Knee Replacement Cost in Knoxville, TN

A total knee replacement is a surgical procedure in which a surgeon removes worn joint surfaces at the knee and fits artificial components in their place, producing a rebuilt joint. It does not produce images or lab results. The hospital facility fee covers the operating room, nursing, supplies, the implant and the inpatient or outpatient stay, while surgeon and anesthesia services are billed separately. This page lists one billing code, 27447 Total Knee Replacement (Arthroplasty), for 7 Knoxville area hospitals. All prices come from the price transparency files that CMS requires hospitals to publish, so they reflect what each hospital reported rather than a quote for any individual patient.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-08-27

Incomplete rows: Some hospitals publish $0 / blank amounts for this procedure in their transparency file. Those cells show as N/A and are excluded from the cash range above.

Total Knee Replacement (Arthroplasty) (HCPCS 27447)

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Hospital Cash Price
Fort Loudoun N/A Schedule →
Fort Sanders Regional N/A Schedule →
Methodist Oak Ridge N/A Schedule →
Parkwest N/A Schedule →
Roane Medical Center N/A Schedule →
Tennova North Knoxville $13,702.13 Schedule →
Tennova Turkey Creek $13,884.41 Schedule →

What These Prices Mean

Reading the gross, cash and insured figures
The gross charge is a hospital's full list price before any discount. Only 2 of the 7 rows on this page publish a gross charge. Tennova North Knoxville Medical Center lists $60,495.05 and Tennova Turkey Creek Medical Center lists $63,807.02. The cash price is the amount offered to a patient paying without insurance. Those same two hospitals publish cash prices of $13,702.13, which is 23% of gross, and $13,884.41, which is 22% of gross. The insured range reflects rates negotiated with health plans. Someone on a high-deductible plan who has not yet met the deductible usually pays the plan's negotiated rate rather than the gross charge, so the insured range is the most relevant column for that group.

One code, one set of figures
Every row on this page uses a single billing code, 27447 Total Knee Replacement (Arthroplasty), so there are no differences between codes to compare. Differences between rows come from the hospital and the plan. For example, the Covenant Health hospitals list insured rates from $2,009 to $22,018 or $22,233, while the Tennova hospitals list rates starting at $1,147.46.

Why Knee Replacement Prices Vary

Differences between the two health systems
Hospitals on this page belong to two systems: Covenant Health with 5 hospitals and Tennova Healthcare with 2. None of the 5 Covenant Health hospitals published a gross charge or a cash price for this code, and the data for them is treated as missing rather than as a real price. Tennova's two hospitals published both, with cash prices from $13,702.13 to $13,884.41 and gross charges from $60,495.05 to $63,807.02. Cash prices equal 23% and 22% of gross at those two hospitals, so the discount policies are similar. No hospital here publishes a cash price equal to its gross charge.

Plans, facilities and the spread in rates
Outpatient surgery centers and other facilities outside this dataset may price a knee replacement differently, and their prices are not shown here. Plan-to-plan variation is large. At Fort Loudoun Medical Center, 79 published rates for code 27447 run from $2,009 for Ambetter Exchange plans to $22,018 for BCBS TN commercial networks, with United Healthcare Options PPO at $15,328. The highest rate in that table is about 11x the lowest.
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Paying cash? Health insurance could lower your Knee Replacement cost.

Published cash prices on this page range from $13,702.13 to $13,884.41. The lowest insured rate in the price table is $1,147.46 (Tennova North Knoxville Medical Center). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Knee Replacement in Knoxville

How much does each insurance company pay for knee replacement at Knoxville hospitals?

Insurer Lowest Rate Hospitals
Cigna $1,463 8
Aetna $1,656 8
BlueCross BlueShield of Tennessee $1,783.93 8
Ambetter $2,009 5
UnitedHealthcare $3,781.16 8
Amerigroup $7,388.14 8
Humana $11,449.97 8
Farm Bureau Health Plans $11,678.97 7

Rates shown are the lowest and highest negotiated rates each insurer has published across Knoxville hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Total Knee Replacement (Arthroplasty) (HCPCS 27447) at Fort Loudoun, outpatient facility fee:

