How much is my knee replacement surgery likely to cost?

Knee replacement

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A surgical procedure that replaces all or part of the knee joint with a prosthetic device.

Average cost for procedure

$26,975

Average out of pocket cost

$1,080

Bupa would pay

Medicare would pay

Your excess $250

Average out of pocket $1,080

Hospital Procedure Angiogram

Cost assumptions

  • You are using a Bupa Members First or Network Hospital with no additional co-payment
  • You have a $500 excess
  • Your doctors are part of the Bupa Medical Gap Scheme
  • You have a level of cover that includes the service and have served relevant waiting periods
  • You are covered by a Bupa Health Insurance policy for Australian residents and you are receiving treatment in Australia

Next best steps:

  1. Talk to your specialist:
    • You shouldn't expect to be out-of-pocket more than $3,145
    • Here are some common item codes for this procedure so you can check them with your specialist: 48915, 49519, 49521, 49524
  2. Find a specialist who is part of our Bupa Medical Gap Scheme. If they apply the scheme, you can reduce your out-of-pocket costs. By using a Members First Day Facility (if appropriate), you may be able to reduce your out-of-pocket costs even further
  3. Are you a Bupa member? Log in to myBupa and view your product fact sheet to check if you're covered for this treatment

Find a provider

Finding specialists who use our gap scheme, as well as Members First or Network Hospitals is easy

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