Price AtlasInteractive atlas · All states · techysurgeon.comKnee replacement: what insurers pay
Total knee replacement: the worn joint surfaces are replaced with metal and plastic parts. Hospital stays group to MS-DRG 470 (469 with a major complication). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27447: Knee Replacement
1144 hospitals in 79 markets. National Medicare rate $13,117, surgery center $9,393.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $13,898 | $15,224 | $20,113 | $11,198–$29,754 |
| Alaska (statewide) | 4 | — | — | — | $8,780–$24,836 |
| Arizona (statewide) | 12 | $13,726 | $16,188 | $19,124 | $9,174–$34,429 |
| Arkansas (statewide) | 8 | $10,826 | $11,856 | $15,594 | $8,200–$18,180 |
| Atlanta GA | 6 | $8,610 | $8,610 | $14,685 | $8,610–$16,710 |
| Austin TX | 13 | $11,425 | $18,378 | $21,800 | $11,425–$21,800 |
| Boston MA | 11 | $19,240 | $20,451 | $20,608 | $15,772–$20,684 |
| California (statewide) | 60 | $17,939 | $31,341 | $38,556 | $8,987–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 8 | $14,982 | $18,827 | $26,543 | $10,156–$27,813 |
| Cleveland OH | 11 | $13,058 | $13,361 | $24,000 | $12,754–$36,013 |
| Colorado (statewide) | 15 | $12,678 | $16,690 | $19,094 | $7,008–$44,393 |
| Columbus OH | 2 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 2 | — | — | — | $24,914–$53,492 |
| Dallas-Fort Worth TX | 12 | $18,853 | $21,949 | $24,401 | $18,830–$39,785 |
| Denver CO | 15 | $14,972 | $20,844 | $25,850 | $12,826–$29,093 |
| Detroit MI | 10 | $16,229 | $19,619 | $25,259 | $11,318–$28,846 |
| Florida (statewide) | 68 | $16,752 | $23,044 | $29,754 | $7,150–$35,350 |
| Georgia (statewide) | 27 | $13,072 | $16,710 | $25,112 | $5,681–$37,095 |
| Hawaii (statewide) | 5 | $11,582 | $14,926 | $20,992 | $11,429–$27,270 |
| Houston TX | 19 | $19,880 | $23,981 | $23,981 | $17,212–$24,505 |
| Idaho (statewide) | 15 | $14,917 | $18,821 | $20,630 | $9,663–$34,096 |
| Illinois (statewide) | 27 | $13,773 | $18,271 | $27,813 | $8,288–$38,226 |
| Indiana (statewide) | 37 | $21,224 | $27,167 | $37,127 | $10,977–$50,276 |
| Indianapolis IN | 3 | — | — | — | $25,451–$57,617 |
| Iowa (statewide) | 21 | $13,117 | $19,970 | $23,496 | $12,532–$38,961 |
| Kansas (statewide) | 15 | $14,640 | $17,071 | $22,552 | $10,862–$26,366 |
| Kentucky (statewide) | 12 | $17,378 | $19,928 | $24,468 | $8,062–$36,354 |
| Las Vegas NV | 2 | — | — | — | $7,907–$19,560 |
| Los Angeles CA | 17 | $16,154 | $18,392 | $23,533 | $14,506–$36,803 |
| Louisiana (statewide) | 25 | $11,774 | $12,527 | $15,657 | $8,230–$24,903 |
| Maine (statewide) | 17 | $52,722 | $59,196 | $61,208 | $13,596–$76,956 |
| Maryland (statewide) | 1 | — | — | — | $17,954–$17,954 |
| Massachusetts (statewide) | 5 | $16,046 | $18,324 | $18,646 | $12,252–$19,110 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $21,798–$21,798 |
| Michigan (statewide) | 29 | $17,680 | $20,242 | $20,924 | $7,176–$29,559 |
| Minneapolis-St. Paul MN | 9 | $10,500 | $10,942 | $16,645 | $9,314–$27,696 |
