How Much Does a Total Knee Replacement Cost in 2026?

Real prices from hospital transparency data. Updated March 2026.

Low End (10th %ile)
$1,369
Cash/negotiated rate
Typical (Median)
$16,050
Most common range
High End (90th %ile)
$20,506
Before negotiation
Medicare Reference
$1,275
National reference
Price spread for CPT 27447: Hospital pricing ranges from $1,369 to $20,506. Compared with Medicare ($1,275), this is roughly 1x-16x.

What Is a Total Knee Replacement?

Total knee replacement substitutes damaged knee joint surfaces with implants to improve pain and function.

When Is It Ordered?

Doctors commonly order this for advanced knee arthritis and severe pain not improved by conservative therapy.

How Long Does It Take?

1-2 hours surgery, 1-3 day stay.

How to Prepare

Pre-op clearance and post-op therapy planning are required.

Price Comparison: Hospital Data vs Medicare

$1,275
Medicare reference
$16,050
Median hospital price
$20,506
High-end hospital price
$27,342
Gross charge reference

How to Save on a Knee Replacement

Potential savings: thousands of dollars by getting multiple bundled quotes.
  1. Ask for a written all-in estimate including surgeon, anesthesia, and facility.
  2. Compare hospitals with ambulatory surgery centers when appropriate.
  3. Negotiate before service while you still have price leverage.

Hospital Prices for CPT 27447

Table below shows a sample of hospitals with reported prices for this procedure.

