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
$24,232
54 facilities · typical range $19,312 – $30,324 · 1.9× Medicare OPPS
Typical
$24,232
Medicare $12,867
$8,608 lowboxed = typical rangehigh $58,167
What Medicare paysⓘ
$12,867
Market typical
$24,232
Cash / self-pay price
$34,605
Prices near you — 54 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Fauquier Hospital (Warrenton) lowest | Hospital | $8,608cash | 0.7× | ★★★★★ hip/knee complications 5.6% |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $12,694negotiated | 1.0× | ★★★★★ hip/knee complications 2.9% |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $12,694negotiated | 1.0× | ★★★★★ hip/knee complications 2.5% |
| 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% |
| 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 Fairfax Hospital (Falls Church) | Hospital | $21,306negotiated | 1.7× | ★★★★★ |
| Inova Mount Vernon Hospital (Alexandria) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 3.7% |
| Inova Loudoun Hospital (Leesburg) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.1% |
| Inova Fair Oaks Hospital (Fairfax) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.9% |
| Inova Alexandria Hospital (Alexandria) | Hospital | $21,306negotiated | 1.7× | ★★★★★ hip/knee complications 4.0% |
| Wythe County Community Hospital (Wytheville) | Hospital | $21,942cash | 1.7× | ★★★★★ |
| 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 Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $22,325negotiated | 1.7× | ★★★★★ hip/knee complications 6.2% |
| 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 | $25,963negotiated | 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 | $28,157negotiated | 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× | ★★★★★ |
| LewisGale Medical Center (Salem) | Hospital | $29,822negotiated | 2.3× | ★★★★★ hip/knee complications 4.2% |
| UVA Health University Medical Center (Charlottesville) | Hospital | $29,826cash | 2.3× | ★★★★★ hip/knee complications 4.3% |
| LewisGale Hospital Alleghany (Low Moor) | Hospital | $29,882negotiated | 2.3× | ★★★★★ |
| Johnston-Willis Hospital, CJW Medical Center (Richmond) | Hospital | $30,039negotiated | 2.3× | ★★★★★ hip/knee complications 3.4% |
| Chippenham Hospital, CJW Medical Center (Richmond) | Hospital | $30,039negotiated | 2.3× | ★★★★★ hip/knee complications 3.4% |
| TriCities Hospital, formerly John Randolph Medical Center (Hopewell) | Hospital | $30,072negotiated | 2.3× | ★★★★★ |
| LewisGale Hospital Montgomery (Blacksburg) | Hospital | $30,100negotiated | 2.3× | ★★★★★ hip/knee complications 3.9% |
| LewisGale Hospital Pulaski (Pulaski) | Hospital | $30,273negotiated | 2.4× | ★★★★★ |
| Retreat Doctors' Hospital (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% |
| Henrico Doctors' Hospital, Forest campus (Richmond) | Hospital | $30,324negotiated | 2.4× | ★★★★★ hip/knee complications 3.3% |
| 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) gross charge | Hospital | $48,023cash | 3.7× | ★★★★★ |
| Bon Secours Maryview Medical Center (Portsmouth) gross charge | Hospital | $51,578cash | 4.0× | ★★★★★ |
| Bon Secours St. Francis Medical Center (Midlothian) gross charge | Hospital | $51,761cash | 4.0× | ★★★★★ hip/knee complications 4.0% |
| Bon Secours Memorial Regional Medical Center (Mechanicsville) gross charge | Hospital | $51,895cash | 4.0× | ★★★★★ hip/knee complications 3.8% |
| Bon Secours St. Mary's Hospital (Richmond) gross charge | 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. 6 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 $24,232, with hospitals ranging from $19,312 to $30,324 across 54 facilities. Medicare's benchmark rate is $12,867, the floor to negotiate toward. 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 $24,232, with hospital prices ranging from $19,312 to $30,324 across 54 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.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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.