Total Knee Replacement (Arthroplasty) (27447), Fort Loudoun Payer Rates

Insurance Payer Plan Type Negotiated Rate
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Ambetter Exchange $2,009
Cigna IFP $2,372
Cigna Local Plus $2,857
Cigna HMO $3,419
Cigna OAP $3,419
Cigna POS $3,419
Aetna Commercial $4,136.74
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare Tenncare $7,241
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
United Healthcare All Other Plans $10,677
BCBS TN Blue Care $11,500
Optum VA CCN $11,648.21
Tricare Humana Military $11,648.21
Humana DSNP $11,997.66
Humana Medicare Advantage HMO $11,997.66
Humana Medicare Advantage PPO $11,997.66
United Healthcare Community Plan DSNP $11,997.66
United Healthcare Medicare Advantage $11,997.66
Farm Bureau Medicare Advantage HMO $12,114.14
Farm Bureau Medicare Advantage PPO $12,114.14
Aetna Medicare Advantage $12,230.62
Blue Cross of TN BlueEssential DSNP $12,230.62
Blue Cross of TN BlueEssential HMO $12,230.62
Blue Cross of TN Med Adv Diamond $12,230.62
Blue Cross of TN Med Adv PPO $12,230.62
Blue Cross of TN Med Adv Ruby $12,230.62
Blue Cross of TN Med Adv Sapphire $12,230.62
Cigna Medicare HMO $12,230.62
Cigna Medicare HMO-POS $12,230.62
Cigna Medicare PPO $12,230.62
Devoted Health HMO $12,230.62
Devoted Health PPO $12,230.62
HealthSpring Medicare HMO POS $12,230.62
HealthSpring Medicare PPO $12,230.62
United Healthcare DSNP $12,230.62
Wellcare Medicare Advantage $12,230.62
Wellpoint DSNP $12,230.62
Wellpoint Medicare Advantage $12,230.62
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
United Healthcare Heritage Select $12,557
Wellpoint Medicaid Tenncare $13,125.50
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
United Healthcare Options PPO $15,328
BCBS TN Commercial Network P $22,018
BCBS TN Commercial Network S $22,018

Key finding: At Fort Loudoun Medical Center, published rates for code 27447 run from $2,009 for Ambetter Exchange plans to $22,018 for BCBS TN commercial networks, about 11x apart.

What to Do With These Knee Replacement Prices

Start with code 27447. Quote it when you call a hospital's billing or price estimate line, and ask for its cash or self-pay price plus an itemized estimate. Ask what the quote includes and excludes, and whether the stay would be billed as inpatient or outpatient.

Line up any cash quote against the page. Only two hospitals publish a cash price here: Tennova North Knoxville Medical Center at $13,702.13 and Tennova Turkey Creek Medical Center at $13,884.41. At Tennova North Knoxville, insured rates run from $1,147.46 to $60,495.05, so the cash figure falls inside that wide span rather than below or above it. A quote near those cash figures is in line with what this page shows. Your own insurer's rate may sit anywhere in the range, so ask your plan for the allowed amount for 27447 before comparing.

Read the bill as several bills. The prices on this page are facility charges only. Check whether these arrive separately:

  • The surgeon's professional fee
  • The anesthesia provider's fee
  • The implant or supplies, if billed apart from the facility
  • Physical therapy and other follow-up care

Ask whether any package price covers more than one of these, and which ones it leaves out.

Blank does not mean free. Five of the seven hospitals show no cash price and no gross charge, because they published $0 or left the field empty. That is missing data. Call those hospitals directly to ask for a real quote.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About Knee Replacement Costs

How much does a knee replacement cost without insurance in Knoxville?

Among the hospitals on this page, only two publish a cash price for knee replacement (code 27447): Tennova North Knoxville Medical Center at $13,702.13 and Tennova Turkey Creek Medical Center at $13,884.41. The other 5 hospitals, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge, Parkwest Medical Center and Roane Medical Center, have no published cash price, which is missing data and not a price of zero. These figures are facility charges only. Surgeon, anesthesia and other professional fees are billed separately, so the total a patient pays can differ from the hospital's cash price.

Why is the gross charge so much higher than the cash price?

The gross charge is a hospital's list price, set before any negotiated or discounted rates apply, and few patients pay it. The cash price is a separate, lower amount offered for payment without insurance. At Tennova North Knoxville Medical Center, the gross charge of $60,495.05 compares with a cash price of $13,702.13, which is 23% of gross. At Tennova Turkey Creek Medical Center, the gross charge of $63,807.02 compares with a cash price of $13,884.41, which is 22% of gross. The other 5 hospitals on this page did not publish a gross charge for this code.

