445
Independent113$2,600$1,953 – $5,216

Cash price vs list price

Median list price (chargemaster)$3,694
Median cash price$2,955
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

224 hospitals filed a usable inpatient cash price for this code. The median is $2,521 and the average of the middle 60% is $3,058; most fall between $1,391 and $6,251.

Cash price percentiles, inpatient, across 224 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,110$1,623$2,521$4,571$8,043

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($1,110 vs $8,043).

Of the 267 hospitals that filed this code inpatient, 224 gave a usable cash price; 18 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

428 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 500 hospitals that filed this code at all gave us
Usable cash price — counted428
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded26
Hospitals that filed this code500

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on joints family.

Hospitals file this code under descriptions such as Rmvl Prosth Tot Knee Prosth Mma W/WO Insj Spacer.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Removal of knee replacement implant, with or without spacer (CPT 27488) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27488-removal-of-knee-replacement-implant-with-or-without-spacer