Total Knee Replacement: cost by metro

Surgery & procedures · inpatient (a hospital stay) · billed as MS-DRG 469 / 470 · priced across 31 metros

What does a Total Knee Replacement cost? Across 31 major U.S. metros, the typical insurer-negotiated price for a Knee Replacement (MS-DRG 469 / 470) ranges from about $3,478 to $61,237 by metro, based on hospitals' own price-transparency files. Self-pay cash prices, where hospitals publish them, are often lower. Pick your metro for the local range and a hospital-by-hospital breakdown. These are price references from public data — not a quote, a bill, or medical or financial advice.

Knee Replacement price by metro

The typical insurer-negotiated price for a Knee Replacement, by metro — lowest first. Open a metro for the full three-level breakdown and every hospital.

Metro Typical negotiated Range Cash
St. Louis, MO $3,478 $3,478–$3,667 $34,638
Cincinnati, OH $6,884 $4,282–$10,685
Columbus, OH $11,312 $1,745–$57,588
Sacramento, CA $12,689 $9,244–$12,689
San Francisco, CA $12,689 $12,689–$27,417
Indianapolis, IN $14,231 $11,500–$20,954
Kansas City, MO $14,628 $13,473–$29,225
Denver, CO $14,735 $4,932–$61,297
Detroit, MI $16,209 $7,481–$18,261
Austin, TX $16,878 $16,563–$48,139
Nashville, TN $17,982 $13,396–$20,655
Jacksonville, FL $18,128 $18,038–$18,361
Birmingham, AL $18,361 $11,498–$30,649
Milwaukee, WI $20,411 $14,865–$52,701
Houston, TX $21,526 $17,943–$33,901
Pittsburgh, PA $21,884 $14,882–$40,729
San Jose, CA $22,584 $12,689–$47,628
Riverside, CA $24,095 $10,227–$40,723
Memphis, TN $28,529 $1,650–$28,529
Cleveland, OH $30,536 $5,774–$43,196
Louisville/Jefferson County, KY $34,052 $11,239–$92,436 $79,164
Seattle, WA $35,077 $10,800–$41,329
Dallas, TX $35,226 $11,131–$97,115
Tampa, FL $35,507 $24,084–$40,379
Chicago, IL $37,131 $32,381–$42,483
San Antonio, TX $42,866 $2,623–$42,866
Philadelphia, PA $45,927 $32,546–$47,167
Phoenix, AZ $46,557 $19,744–$67,971 $32,948
Hartford, CT $46,921 $23,592–$46,921
Virginia Beach, VA $47,805 $1,854–$59,597
New York, NY $61,237 $32,302–$61,838 $75,894

Source: hospitals' own machine-readable Standard Charges files, published under the U.S. Hospital Price Transparency rule (45 CFR §180.50). Most recent hospital file in this dataset: July 2026. Prices are references, not quotes or bills, and never medical or financial advice — where a hospital reports no price, nothing is shown rather than a guess.

About Knee Replacement pricing

A Knee Replacement is billed as MS-DRG 469 / 470 and is usually a inpatient (a hospital stay) service. Prices vary widely by metro and by hospital, which is why every figure here is tied to a specific hospital's own published file. 4 of these 31 metros have at least one hospital publishing a self-pay cash price.

The chargemaster (list) price is the hospital's undiscounted sticker rate. Almost no one actually pays it — insurers negotiate it down and self-pay patients are usually offered the cash price — but it shows how large the discount off list can be.

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