Knee Replacement Cost in Nashville, TN
Total knee replacement, billed under HCPCS code 27447 (Total Knee Replacement, Arthroplasty), is a surgical procedure in which the surfaces of the knee joint are removed and replaced with artificial components made of metal and plastic. The surgeon reshapes the ends of the thighbone and shinbone and fits the implants to restore the joint surface. The facility fee, which is the charge from the hospital for the operating room, equipment, supplies, nursing staff, and inpatient or outpatient stay, covers the hospital side of the service. Prices on this page come from CMS-mandated hospital price transparency files, which hospitals must publish each year.
Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 7/10/2026
Data may be outdated
This hospital's pricing file has not been updated since 01/01/2026 (287 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.
Total Knee Replacement (Arthroplasty) (HCPCS 27447)
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| Hospital | Cash Price | |
|---|---|---|
| HighPoint Health Sumner | $18,465.02 | Schedule → |
| Nashville General | $11,314.80 | Schedule → |
| TriStar Centennial | N/A | Schedule → |
| TriStar Hendersonville | N/A | Schedule → |
| TriStar Horizon | N/A | Schedule → |
| TriStar NorthCrest | N/A | Schedule → |
| TriStar Skyline | N/A | Schedule → |
| TriStar Southern Hills | N/A | Schedule → |
| TriStar StoneCrest | N/A | Schedule → |
| TriStar Summit | N/A | Schedule → |
What These Prices Mean
The gross charge is the hospital's full list price, also called the chargemaster rate. The cash price is the amount a self-pay patient is quoted. The insured range shows the lowest and highest negotiated rates between the hospital and insurance companies. For code 27447, Nashville General lists a gross charge of $18,858 and a cash price of $11,314.80, which is 60% of gross. HighPoint Health Sumner lists a gross charge of $79,249.01 and a cash price of $18,465.02, which is 23% of gross. HighPoint Health Sumner applies a much larger percentage discount, yet its cash price remains higher because it starts from a much higher gross charge. Patients on high-deductible health plans who have not yet met their deductible owe the negotiated rate, not the gross charge.
What code 27447 covers
Only one billing code appears in this dataset. HCPCS 27447 describes a total knee arthroplasty, meaning replacement of the full joint surface rather than a partial replacement. The code describes the surgical service; the facility fee for it is billed by the hospital, while professional fees are billed separately.
Why Knee Replacement Prices Vary
Gross charges for code 27447 differ by $60,391.01 between the two hospitals that list them: $18,858 at Nashville General and $79,249.01 at HighPoint Health Sumner. The gap narrows considerably at the cash level. Cash prices are $11,314.80 and $18,465.02, a difference of $7,150.22. The narrowing results from different discount percentages, with Nashville General's cash price at 60% of gross and HighPoint Health Sumner's at 23%. Eight TriStar hospitals in the Nashville area list $0 for both gross and cash price, which indicates incomplete data rather than a free service. Their insured ranges run from $2,179 to $37,269.
Facility type and alternatives
Hospitals differ in size, payer mix, and ownership, and each sets its own chargemaster and negotiates its own insurer contracts. Academic medical centers, safety-net public hospitals, and community hospitals can all price the same code differently. Outpatient or freestanding surgical facilities, which are not in this dataset, may also charge differently from hospitals. Among the cash prices published here, the range is $11,314.80 to $18,465.02.
Paying cash? Health insurance could lower your Knee Replacement cost.
Published cash prices on this page range from $11,314.80 to $18,465.02. The lowest insured rate in the price table is $2,179 (TriStar Centennial 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 Nashville
How much does each insurance company pay for knee replacement at Nashville hospitals?
| Insurer | Lowest Rate | Hospitals |
|---|---|---|
| Amerigroup | $12.56 | 3 |
| UnitedHealthcare | $97.47 | 16 |
| Aetna | $132.77 | 15 |
| Humana | $145.20 | 11 |
| WellCare | $160.79 | 10 |
| Ambetter | $171.11 | 12 |
| Cigna | $266.88 | 14 |
| Oscar Health | $272.94 | 12 |
Rates shown are the lowest and highest negotiated rates each insurer has published across Nashville 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 Vanderbilt University Medical Center, outpatient facility fee:
Total Knee Replacement (Arthroplasty) (27447), Vanderbilt University Medical Center Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Wellpoint | Amerivantage Government | $9.73 |
| Wellpoint | Amerivantage Government | $12.56 |
| Wellpoint | Amerivantage Government | $25.07 |
| Wellpoint | Amerivantage Government | $72.89 |
| Wellpoint | Amerivantage Government | $82.43 |
| HealthSpring | Medicare Managed Care Plan | $86.12 |
| UnitedHealthCare | Medicare Managed Care Plan | $97.47 |
| HealthSpring | Medicare Managed Care Plan | $98.40 |
