Total knee replacement (TKR) is a surgical procedure where damaged parts of the knee joint are replaced with artificial components to relieve pain and restore function. It is commonly performed for patients with severe arthritis or other degenerative joint conditions that limit mobility. Knowing the cost of this procedure can help those considering it make more informed healthcare decisions. This article explores the factors influencing TKR costs in Singapore, the average price range, and available insurance coverage.
Factors Influencing the Cost of Total Knee Replacement
Several factors can influence the total cost of total knee replacement surgery. Below are some of the key cost determinants:
Type of Hospital
The cost varies between public and private healthcare providers. Public hospitals typically offer lower fees due to government subsidies. Private hospitals frequently charge higher fees for personalised care and shorter wait times.
Complexity and Type of Procedure
The complexity of each case has an impact on costs. Patients requiring additional procedures, such as ligament reconstruction, or those with complications may face higher expenses. Surgical techniques, such as robotic-assisted surgery, may also raise costs but can provide better precision and quicker recovery times for some patients.
Type of Implant/Prosthesis
The choice of prosthesis impacts the overall cost. Custom implants, which may be necessary in some cases, tend to be more expensive than standard ones. Most knee implants are made of metal and plastic, but those with ceramic components can also raise the price.
Surgeon’s Expertise
The cost may vary depending on the surgeon’s experience and expertise. Specialists with extensive experience, advanced training, and a strong track record often charge higher fees.
Pre-operative and Post-operative Costs
Pre-operative costs may include consultations, diagnostic imaging (such as X-rays or MRI scans), and laboratory tests. Post-operative expenses often consist of follow-up appointments, medication, and rehabilitation services.
Length of Hospital Stay
The duration of the hospital stay required for recovery can affect the overall cost. A longer stay increases the overall cost, which includes room charges, nursing care, and meals.
Cost Breakdown for Total Knee Replacement
The overall cost of total knee replacement surgery can be divided into several key components:
Consultation Fees
Initial consultations with an orthopaedic specialist typically range from SGD 150 to SGD 300. Pre-operative diagnostic tests, such as X-rays or MRI scans, can cost SGD 700 to SGD 1200.
Surgery Fees
Surgical costs, which include the surgeon’s fees and anaesthesia, range from SGD 25,000 to SGD 40,000 in private hospitals.
Hospital Stay
A hospital stay of 3 to 5 days is typically required following total knee replacement surgery. The daily rate varies depending on the type of ward chosen, ranging from SGD 1,500 to SGD 3,000, with higher-class wards incurring higher charges.
Post-surgery Care
Follow-up visits, medications, and rehabilitation are necessary for recovery. Physiotherapy typically costs between SGD 150 and SGD 300 per session, with the number of sessions determined by the patient’s needs.
Insurance and Financial Assistance
Insurance Coverage
Private health insurance plans can provide significant coverage for knee replacement surgery, depending on the policy terms. Some plans may cover a portion of the surgery cost and hospital stay, while others may offer more comprehensive coverage. Review your insurance plan to determine the extent of coverage for TKR, including any co-payments and exclusions.
Medisave
Singaporeans and Permanent Residents can use their Medisave accounts to help pay for TKR surgery. Medisave can be used to cover hospitalisation expenses, surgical procedures, and rehabilitation costs, up to certain limits. This can significantly reduce out-of-pocket expenses, particularly when combined with insurance coverage.
Discuss your options with your healthcare and insurance provider to understand how much Medisave can be used in your specific case and what expenses are eligible for coverage.
Conclusion
The cost of total knee replacement surgery varies depending on factors such as the hospital, the surgeon’s expertise, and post-surgery care needs. Fortunately, financial assistance options, including private health insurance and Medisave, can help cover these costs. Patients are encouraged to consult with their healthcare providers to obtain a more detailed breakdown of costs and available payment options before proceeding with the procedure.
If you’re considering total knee replacement surgery, contact us for personalised advice on the best course of action for your knee health and financial planning.