| Minnesota (statewide) | 13 | $18,358 | $34,778 | $42,342 | $10,942–$58,164 |
| Mississippi (statewide) | 17 | $15,318 | $17,650 | $17,827 | $12,404–$35,014 |
| Missouri (statewide) | 15 | $18,053 | $24,065 | $25,858 | $11,442–$38,731 |
| Montana (statewide) | 5 | $27,312 | $29,042 | $32,477 | $27,020–$42,576 |
| Nashville TN | 8 | $24,489 | $24,648 | $24,658 | $24,087–$26,296 |
| Nebraska (statewide) | 11 | $12,532 | $12,582 | $19,768 | $7,907–$25,244 |
| Nevada (statewide) | 4 | — | — | — | $7,907–$20,693 |
| New Hampshire (statewide) | 6 | $32,970 | $42,058 | $43,553 | $22,684–$57,492 |
| New Jersey (statewide) | 14 | $14,986 | $15,941 | $20,224 | $13,385–$31,398 |
| New Mexico (statewide) | 8 | $13,129 | $16,215 | $24,794 | $10,851–$67,753 |
| New York (statewide) | 28 | $19,830 | $26,163 | $31,892 | $10,729–$44,471 |
| New York City | 8 | $37,468 | $41,345 | $41,767 | $11,015–$60,632 |
| North Carolina (statewide) | 13 | $13,082 | $14,000 | $24,360 | $10,755–$31,799 |
| North Dakota (statewide) | 12 | $17,556 | $17,556 | $19,836 | $16,908–$30,070 |
| Ohio (statewide) | 39 | $19,402 | $25,368 | $33,594 | $10,949–$49,348 |
| Oklahoma (statewide) | 8 | $22,904 | $24,256 | $26,424 | $16,632–$31,460 |
| Oregon (statewide) | 10 | $32,949 | $39,129 | $47,490 | $22,753–$61,050 |
| Pennsylvania (statewide) | 44 | $16,662 | $25,693 | $32,960 | $6,929–$59,058 |
| Philadelphia PA | 11 | $12,990 | $14,524 | $16,326 | $12,920–$25,685 |
| Phoenix AZ | 8 | $29,468 | $34,429 | $34,429 | $14,583–$34,429 |
| Pittsburgh PA | 12 | $13,986 | $18,058 | $26,327 | $10,820–$32,386 |
| Portland OR | 9 | $26,100 | $26,100 | $50,741 | $24,978–$50,741 |
| Rhode Island (statewide) | 4 | — | — | — | $19,034–$30,087 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 7 | $16,684 | $17,308 | $17,317 | $16,447–$40,947 |
| Salt Lake City UT | 9 | $22,863 | $23,642 | $23,642 | $11,982–$24,422 |
| San Antonio TX | 3 | — | — | — | $18,424–$24,291 |
| San Diego CA | 3 | — | — | — | $23,613–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $11,970–$46,970 |
| Seattle-Tacoma WA | 16 | $34,902 | $37,168 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 18 | $18,999 | $21,642 | $26,600 | $13,391–$38,292 |
| South Dakota (statewide) | 4 | — | — | — | $18,271–$55,350 |
| Tampa FL | 6 | $16,732 | $16,732 | $17,972 | $16,732–$20,226 |
| Tennessee (statewide) | 26 | $12,231 | $18,399 | $24,490 | $8,563–$27,758 |
| Texas (statewide) | 75 | $14,845 | $19,346 | $23,360 | $11,065–$46,675 |
| Utah (statewide) | 7 | $15,215 | $22,863 | $23,252 | $11,982–$49,713 |
| Vermont (statewide) | 3 | — | — | — | $7,572–$17,716 |
| Virginia (statewide) | 21 | $31,244 | $35,547 | $38,276 | $12,301–$43,511 |
| Washington (statewide) | 13 | $19,563 | $34,902 | $37,956 | $13,441–$68,776 |
| Washington DC | 9 | $26,902 | $26,902 | $28,440 | $11,384–$30,393 |
| West Virginia (statewide) | 10 | $18,671 | $21,535 | $38,437 | $12,304–$85,473 |
| Wisconsin (statewide) | 40 | $16,268 | $20,541 | $24,508 | $7,840–$34,752 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,138 | 0.5× | 2 | 2025-11-19 |
