Knee Replacement Cost in Memphis, TN

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

Without insurance, cash prices for code 27447 (Total Knee Replacement) in Memphis are $8,618.12 at Le Bonheur Children's, $11,750.27 at Methodist Germantown, $12,596.68 at Methodist South, $14,334.27 at Methodist University, and $15,247.33 at Methodist North. The overall range is $8,618.12 to $15,247.33. Only one billing code appears in this dataset, so there is no variant comparison. These figures are facility fees, which cover the hospital's room, equipment, and staff. Physician and professional fees, such as the surgeon and anesthesiologist, are billed separately and are not included.

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

The gross charge, also called the chargemaster price, is the hospital's full list price before any discounts or negotiated rates. Almost no one pays it. For code 27447, the cash price is about 22% of the gross charge at every hospital in this dataset: $8,618.12 of $39,173.27 at Le Bonheur Children's, and $15,247.33 of $69,306.06 at Methodist North. Because the discount percentage is the same, the hospital with the higher gross charge still has the higher cash price. Insurers typically negotiate their own rates, which are also well below the gross charge.

Does insurance cover a knee replacement?

Coverage depends on the specific plan and on whether the procedure meets the plan's medical necessity criteria. Negotiated rates for code 27447 vary widely across the 612 payer rates in this dataset, from $297 for Medicaid (AR) contracts to $54,489 for BCBS commercial plans at Le Bonheur Children's. Many plans require prior authorization for non-emergency surgery. If you are on a high-deductible plan and have not yet met your deductible, you owe the negotiated rate for the procedure, not the gross charge, until the deductible is satisfied.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility fee covers the hospital's room, equipment, and staff, but a knee replacement also involves separately billed professional fees. The surgeon bills for the operation, and the anesthesiologist bills for anesthesia services. Other providers, such as pathologists or radiologists involved in the care, may also bill separately. Implants and supplies may be handled differently depending on the hospital's billing. If the procedure is performed or follows care in the emergency department, a separate ER facility fee may also apply. Dollar amounts for these additional fees are not included in the source data.

What is the cash price for a knee replacement at Methodist University Hospital in Memphis?

Methodist University Hospital lists a cash price of $14,334.27 for CPT 27447 Total Knee Replacement (Arthroplasty), against a gross charge of $65,155.76. The cash price is 22% of the gross charge. Both figures are facility charges only, so they do not include surgeon, anesthesia or other separate bills.

What are the lowest and highest cash prices for a total knee replacement in Memphis, TN?

Among the 5 Memphis hospitals on this page, cash prices run from $8,618.12 at Le Bonheur Children's Hospital to $15,247.33 at Methodist North Hospital. Both are for CPT 27447 and are facility charges only. All 5 hospitals publish a cash price, and none shows a missing figure.

What does Methodist Le Bonheur Germantown Hospital charge for a knee replacement?

Methodist Le Bonheur Germantown Hospital shows a gross charge of $53,410.34 and a cash price of $11,750.27 for CPT 27447. Its published insured rates run from $297 to $24,596.87. These are facility charges only and do not cover professional fees billed separately.

What is Cigna's rate for a total knee replacement at Methodist University Hospital?

Methodist University Hospital lists $24,596.87 for CPT 27447 under the HB CIGNA PPO contract, which also appears for United Food & Commercial Workers. This is a facility charge only. It is one of 115 published rates for this code at that hospital, so other plans differ.

What is CPT 27447 and how much do Memphis hospitals charge for it?

CPT 27447 is the billing code for Total Knee Replacement (Arthroplasty), the only code on this page. Memphis gross charges run from $39,173.27 at Le Bonheur Children's Hospital to $69,306.06 at Methodist North Hospital. These are facility charges only, and none of the 5 hospitals has a missing gross charge.