Price Checker / CPT 27447
How much does Total knee replacement cost?
CPT 27447 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,750–$3,500
What this should cost
With insurance
~$6,400
Typical out-of-pocket
Overcharged if over
$4,400
Push back above this
The average hospital charge of $40,161 is $37,511 over the fair price (about 15x the fair rate).
What hospitals charge for Total knee replacement
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Crescent Regional Hospital Lancaster, TX | $50,615 | — | 147200% |
| Franciscan Health Lafayette LAFAYETTE, IN | $173,467 | $44,581 | 14862% |
| Moberly Regional Medical Center Moberly, MO | $200,517 | — | 13909% |
| Franciscan Health Rensselaer , IN | $108,714 | — | 13700% |
| Lower Keys Medical Center Key West, FL | $139,365 | — | 11921% |
| Palm Bay Hospital Palm Bay, FL | $105,988 | — | 10139% |
| Navarro Regional Hospital Corsicana, TX | $121,637 | — | 9867% |
| Merit Health Natchez Natchez, MS | $139,732 | — | 9542% |
| Franciscan Health Orthopedic-Carmel , IN | $97,825 | $25,728 | 8338% |
| Person Memorial Hospital ROXBORO, NC | $97,538 | — | 8313% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $86,716 | — | 7380% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $86,716 | — | 7380% |
| INTEGRIS Health Baptist Medical Center Oklahoma City, OK | — | — | 7041% |
| INTEGRIS Health Baptist Medical Center Portland Ave Oklahoma City, OK | — | — | 7041% |
| INTEGRIS Health Canadian Valley Hospital Yukon, OK | — | — | 7041% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Total knee replacement
CPT code 27447 refers to total knee replacement (billing description: "Total knee arthroplasty"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,159 in a facility (hospital or surgery center) and $1,159 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.