2026 Forecast Verified

Knee Replacement Surgery Cost in Rhode Island (2026)

Moderately higher pricing · Regional price parity: 104.8 · RI

Rhode Island Average
$36,680
▲ +4.8% above national
Typical Range
$20,960 – $52,400
National avg: $35,000
Editorial view of Rhode Island
Regional Pricing Confidence
92% Confidence Index
The Rhode Island Market

What Drives Pricing Here

Three factors explain most of why knee replacement surgery costs what it does in Rhode Island.

Regional Price Parity

Rhode Island's cost-of-living index sits at 104.8 — above the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

12 facilities perform this procedure in Rhode Island — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

At +4.8% above the national average ($35,000), Rhode Island sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.

State Context

Knee Replacement Surgery in Rhode Island: What to Know

Rhode Island offers top-tier knee replacement options. The Miriam Hospital in Providence leads the region as the highest-volume center for total joint replacement, with nationally recognized clinical and quality outcomes. For those seeking excellence, Newport Hospital’s Total Joint Replacement program is a Blue Distinction Center for hip and knee replacement. Ortho Rhode Island and Kent Hospital in Warwick are leading providers of robotic-assisted surgery, including Mako robotic-arm assisted joint replacements, with Ortho RI surgeons being pioneers in the state.

To potentially reduce costs, consider ambulatory surgery centers (ASCs) like the Ortho RI Surgery Center in Warwick. These facilities perform total knee replacements, offering benefits like same-day discharge and quicker recovery. While Rhode Island's average cost is slightly above the national average, exploring ASCs or facilities in neighboring states could provide more budget-friendly options. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in Rhode Island

At 4.8% above average, knee replacement surgery in Rhode Island costs a bit more. Here's the breakdown by component.

Facility Fee

OR time and hospital staffing

$7,702 - $14,305

Most significant cost

Surgeon Fee

Expertise and experience level

$7,702 - $14,305

Implants & Supplies

$3,850 - $7,153

Post-Op Care

Recovery and aftercare

$3,850 - $7,153

Anesthesia

Anesthesiologist or CRNA fee

$2,568 - $4,768

Total Estimated Cost

Rhode Island all-in range

$20,960 – $52,400

Financing Options

Many Rhode Island clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $36,680 looks like:

$1,528/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Based on CMS Medicare data and regional price parities. Learn about our methodology →

Ranges adjusted for Rhode Island's regional price parity (104.8). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in Rhode Island

Facilities in Rhode Island offer knee replacement surgery in different settings, each with distinct pricing. These are actual negotiated rates from Medicare claims, not billed charges.

Facility City Negotiated Rate Medicare Volume
South County Hospital Inc Wakefield $13,711 $12,103 471
The Miriam Hospital Providence $13,718 $12,113 255
Kent County Memorial Hospital Warwick $13,672 $12,067 119
Our Lady Of Fatima Hospital North Providence $13,863 $12,257 78
Roger Williams Medical Center Providence $13,863 $12,258 48
Newport Hospital Newport $13,863 $12,254 37
Westerly Hospital Westerly $13,863 $12,263 34
Rhode Island Hospital Providence $13,863 $12,263 24
Facility City Negotiated Rate Medicare Volume
The Miriam Hospital Providence $17,527 $15,072 201
South County Hospital Inc Wakefield $13,976 $12,325 69
Newport Hospital Newport $14,768 $13,223 29
Kent County Memorial Hospital Warwick $17,351 $15,484 18
Regional Comparison

Knee Replacement Surgery Cost in Nearby States

Compared to surrounding states, Rhode Island is the most affordable option for knee replacement surgery.

Common Questions

Expert Answers for Rhode Island Patients

Local regulations, insurance nuance, and surgical standards specific to Rhode Island.

Compare Rhode Island with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main knee replacement surgery cost guide.

View full knee replacement surgery guide
What should I expect to pay for knee replacement surgery in Rhode Island?
In Rhode Island, knee replacement surgery runs about $36,680 on average. Most patients pay between $20,960 and $52,400, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.
Will my health insurance pay for knee replacement surgery?
For medically necessary cases, knee replacement surgery is usually covered. Your out-of-pocket cost in Rhode Island will depend on your plan's deductible, copay structure, and whether your provider is in-network. Always get a pre-authorization before the procedure.
What's the recovery time for knee replacement surgery?
Recovery after knee replacement surgery typically takes 42 to 120 days. Most patients can handle light activities after 42 days, with full recovery by 120 days. Plan for time off work and factor in the cost of follow-up visits, medications, and any post-operative care when budgeting beyond the procedure cost itself.
How can I finance knee replacement surgery in Rhode Island?
Most Rhode Island surgeons work with financing companies that offer monthly payment plans. CareCredit and Prosper are the most common. You might also ask about cash-pay pricing — some providers knock 10-20% off the $36,680 sticker price when you pay upfront.
How do I choose a knee replacement surgery facility in Rhode Island?
Start with case volume — facilities that perform more procedures generally have better outcomes. In Rhode Island, also compare hospital vs. ambulatory surgery center pricing (ASCs can be 30-50% cheaper) and check whether your insurance network includes the facility.
Can Medicaid help pay for knee replacement surgery in Rhode Island?
Medicaid coverage for knee replacement surgery in Rhode Island depends on medical necessity. If your doctor documents that knee replacement surgery is required for your health, Rhode Island Medicaid may cover part or all of the cost. Pre-authorization is typically required. Contact Rhode Island's Medicaid office or your managed care plan for specific coverage details.
Can I use my HSA or FSA for knee replacement surgery?
Yes — knee replacement surgery is generally eligible for HSA and FSA reimbursement when medically necessary. At $36,680 in Rhode Island, using pre-tax dollars can save you 20-35% compared to paying with after-tax income. Keep all receipts and get an itemized bill from your provider.
Data Sources & References

How we calculate knee replacement surgery costs in Rhode Island

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Rhode Island's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

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