Office Visit (Established Patient) vs Total Knee Replacement
Medicare Cost Comparison 2025
Quick Answer
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Total Knee Replacement: $35,000 total · Medicare pays $28,000 · Patient pays $7,000
Cost Comparison
| Metric | Office Visit (Established Patient) | Total Knee Replacement |
|---|---|---|
| Total Average Cost | $150 | $35,000 |
| Medicare Pays | $120 | $28,000 |
| Patient Pays | $30 | $7,000 |
| Category | physician | hospital |
FAQ
What is the cost difference between Office Visit (Established Patient) and Total Knee Replacement?
Total Knee Replacement costs $35,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $34,850.
How much does Medicare pay for Office Visit (Established Patient) vs Total Knee Replacement?
Medicare typically pays $120 for Office Visit (Established Patient) (patient owes $30). For Total Knee Replacement, Medicare pays $28,000 (patient owes $7,000).
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.
What is Total Knee Replacement?
Surgical replacement of the knee joint with an artificial implant to relieve pain and restore function.