| Upmc Cole | Pennsylvania (statewide) | $6,929 | 0.6× | 1 | 2026-03-06 |
| Montrose Regional Health | Colorado (statewide) | $7,008 | 0.5× | 1 | 2026-07-13 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Oaklawn Hospital | Michigan (statewide) | $7,176 | 0.6× | 2 | 2026-03-27 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $7,306 | 0.7× | 2 | 2026-04-01 |
| Uf Health Leesburg Hospital | Florida (statewide) | $7,316 | 0.6× | 1 | 2026-03-31 |
| University Of Vermont Medical Center | Vermont (statewide) | $7,572 | 0.6× | 1 | 2026-04-28 |
| Marshfield Medical Center - Weston | Wisconsin (statewide) | $7,840 | 0.6× | 2 | 2026-02-20 |
| Providence Medford Medical Center | Oregon (statewide) | $61,050 | 4.0× | 2 | 2026-04-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $61,208 | 4.7× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Memorial Medical Center | New Mexico (statewide) | $67,753 | 5.3× | 1 | 2026-07-10 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $68,776 | 4.6× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 470: Major Hip and Knee Joint Replacement Or Reattachment of Lower Extremity Without McC
1564 hospitals in 83 markets. National Medicare rate $14,036.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $17,216 | $20,146 | $22,264 | $12,924–$44,893 |
| Alaska (statewide) | 4 | — | — | — | $17,002–$62,344 |
| Arizona (statewide) | 28 | $26,582 | $33,942 | $42,862 | $13,152–$65,264 |
| Arkansas (statewide) | 11 | $16,814 | $17,975 | $19,668 | $14,526–$22,645 |
| Atlanta GA | 10 | $34,026 | $36,912 | $38,108 | $34,026–$55,510 |
| Austin TX | 13 | $12,167 | $22,229 | $23,016 | $10,268–$27,574 |
| Boston MA | 15 | $15,682 | $17,842 | $19,885 | $13,679–$29,071 |
| California (statewide) | 56 | $21,395 | $26,405 | $33,098 | $11,954–$104,977 |
| Charlotte NC | 9 | $31,586 | $31,586 | $37,840 | $21,638–$37,840 |
| Chicago IL | 10 | $23,602 | $27,113 | $31,291 | $17,908–$35,878 |
| Cleveland OH | 11 | $19,648 | $24,445 | $25,854 | $17,126–$39,466 |
| Colorado (statewide) | 16 | $28,415 | $36,178 | $44,602 | $11,818–$60,647 |
| Columbus OH | 3 | — | — | — | $34,948–$51,689 |
| Connecticut (statewide) | 6 | $25,738 | $33,212 | $39,329 | $17,350–$48,975 |
| Dallas-Fort Worth TX | 15 | $19,488 | $24,917 | $26,941 | $18,268–$45,593 |
| Delaware (statewide) | 2 | — | — | — | $30,639–$34,972 |
| Denver CO | 15 | $22,092 | $25,404 | $38,313 | $19,548–$50,162 |
| Detroit MI | 17 | $26,422 | $26,606 | $38,196 | $20,596–$48,604 |
| Florida (statewide) | 93 | $19,384 | $22,106 | $36,830 | $14,074–$57,938 |
| Georgia (statewide) | 44 | $26,008 | $37,116 | $43,228 | $15,726–$55,510 |
| Hawaii (statewide) | 12 | $19,891 | $26,270 | $38,979 | $19,101–$43,133 |
| Houston TX | 19 | $22,498 | $24,636 | $30,578 | $18,135–$44,669 |
| Idaho (statewide) | 16 | $30,219 | $39,353 | $41,410 | $16,470–$46,700 |
| Illinois (statewide) | 44 | $18,634 | $21,092 | $26,982 | $12,984–$41,722 |
