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HANK Price Transparency. (n.d.).
ELECTIVE KNEE JOINT REPLACEMENT (OTHER 326 - 4) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 4, 2026 , from http://ppman.hank.ai/transparency/procedure/326 - 4/by-state?code_type=OTHER
“ELECTIVE KNEE JOINT REPLACEMENT (OTHER 326 - 4) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/326 - 4/by-state?code_type=OTHER. Accessed
November 4, 2026 .
“ELECTIVE KNEE JOINT REPLACEMENT (OTHER 326 - 4) by State,” HANK Price Transparency ,
accessed November 4, 2026 ,
http://ppman.hank.ai/transparency/procedure/326 - 4/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
326 - 4 — Elective Knee Joint Replacement
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$27,490
National median
$725 – $553,472
IQR (p25 – p75)
11
hospitals filing
4
states
Walking in without insurance?
Cash / self-pay price
Cash median
$633,747
vs. negotiated
+2205.3%
Hospitals reporting
5
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 326 - 4 (OTHER), with interquartile range
State Median p25 p75
CA $334,914 $725 $574,597
NE $27,714 $27,714 $39,205
OH $25,492 $24,899 $26,619
PA $24,560 $9,984 $26,879