How much does total knee replacement (arthroplasty) cost in Virginia?
CPT 27447 — the fair price, every hospital's price, and the Medicare benchmark for Virginia.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
27447 Total knee replacement (arthroplasty)
Market typical price
$27,602
57 facilities · typical range $13,244 – $30,324 · 2.1× Medicare OPPS
Typical
$27,602
Medicare $12,867
$849 lowboxed = typical rangehigh $58,167
What Medicare pays
$12,867
Market typical
$27,602
Cash / self-pay price
$32,577
Prices near you — 57 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Centra Lynchburg General Hospital (Lynchburg) lowest ⚠ likely error | Hospital | $849cash | 0.1× | ★★★★★ hip/knee complications 3.3% |
| Centra Virginia Baptist Hospital (Lynchburg) ⚠ likely error | Hospital | $849cash | 0.1× | ★★★★★ hip/knee complications 3.3% |
| Fauquier Hospital (Warrenton) | Hospital | $8,608cash | 0.7× | ★★★★★ hip/knee complications 5.6% |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $12,694negotiated | 1.0× | ★★★★★ hip/knee complications 2.5% |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $12,694negotiated | 1.0× | ★★★★★ hip/knee complications 2.9% |
| Riverside Regional Medical Center (Newport News) | Hospital | $12,734negotiated | 1.0× | ★★★★★ |
| VCU Medical Center (Richmond) | Hospital | $12,777negotiated | 1.0× | ★★★★★ hip/knee complications 4.8% |
| Sentara Northern Virginia Medical Center (Woodbridge) | Hospital | $12,840negotiated | 1.0× | ★★★★★ |
| Chesapeake Regional Medical Center (Chesapeake) | Hospital | $12,944negotiated | 1.0× | ★★★★★ hip/knee complications 4.6% |
| VHC Health, Virginia Hospital Center (Arlington) | Hospital | $12,956negotiated | 1.0× | ★★★★★ hip/knee complications 4.4% |
| Augusta Health (Fishersville) | Hospital | $13,054negotiated | 1.0× | ★★★★★ hip/knee complications 4.3% |
| Sentara Martha Jefferson Hospital (Charlottesville) | Hospital | $13,153negotiated | 1.0× | ★★★★★ hip/knee complications 4.9% |
| Sentara RMH Medical Center (Harrisonburg) | Hospital | $13,153negotiated | 1.0× | ★★★★★ hip/knee complications 3.9% |
| Stafford Hospital (Stafford) | Hospital | $13,232negotiated | 1.0× | ★★★★★ |
| Sentara Halifax Regional Hospital (South Boston) | Hospital | $13,257negotiated | 1.0× | ★★★★★ |
| Mary Washington Hospital (Fredericksburg) | Hospital | $13,330negotiated | 1.0× | ★★★★★ hip/knee complications 3.9% |
| Inova Alexandria Hospital (Alexandria) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.0% |
| Inova Fair Oaks Hospital (Fairfax) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.9% |
| Inova Fairfax Hospital (Falls Church) | Hospital | $21,306negotiated | 1.7× | ★★★★★ |
| Inova Loudoun Hospital (Leesburg) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.1% |
| Inova Mount Vernon Hospital (Alexandria) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 3.7% |
| Wythe County Community Hospital (Wytheville) | Hospital | $21,942cash | 1.7× | ★★★★★ |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $22,325negotiated | 1.7× | ★★★★★ hip/knee complications 6.2% |
| Sentara Obici Hospital (Suffolk) | Hospital | $22,325negotiated | 1.7× | ★★★★★ hip/knee complications 5.6% |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $22,325negotiated | 1.7× | ★★★★★ |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $22,425negotiated | 1.7× | ★★★★★ hip/knee complications 3.7% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $22,501negotiated | 1.7× | ★★★★★ |
| StoneSprings Hospital Center (Dulles) | Hospital | $26,158negotiated | 2.0× | ★★★★★ hip/knee complications 3.1% |
| Twin County Regional Hospital (Galax) | Hospital | $27,524cash | 2.1× | ★★★★★ |
| UVA Health Haymarket Medical Center (Haymarket) | Hospital | $27,679cash | 2.2× | ★★★★★ |
| Reston Hospital Center (Reston) | Hospital | $28,312negotiated | 2.2× | ★★★★★ hip/knee complications 3.6% |
| Sovah Health Danville (Danville) | Hospital | $28,771cash | 2.2× | ★★★★★ hip/knee complications 4.4% |