| Indiana (statewide) | 53 | $16,180 | $24,108 | $32,411 | $12,648–$42,165 |
| Indianapolis IN | 6 | $15,001 | $25,156 | $41,622 | $14,482–$43,726 |
| Iowa (statewide) | 23 | $19,462 | $22,099 | $27,223 | $15,981–$32,059 |
| Kansas (statewide) | 28 | $19,698 | $22,152 | $25,594 | $11,659–$62,344 |
| Kentucky (statewide) | 31 | $16,918 | $19,559 | $25,678 | $11,658–$50,450 |
| Las Vegas NV | 2 | — | — | — | $24,961–$37,956 |
| Los Angeles CA | 18 | $32,062 | $34,360 | $35,814 | $25,797–$42,436 |
| Louisiana (statewide) | 24 | $14,750 | $17,626 | $20,635 | $11,570–$25,419 |
| Maine (statewide) | 13 | $38,270 | $46,750 | $52,536 | $24,676–$52,536 |
| Maryland (statewide) | 1 | — | — | — | $34,377–$34,377 |
| Massachusetts (statewide) | 10 | $20,054 | $26,326 | $29,908 | $13,752–$44,691 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $18,811–$32,900 |
| Michigan (statewide) | 41 | $21,558 | $24,436 | $27,383 | $12,838–$43,012 |
| Minneapolis-St. Paul MN | 15 | $28,849 | $32,382 | $32,508 | $20,194–$34,302 |
| Minnesota (statewide) | 23 | $23,833 | $24,614 | $32,168 | $10,590–$47,255 |
| Mississippi (statewide) | 22 | $20,924 | $21,218 | $22,712 | $14,707–$31,956 |
| Missouri (statewide) | 28 | $18,363 | $20,986 | $23,503 | $11,891–$45,593 |
| Montana (statewide) | 7 | $21,722 | $31,933 | $42,469 | $9,001–$64,592 |
| Nashville TN | 8 | $16,341 | $16,712 | $21,844 | $15,974–$36,202 |
| Nebraska (statewide) | 15 | $31,600 | $33,644 | $39,172 | $22,074–$46,068 |
| Nevada (statewide) | 8 | $26,307 | $32,414 | $43,852 | $21,230–$60,482 |
| New Hampshire (statewide) | 8 | $23,964 | $28,210 | $31,991 | $13,683–$45,368 |
| New Jersey (statewide) | 21 | $32,252 | $37,115 | $41,888 | $18,212–$56,150 |
| New Mexico (statewide) | 10 | $19,159 | $23,580 | $29,287 | $13,230–$56,778 |
| New York (statewide) | 47 | $21,958 | $25,847 | $33,955 | $13,994–$60,460 |
| New York City | 9 | $36,121 | $37,154 | $56,187 | $16,804–$68,940 |
| North Carolina (statewide) | 34 | $17,231 | $22,566 | $36,326 | $11,660–$46,587 |
| North Dakota (statewide) | 7 | $23,502 | $23,962 | $25,200 | $19,477–$34,044 |
| Ohio (statewide) | 53 | $20,388 | $30,852 | $35,771 | $12,390–$60,600 |
| Oklahoma (statewide) | 19 | $14,602 | $19,730 | $21,104 | $11,033–$36,923 |
| Oregon (statewide) | 15 | $26,890 | $33,093 | $38,560 | $17,209–$50,742 |
| Pennsylvania (statewide) | 62 | $20,537 | $28,250 | $34,206 | $13,252–$54,550 |
| Philadelphia PA | 11 | $33,478 | $36,656 | $42,835 | $30,706–$56,150 |
| Phoenix AZ | 11 | $32,107 | $34,152 | $38,833 | $32,107–$42,862 |
| Pittsburgh PA | 7 | $21,882 | $23,315 | $28,770 | $18,762–$29,554 |
| Portland OR | 9 | $38,628 | $41,285 | $49,095 | $37,922–$49,095 |
| Research Triangle NC | 9 | $24,283 | $28,137 | $29,117 | $19,477–$31,260 |
| Rhode Island (statewide) | 7 | $23,072 | $30,470 | $38,786 | $18,457–$41,230 |
| Richmond VA | 7 | $24,084 | $35,375 | $46,776 | $22,294–$49,407 |
| Rio Grande Valley TX | 7 | $22,501 | $23,629 | $27,112 | $19,989–$27,962 |
| Salt Lake City UT | 9 | $35,238 | $35,238 | $35,238 | $33,624–$35,238 |