HospitalCityStateCash PriceNegotiatedGross Charge
BRISTOL HOSPITAL INCORPORATED BRISTOL CT $21 N/A $1,374
SHANNON MEDICAL CENTER SAN ANGELO TX $33 $12 $65
ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA N/A N/A $40
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC MURRIETA CA N/A $90 N/A
PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON ANACORTES WA N/A $149 $1,098
SILVER OAKS BEHAVIORAL, LLC NEW LENOX IL $265 $257 $265
AUBURN COMMUNITY HOSPITAL AUBURN NY $279 N/A N/A
PALMS WEST HOSPITAL LIMITED PARTNERSHIP LOXAHATCHEE FL $338 N/A $2,480
MARIN GENERAL HOSPITAL GREENBRAE CA $350 N/A $28
WITHAM MEMORIAL HOSPITAL LEBANON IN $391 $2,159 $558
CROUSE HEALTH HOSPITAL INC SYRACUSE NY $629 $286 $629
MEMORIAL HOSPITAL, INC. MANCHESTER KY $800 $2,057 $2,286
REID HOSPITAL & HEALTH CARE SERVICES INC RICHMOND IN $800 $2,057 $2,286
UNIVERSITY MEDICAL CENTER, INC LOUISVILLE KY $800 $2,057 $2,286
BAYHEALTH MEDICAL CENTER, INC DOVER DE $834 $1,207 N/A
BAYHEALTH MEDICAL CENTER, INC MILFORD DE $834 $1,207 N/A
MORTON COUNTY HOSPITAL ELKHART KS $848 N/A $26,100
APOLLO BEHAVIORAL HEALTH HOSPITAL LLC BATON ROUGE LA N/A $852 N/A
APPALACHIAN REGIONAL HEALTHCARE INC HARLAN KY N/A $852 N/A
STONEBRIDGE HEALTH SYSTEMS LLC CAMERON LA N/A $852 N/A
UNITED HEALTHCARE OF HARDIN INC RADCLIFF KY N/A $852 N/A
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION HASTINGS NE $934 $1,046 $1,038
UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER HOUSTON TX N/A $943 $11,346
DOCTORS HOSPITAL OF LAREDO LAREDO TX N/A $1,012 N/A
FORT DUNCAN MEDICAL CENTER, L.P. EAGLE PASS TX N/A $1,012 N/A
UHS OF TEXOMA INC DENISON TX N/A $1,012 N/A
EAST CARROLL PARISH HOSPITAL LAKE PROVIDENCE LA $1,025 $1,094 $1,367
AIKEN REGIONAL MEDICAL CENTERS LLC AIKEN SC N/A $1,038 N/A
THOREK MEMORIAL HOSPITAL CHICAGO IL N/A N/A $1,146
TRI-CITY HOSPITAL OCEANSIDE CA N/A $1,180 $2,884
GALENCARE, INC. SAINT PETERSBURG FL N/A $1,294 N/A
NORTHSIDE HOSPITAL INC LAWRENCEVILLE GA N/A $1,294 N/A
PAULDING MEDICAL CENTER, INC. HIRAM GA N/A $1,294 N/A
SARASOTA DOCTORS HOSPITAL INC SARASOTA FL N/A $1,294 N/A
SPARKS FAMILY HOSPITAL INC SPARKS NV N/A $1,294 N/A
FAYETTE MEDICAL CENTER FAYETTE AL $1,406 $303 $2,344
PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC LUVERNE AL $1,406 $303 $2,344
MOBILE INFIRMARY ASSOCIATION MOBILE AL N/A $1,426 N/A
UNIVERSITY OF KENTUCKY LEXINGTON KY $1,452 N/A $1,452
HONORHEALTH PHOENIX AZ N/A $1,465 N/A
WOODRIDGE OF WEST MEMPHIS, LLC WEST MEMPHIS AR N/A $1,465 N/A
ST. CLAIRE MEDICAL CENTER INC MOREHEAD KY $1,472 $1,171 $1,963
KAISER FOUNDATION HOSPITALS MANTECA CA $1,484 $1,255 $7,810
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $1,484 $1,255 $7,810
ELADH LP LOS ANGELES CA $1,488 $1,254 $7,834
LANCASTER HOSPITAL CORPORATION PALMDALE CA N/A $1,489 N/A
TEMECULA VALLEY HOSPITAL, INC. TEMECULA CA N/A $1,489 N/A
READING HOSPITAL WEST READING PA $1,588 $579 $2,268
HOLLAND COMMUNITY HOSPITAL HOLLAND MI $1,635 $1,973 $2,725
SWEDISHAMERICAN HOSPITAL ROCKFORD IL $1,651 $1,270 $9,711
BBH BMC LLC BIRMINGHAM AL $1,651 $1,255 $8,690
HC PARTNERSHIP BIRMINGHAM AL $1,651 $1,255 $8,690
DOCTORS MEMORIAL HOSPITAL INC PERRY FL $1,684 $1,647 $2,806
SOUTH BROWARD HOSPITAL DISTRICT PEMBROKE PINES FL $1,684 $1,647 $2,806
THE PAVILION AT HEALTHPARK LLC FORT MYERS FL $1,684 $1,647 $2,806
BBH CBMC, LLC TALLADEGA AL $1,850 $2,038 $3,700
BRYAN HOSPITAL KEARNEY KEARNEY NE $1,890 $11,900 $2,700
FREEPORT MEMORIAL HOSPITAL FREEPORT IL $2,098 $7,301 $2,622
DIGNITY COMMUNITY CARE GLENDALE CA $2,128 $1,254 $11,200
HOSPITAL OF BARSTOW INC BARSTOW CA $2,128 $1,254 $11,200
JOHN FITZGIBBON MEMORIAL HOSPITAL INC MARSHALL MO $2,372 $1,345 $2,965
ADVANCED CARE HOSPITAL OF WHITE COUNTY SEARCY AR N/A $2,457 N/A
BAPTIST HEALTH LITTLE ROCK AR N/A $2,457 N/A
COLUMBUS COMMUNITY HOSPITAL COLUMBUS TX $2,485 $900 $2,485
BAPTIST HEALTH LITTLE ROCK AR N/A $2,491 N/A
GUIDANCE CENTER, INC. FLAGSTAFF AZ N/A $2,491 N/A
HONORHEALTH SCOTTSDALE AZ N/A $2,491 N/A
WELLINGTON REGIONAL MEDICAL CENTER LLC WELLINGTON FL N/A $2,516 N/A
BAXTER COUNTY REGIONAL HOSPITAL INC MOUNTAIN HOME AR N/A $2,563 N/A
COMMUNITY HOSPITAL INC TALLASSEE AL N/A $2,563 N/A
CONWAY REGIONAL MEDICAL CENTER INC CONWAY AR N/A $2,563 N/A
FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC FORREST CITY AR N/A $2,563 N/A
AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC TEMPE AZ N/A $2,626 N/A
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC MAUMELLE AR N/A $2,626 N/A
STATE OF ARKANSAS LITTLE ROCK AR N/A $2,682 N/A

State-by-State Pricing for Knee Replacement

Explore where hospitals in each state report prices for CPT 27447.

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky

Browse all state price guides

Frequently Asked Questions

How much does a Knee Replacement cost without insurance?

Based on published hospital data, Knee Replacement prices typically range from $1,369 to $20,506. Always ask for the self-pay or cash rate before scheduling.

Why do Knee Replacement prices vary so much by hospital?

Hospitals negotiate different payer contracts, apply different facility fees, and use different chargemaster pricing strategies. That creates large price gaps for the same CPT code.

What does Medicare pay for CPT 27447?

In this dataset, the Medicare facility reference is $1,275 for CPT 27447.

How can I lower my Knee Replacement bill?

Compare multiple facilities, ask for the cash price up front, and request a written estimate with all facility and professional fees.

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