Does insurance cover a knee replacement?

Whether insurance covers a knee replacement depends on the specific plan, so the plan's own documents and insurer are the source for that answer. What the hospital files show are negotiated rates for code 27447. Insured ranges on this page run from $1,147.46 to $60,495.05 at Tennova North Knoxville Medical Center and from $2,009 to $22,233 at Fort Sanders Regional Medical Center. All 7 hospitals publish at least one insured rate. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until the deductible is met.

Are there additional fees beyond the knee replacement facility charge?

The facility charge is only one part of the overall bill for a knee replacement. Separate bills commonly come from the surgeon, the anesthesiologist or anesthesia group, and a pathologist or radiologist when tests or imaging are involved. Other possible separate charges include the implant or device supplier, physical therapy, durable medical equipment such as a walker or brace, prescriptions, and any follow-up visits or rehabilitation facility stay. Each of these may be billed by a different provider and may be handled differently by an insurer, so an itemized estimate from each provider shows the full picture.

What is the cash price for a knee replacement at Tennova North Knoxville Medical Center?

Tennova North Knoxville Medical Center publishes a cash price of $13,702.13 for CPT 27447 total knee replacement, against a gross charge of $60,495.05. The cash price is 23% of gross. This is a facility charge only, so surgeon, anesthesia and other professional bills are not included.

Which Knoxville hospitals publish a self-pay price for total knee replacement?

Two of the 7 hospitals on this page publish a cash price for code 27447: Tennova North Knoxville Medical Center at $13,702.13 and Tennova Turkey Creek Medical Center at $13,884.41. The other 5 show no cash price, which means the data is missing, not that the procedure is free.

What is the lowest and highest published price for a knee replacement in Knoxville?

Among published cash prices, the range is from $13,702.13 at Tennova North Knoxville Medical Center to $13,884.41 at Tennova Turkey Creek Medical Center. Insured rates span from $1,147.46 to $60,495.05, both at Tennova North Knoxville Medical Center. All figures are facility charges only.

How much does Ambetter pay for a knee replacement at Fort Loudoun Medical Center?

Fort Loudoun Medical Center lists Ambetter Exchange rates of $2,009 for CPT 27447, the lowest entries among its 79 published rates. For comparison, BCBS TN commercial network rates are listed at $22,018. These are facility charges only. The hospital's gross charge and cash price are missing in the data.

What does CPT code 27447 mean on a hospital price list?

CPT 27447 is the billing code for total knee replacement (arthroplasty), and it is the only code on this page. Prices tied to it cover the hospital facility charge only. For example, Tennova Turkey Creek Medical Center lists a gross charge of $63,807.02 and a cash price of $13,884.41.

Compare Other Procedures in Knoxville

Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Fort Loudoun Medical Center

File updated: 2026-08-27 · Accessed by us: 2026-10-15

Attested by: Robert Boos

We are not affiliated with Fort Loudoun Medical Center. Published prices may not reflect your actual cost. Disclaimer

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Fort Sanders Regional Medical Center

File updated: 2026-08-05 · Accessed by us: 2026-10-15

Attested by: Robert Boos

We are not affiliated with Fort Sanders Regional Medical Center. Published prices may not reflect your actual cost. Disclaimer

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Methodist Medical Center of Oak Ridge

File updated: 2026-08-05 · Accessed by us: 2026-10-15

Attested by: Robert Boos

We are not affiliated with Methodist Medical Center of Oak Ridge. Published prices may not reflect your actual cost. Disclaimer

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Parkwest Medical Center

File updated: 2026-08-05 · Accessed by us: 2026-10-15

Attested by: Robert Boos

We are not affiliated with Parkwest Medical Center. Published prices may not reflect your actual cost. Disclaimer

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Roane Medical Center

File updated: 2026-08-05 · Accessed by us: 2026-10-15

Attested by: Robert Boos

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LaFollette Medical Center

File updated: 2026-04-01 · Accessed by us: 2026-10-15

Attested by: Tony Benton

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Tennova North Knoxville Medical Center

File updated: 2026-04-01 · Accessed by us: 2026-10-15

Attested by: Tony Benton

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Tennova Turkey Creek Medical Center

File updated: 2026-04-01 · Accessed by us: 2026-10-15

Attested by: Tony Benton

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The University of Tennessee Medical Center

File updated: 1/1/2026 · Accessed by us: 2026-10-15

Attested by: Roger Massey

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