| San Antonio TX | 3 | — | — | — | $25,679–$41,372 |
| San Diego CA | 7 | $22,259 | $27,005 | $29,912 | $22,202–$32,156 |
| San Francisco Bay Area CA | 2 | — | — | — | $23,685–$31,888 |
| Seattle-Tacoma WA | 16 | $41,449 | $41,901 | $43,804 | $38,114–$52,682 |
| South Carolina (statewide) | 31 | $34,388 | $40,030 | $51,118 | $14,408–$58,456 |
| South Dakota (statewide) | 4 | — | — | — | $21,218–$31,374 |
| St. Louis MO | 7 | $22,524 | $23,993 | $23,993 | $9,857–$37,752 |
| Tampa FL | 11 | $37,410 | $38,113 | $39,818 | $29,820–$42,781 |
| Tennessee (statewide) | 33 | $16,360 | $19,074 | $22,008 | $14,522–$36,202 |
| Texas (statewide) | 90 | $19,730 | $23,096 | $29,214 | $9,724–$50,450 |
| Utah (statewide) | 6 | $31,444 | $37,622 | $41,221 | $14,149–$41,626 |
| Vermont (statewide) | 3 | — | — | — | $23,573–$52,106 |
| Virginia (statewide) | 26 | $29,514 | $37,830 | $40,226 | $19,460–$66,408 |
| Washington (statewide) | 15 | $30,598 | $36,422 | $44,436 | $15,472–$56,496 |
| Washington DC | 11 | $31,040 | $36,967 | $38,106 | $21,233–$40,615 |
| West Virginia (statewide) | 13 | $10,225 | $11,016 | $30,630 | $8,659–$46,459 |
| Wisconsin (statewide) | 51 | $25,066 | $33,609 | $39,710 | $13,088–$46,396 |
| Wyoming (statewide) | 2 | — | — | — | $30,621–$41,811 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Wetzel County Hospital | West Virginia (statewide) | $8,659 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $9,001 | 0.6× | 1 | 2026-01-01 |
| Memorial Medical Center | Texas (statewide) | $9,724 | 0.7× | 1 | 2026-09-14 |
| Mercy Hospital South | St. Louis MO | $9,857 | 0.7× | 1 | 2026-06-10 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $9,894 | 0.8× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $9,929 | 0.8× | 3 | 2026-07-09 |
| Thomas Memorial Hospital | West Virginia (statewide) | $10,225 | 0.8× | 3 | 2026-07-10 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $10,268 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $10,268 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $10,268 | 0.7× | 2 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $10,268 | 0.7× | 2 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $10,268 | 0.7× | 2 | 2026-01-01 |
| Lodi Community Hospital | Ohio (statewide) | $60,600 | 4.7× | 1 | 2026-06-15 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $60,647 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $61,127 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $62,344 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $62,344 | 4.8× | 4 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $63,689 | 3.5× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $64,592 | 4.6× | 1 | 2026-04-01 |
| Page Hospital | Arizona (statewide) | $65,264 | 4.4× | 1 | 2026-03-02 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $66,266 | 3.7× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $66,408 | 5.0× | 1 | 2025-12-15 |