| Spotsylvania Regional Medical Center (Fredericksburg) | Hospital | $28,931negotiated | 2.2× | ★★★★★ |
| UVA Health Culpeper Medical Center (Culpeper) | Hospital | $29,065cash | 2.3× | ★★★★★ |
| UVA Health University Medical Center (Charlottesville) | Hospital | $29,826cash | 2.3× | ★★★★★ hip/knee complications 4.3% |
| LewisGale Medical Center (Salem) | Hospital | $29,926negotiated | 2.3× | ★★★★★ hip/knee complications 4.2% |
| Chippenham Hospital, CJW Medical Center (Richmond) | Hospital | $30,039negotiated | 2.3× | ★★★★★ hip/knee complications 3.4% |
| Johnston-Willis Hospital, CJW Medical Center (Richmond) | Hospital | $30,039negotiated | 2.3× | ★★★★★ hip/knee complications 3.4% |
| LewisGale Hospital Alleghany (Low Moor) | Hospital | $30,181negotiated | 2.3× | ★★★★★ |
| LewisGale Hospital Montgomery (Blacksburg) | Hospital | $30,266negotiated | 2.4× | ★★★★★ hip/knee complications 3.9% |
| TriCities Hospital, formerly John Randolph Medical Center (Hopewell) | Hospital | $30,267negotiated | 2.4× | ★★★★★ |
| Henrico Doctors' Hospital, Forest campus (Richmond) | Hospital | $30,324negotiated | 2.4× | ★★★★★ hip/knee complications 3.3% |
| Parham Doctors' Hospital — ortho/spine-focused campus (Richmond) | Hospital | $30,324negotiated | 2.4× | ★★★★★ hip/knee complications 3.3% |
| Retreat Doctors' Hospital (Richmond) | Hospital | $30,324negotiated | 2.4× | ★★★★★ hip/knee complications 3.3% |
| LewisGale Hospital Pulaski (Pulaski) | Hospital | $30,561negotiated | 2.4× | ★★★★★ |
| Sentara CarePlex Hospital (Hampton) | Hospital | $31,497negotiated | 2.4× | ★★★★★ |
| Sentara Williamsburg Regional Medical Center (Williamsburg) | Hospital | $31,849negotiated | 2.5× | ★★★★★ hip/knee complications 5.6% |
| Clinch Valley Medical Center (Richlands) | Hospital | $32,577cash | 2.5× | ★★★★★ |
| UVA Health Prince William Medical Center (Manassas) | Hospital | $34,605cash | 2.7× | ★★★★★ |
| Sovah Health Martinsville (Martinsville) | Hospital | $36,652cash | 2.8× | — |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $43,560cash | 3.4× | ★★★★★ hip/knee complications 4.7% |
| Bon Secours Southside Medical Center (Petersburg) | Hospital | $48,023cash | 3.7× | ★★★★★ |
| Bon Secours Maryview Medical Center (Portsmouth) | Hospital | $51,578cash | 4.0× | ★★★★★ |
| Bon Secours St. Francis Medical Center (Midlothian) | Hospital | $51,761cash | 4.0× | ★★★★★ hip/knee complications 4.0% |
| Bon Secours Memorial Regional Medical Center (Mechanicsville) | Hospital | $51,895cash | 4.0× | ★★★★★ hip/knee complications 3.8% |
| Bon Secours St. Mary's Hospital (Richmond) | Hospital | $54,386cash | 4.2× | ★★★★★ hip/knee complications 2.8% |
| Bon Secours Harbour View Medical Center (Suffolk) gross charge | Hospital | $58,167cash | 4.5× | — |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 3 unusually low/high prices excluded from the typical price as likely data errors.
See total knee replacement (arthroplasty) prices in another area
What should 27447 cost in Virginia?
For total knee replacement (arthroplasty) (CPT 27447) in Virginia, a fair self-pay price is around $27,602, with hospitals ranging from $13,244 to $30,324 across 57 facilities. Medicare's benchmark rate is $12,867, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does total knee replacement (arthroplasty) cost in Virginia?
A fair self-pay price for total knee replacement (arthroplasty) (CPT 27447) in Virginia is around $27,602, with hospital prices ranging from $13,244 to $30,324 across 57 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 27447?
Medicare pays about $12,867 for total knee replacement (arthroplasty) (CPT 27447). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of total knee replacement (arthroplasty)?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 27447, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Virginia
Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCCRevision of hip or knee replacement, inpatient, w/o CC/MCC
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.