| Hospital for Special Surgery | New York City | $68,940 | 4.0× | 13 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $104,977 | 5.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 469: Major Hip and Knee Joint Replacement Or Reattachment of Lower Extremity With McC Or Total Ankle Replacement
1479 hospitals in 83 markets. National Medicare rate $22,072.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $25,517 | $30,638 | $34,932 | $19,462–$77,826 |
| Alaska (statewide) | 3 | — | — | — | $26,455–$108,073 |
| Arizona (statewide) | 29 | $36,210 | $53,703 | $66,741 | $16,574–$82,245 |
| Arkansas (statewide) | 9 | $27,611 | $28,266 | $31,747 | $25,182–$35,610 |
| Atlanta GA | 10 | $58,808 | $58,983 | $58,983 | $57,280–$96,226 |
| Austin TX | 13 | $19,790 | $31,494 | $33,098 | $19,004–$39,334 |
| Boston MA | 15 | $25,757 | $28,057 | $30,410 | $21,510–$44,209 |
| California (statewide) | 53 | $36,562 | $42,433 | $56,813 | $20,670–$125,932 |
| Charlotte NC | 8 | $47,531 | $49,294 | $59,296 | $34,026–$59,296 |
| Chicago IL | 11 | $37,785 | $45,622 | $51,820 | $31,034–$56,418 |
| Cleveland OH | 11 | $23,029 | $35,562 | $40,656 | $21,352–$51,181 |
| Colorado (statewide) | 16 | $37,498 | $58,835 | $70,138 | $18,584–$95,367 |
| Columbus OH | 3 | — | — | — | $61,653–$81,281 |
| Connecticut (statewide) | 6 | $28,889 | $47,561 | $62,908 | $24,821–$67,918 |
| Dallas-Fort Worth TX | 15 | $29,073 | $39,181 | $39,554 | $27,967–$79,036 |
| Delaware (statewide) | 1 | — | — | — | $63,516–$63,516 |
| Denver CO | 15 | $30,004 | $36,630 | $60,247 | $29,984–$82,301 |
| Detroit MI | 16 | $41,549 | $41,944 | $62,712 | $36,788–$91,609 |
| Florida (statewide) | 93 | $29,595 | $32,689 | $57,916 | $17,048–$92,223 |
| Georgia (statewide) | 43 | $43,450 | $58,808 | $68,622 | $23,336–$96,226 |
| Hawaii (statewide) | 11 | $40,957 | $46,990 | $60,090 | $35,735–$66,490 |
| Houston TX | 19 | $30,530 | $38,763 | $46,882 | $29,278–$63,801 |
| Idaho (statewide) | 15 | $49,616 | $59,249 | $80,480 | $23,648–$81,255 |
| Illinois (statewide) | 44 | $29,854 | $34,736 | $42,880 | $20,416–$65,608 |
| Indiana (statewide) | 48 | $22,620 | $40,154 | $51,240 | $16,326–$66,304 |
| Indianapolis IN | 6 | $17,233 | $36,378 | $65,451 | $17,048–$68,760 |
| Iowa (statewide) | 18 | $30,772 | $34,392 | $39,912 | $26,383–$55,470 |
| Kansas (statewide) | 23 | $26,316 | $30,408 | $39,210 | $12,853–$71,979 |
| Kentucky (statewide) | 28 | $27,294 | $33,344 | $40,626 | $20,210–$75,393 |
| Las Vegas NV | 2 | — | — | — | $36,178–$57,013 |
| Los Angeles CA | 18 | $47,997 | $54,319 | $60,849 | $40,566–$66,730 |
| Louisiana (statewide) | 23 | $26,029 | $30,324 | $33,372 | $19,220–$42,114 |
| Maine (statewide) | 13 | $62,928 | $72,797 | $77,320 | $29,132–$93,412 |
| Maryland (statewide) | 1 | — | — | — | $22,902–$22,902 |
| Massachusetts (statewide) | 8 | $34,360 | $39,872 | $42,220 | $21,626–$50,004 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $18,811–$51,735 |
| Michigan (statewide) | 37 | $39,946 | $44,372 | $54,127 | $23,902–$81,070 |
| Minneapolis-St. Paul MN | 15 | $45,619 | $51,394 | $55,925 | $25,688–$57,217 |
| Minnesota (statewide) | 21 | $38,706 | $40,025 | $55,398 | $16,652–$69,303 |
| Mississippi (statewide) | 17 | $32,759 | $34,984 | $38,423 | $25,496–$53,011 |
| Missouri (statewide) | 27 | $28,832 | $33,275 | $39,020 | $15,687–$79,036 |
| Montana (statewide) | 7 | $34,167 | $49,772 | $66,356 | $15,603–$109,170 |
| Nashville TN | 8 | $24,790 | $25,562 | $40,738 | $23,560–$62,759 |
| Nebraska (statewide) | 15 | $54,354 | $56,673 | $65,294 | $38,268–$72,442 |
| Nevada (statewide) | 5 | $38,162 | $40,936 | $57,013 | $36,805–$60,241 |
| New Hampshire (statewide) | 8 | $26,972 | $44,146 | $51,682 | $22,234–$71,341 |
| New Jersey (statewide) | 21 | $52,374 | $57,911 | $69,136 | $28,258–$90,456 |
| New Mexico (statewide) | 9 | $30,029 | $44,284 | $52,338 | $22,936–$98,424 |
| New York (statewide) | 48 | $35,502 | $42,658 | $57,967 | $22,006–$104,808 |
| New York City | 9 | $56,800 | $58,424 | $88,354 | $29,129–$128,589 |
| North Carolina (statewide) | 27 | $33,082 | $38,958 | $59,296 | $24,978–$72,800 |
| North Dakota (statewide) | 7 | $36,230 | $40,352 | $41,153 | $31,568–$59,016 |
| Ohio (statewide) | 47 | $31,726 | $41,409 | $56,546 | $19,484–$95,100 |
| Oklahoma (statewide) | 16 | $25,017 | $29,642 | $34,412 | $14,966–$60,701 |
| Oregon (statewide) | 11 | $51,167 | $58,004 | $65,434 | $30,626–$85,394 |
| Pennsylvania (statewide) | 58 | $33,435 | $45,632 | $54,358 | $23,521–$85,654 |
| Philadelphia PA | 11 | $54,230 | $57,642 | $67,158 | $47,318–$90,456 |
| Phoenix AZ | 11 | $50,488 | $53,492 | $58,610 | $50,488–$64,808 |
| Pittsburgh PA | 7 | $34,662 | $38,672 | $43,584 | $30,558–$50,644 |
| Portland OR | 9 | $65,737 | $66,688 | $85,105 | $62,451–$85,105 |
| Research Triangle NC | 9 | $36,610 | $36,789 | $45,786 | $31,000–$58,771 |
| Rhode Island (statewide) | 7 | $45,293 | $56,592 | $58,874 | $29,233–$63,929 |
| Richmond VA | 7 | $29,734 | $57,431 | $57,431 | $29,486–$78,069 |
| Rio Grande Valley TX | 6 | $31,548 | $34,717 | $37,612 | $30,403–$41,600 |
| Salt Lake City UT | 9 | $50,788 | $50,788 | $50,788 | $50,283–$50,788 |
| San Antonio TX | 3 | — | — | — | $30,383–$58,068 |
| San Diego CA | 7 | $35,070 | $42,465 | $46,246 | $34,361–$50,008 |
| San Francisco Bay Area CA | 2 | — | — | — | $36,977–$54,516 |
| Seattle-Tacoma WA | 16 | $67,981 | $71,187 | $73,658 | $64,510–$92,750 |
| South Carolina (statewide) | 29 | $55,487 | $65,908 | $75,842 | $24,683–$91,921 |
| South Dakota (statewide) | 4 | — | — | — | $33,365–$49,335 |
| St. Louis MO | 7 | $36,756 | $37,516 | $37,516 | $15,500–$54,304 |
| Tampa FL | 11 | $60,040 | $63,952 | $66,072 | $46,893–$67,273 |
| Tennessee (statewide) | 31 | $26,653 | $29,822 | $33,627 | $23,659–$62,759 |
| Texas (statewide) | 88 | $30,432 | $37,285 | $43,673 | $19,132–$84,981 |
| Utah (statewide) | 5 | $51,008 | $68,796 | $71,581 | $50,788–$71,581 |
| Vermont (statewide) | 3 | — | — | — | $40,865–$90,331 |
| Virginia (statewide) | 24 | $41,280 | $59,487 | $62,210 | $28,710–$96,122 |
| Washington (statewide) | 13 | $54,516 | $60,540 | $65,449 | $30,935–$99,974 |
| Washington DC | 11 | $43,786 | $63,867 | $64,924 | $24,178–$66,976 |
| West Virginia (statewide) | 13 | $15,267 | $16,447 | $52,026 | $12,928–$73,058 |
| Wisconsin (statewide) | 48 | $42,491 | $58,265 | $63,091 | $14,553–$72,958 |
| Wyoming (statewide) | 2 | — | — | — | $48,152–$55,344 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $12,853 | 0.7× | 3 | 2025-12-19 |
| Wetzel County Hospital | West Virginia (statewide) | $12,928 | 0.6× | 2 | 2026-07-10 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $14,772 | 0.7× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $14,825 | 0.7× | 3 | 2026-07-09 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.7× | 1 | 2026-01-01 |
| Thomas Memorial Hospital | West Virginia (statewide) | $15,267 | 0.7× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $15,335 | 0.7× | 3 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $15,500 | 0.7× | 1 | 2026-06-10 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $15,527 | 0.8× | 3 | 2026-07-09 |
| Mccone County Health Center | Montana (statewide) | $15,603 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital Perry | Missouri (statewide) | $15,687 | 0.7× | 1 | 2026-03-12 |
| Wellstar Sylvan Grove Medical Center | Georgia (statewide) | $96,226 | 4.4× | 4 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $98,329 | 3.5× | 1 | 2026-03-12 |
| Presbyterian Espanola Hospital | New Mexico (statewide) | $98,424 | 4.6× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $98,655 | 3.6× | 9 | 2026-01-01 |
| Providence Centralia Hospital | Washington (statewide) | $99,974 | 4.1× | 3 | 2026-04-01 |
| Garnet Health Medical Center Catskills | New York (statewide) | $100,587 | 3.7× | 8 | 2026-04-01 |
| Albany Medical Center Hospital | New York (statewide) | $103,255 | 3.8× | 3 | 2025-12-31 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $104,808 | 3.8× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $108,073 | 4.5× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $109,170 | 5.0× | 1 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $125,932 | 4.4× | 1 | 2026-03-12 |
| Hospital for Special Surgery | New York City | $128,589 | 4.7× | 13 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for knee replacement?
Across 1144 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27447, hospital outpatient is $20,709, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $15,647 to $28,638. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for knee replacement?
Medicare's national hospital outpatient rate for CPT 27447 is $13,117 and its surgery-center rate is $9,393, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for knee replacement?
Lowest medians: Atrium Health Navicent Peach ($5,681), Atrium Health Navicent The Medical Center ($6,138), Upmc Cole ($6,929). Highest: Logan Regional Medical Center ($85,473), Mainehealth Lincoln Hospital ($76,956), Mary Bridge Children'S Hospital ($68,776). Coverage: every hospital whose price file we could read.