| UnitedHealthCare | Medicare Managed Care Plan | $101.31 |
| UnitedHealthCare | Medicare Managed Care Plan | $108.22 |
| UnitedHealthCare | Medicare Managed Care Plan | $112.06 |
| UnitedHealthCare | Medicare Managed Care Plan | $114.36 |
| Wellpoint | Amerivantage Government | $121.69 |
| UnitedHealthCare | Medicare Managed Care Plan | $122.03 |
| UnitedHealthCare | Medicare Managed Care Plan | $122.80 |
| UnitedHealthCare | Medicare Managed Care Plan | $123.57 |
| UnitedHealthCare | Medicare Managed Care Plan | $128.17 |
| Aetna | Medicare Managed Care Plan | $132.77 |
| HealthSpring | Medicare Managed Care Plan | $135.03 |
| HealthSpring | Medicare Managed Care Plan | $137.16 |
| UnitedHealthCare | Medicare Managed Care Plan | $137.38 |
| UnitedHealthCare | Medicare Managed Care Plan | $138.92 |
| HealthSpring | Medicare Managed Care Plan | $139.04 |
| UnitedHealthCare | Medicare Managed Care Plan | $140.45 |
| HealthSpring | Medicare Managed Care Plan | $142.18 |
| Wellpoint | Amerivantage Government | $143.41 |
| HealthSpring | Medicare Managed Care Plan | $143.94 |
| Humana | Military Government | $145.20 |
| HealthSpring | Medicare Managed Care Plan | $145.31 |
| HealthSpring | Medicare Managed Care Plan | $146.36 |
| HealthSpring | Medicare Managed Care Plan | $147.80 |
| Aetna | Medicare Managed Care Plan | $148.71 |
| UnitedHealthCare | All Commercial Plans | $148.96 |
| HealthSpring | Medicare Managed Care Plan | $149.23 |
| Wellpoint | Amerivantage Government | $150.20 |
| Wellpoint | Amerivantage Government | $150.23 |
| Wellpoint | Amerivantage Government | $150.43 |
| UnitedHealthCare | Medicare Managed Care Plan | $151.20 |
| HealthSpring | Medicare Managed Care Plan | $151.35 |
| HealthSpring | Medicare Managed Care Plan | $152.04 |
| HealthSpring | Medicare Managed Care Plan | $152.63 |
| Aetna | Medicare Managed Care Plan | $152.64 |
| Wellpoint | Amerivantage Government | $153.32 |
| HealthSpring | Medicare Managed Care Plan | $153.47 |
| HealthSpring | Medicare Managed Care Plan | $153.68 |
| HealthSpring | Medicare Managed Care Plan | $154.05 |
| HealthSpring | Medicare Managed Care Plan | $154.72 |
| HealthSpring | Medicare Managed Care Plan | $155.24 |
| HealthSpring | Medicare Managed Care Plan | $155.58 |
| Humana | Military Government | $156.05 |
| HealthSpring | Medicare Managed Care Plan | $157.70 |
| HealthSpring | Medicare Managed Care Plan | $157.86 |
| HealthSpring | Medicare Managed Care Plan | $157.87 |
| HealthSpring | Medicare Managed Care Plan | $158.76 |
| Aetna | Medicare Managed Care Plan | $158.91 |
| HealthSpring | Medicare Managed Care Plan | $159.95 |
| WellCare | Medicare Managed Care Plan | $160.79 |
| HealthSpring | Medicare Managed Care Plan | $161.61 |
| HealthSpring | Medicare Managed Care Plan | $161.94 |
| HealthSpring | Medicare Managed Care Plan | $162.04 |
| HealthSpring | Medicare Managed Care Plan | $162.68 |
| HealthSpring | Medicare Managed Care Plan | $163.09 |
| WellCare | Medicare Managed Care Plan | $163.86 |
| HealthSpring | Medicare Managed Care Plan | $164.14 |
| HealthSpring | Medicare Managed Care Plan | $164.81 |
| HealthSpring | Medicare Managed Care Plan | $165.87 |
| HealthSpring | Medicare Managed Care Plan | $166.17 |
| WellCare | Medicare Managed Care Plan | $167.17 |
| HealthSpring | Medicare Managed Care Plan | $167.27 |
| HealthSpring | Medicare Managed Care Plan | $167.99 |
| HealthSpring | Medicare Managed Care Plan | $168.32 |
| Wellpoint | Amerivantage Government | $169.78 |
| UnitedHealthCare | All Commercial Plans | $169.92 |
| UnitedHealthCare | Medicare Managed Care Plan | $169.92 |
| HealthSpring | Medicare Managed Care Plan | $170.39 |
| Aetna | Medicare Managed Care Plan | $170.41 |
| Ambetter | Exchange | $171.11 |
| HealthSpring | Medicare Managed Care Plan | $171.18 |
| Ambetter | Exchange | $173.09 |
| HealthSpring | Medicare Managed Care Plan | $173.31 |
| HealthSpring | Medicare Managed Care Plan | $174.37 |
| WellCare | Medicare Managed Care Plan | $174.63 |
| HealthSpring | Medicare Managed Care Plan | $174.64 |
| HealthSpring | Medicare Managed Care Plan | $175.63 |
| Wellpoint | Amerivantage Government | $178.41 |
| HealthSpring | Medicare Managed Care Plan | $178.77 |
| WellCare | Medicare Managed Care Plan | $178.95 |
| UnitedHealthCare | Medicare Managed Care Plan | $179.34 |
| HealthSpring | Medicare Managed Care Plan | $179.82 |
| Wellpoint | Amerivantage Government | $179.91 |
| UnitedHealthCare | Medicare Managed Care Plan | $180.36 |
| Aetna | Medicare Managed Care Plan | $180.99 |
| HealthSpring | Medicare Managed Care Plan | $180.99 |
| HealthSpring | Medicare Managed Care Plan | $181.82 |
| HealthSpring | Medicare Managed Care Plan | $183.51 |
| UnitedHealthCare | Medicare Managed Care Plan | $183.59 |
| HealthSpring | Medicare Managed Care Plan | $184.42 |
| HealthSpring | Medicare Managed Care Plan | $185.53 |
| HealthSpring | Medicare Managed Care Plan | $185.72 |
| Wellpoint | Amerivantage Government | $189.73 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $192.77 |
| HealthSpring | Medicare Managed Care Plan | $193.11 |
| Aetna | Medicare Managed Care Plan | $198.28 |
| HealthSpring | Medicare Managed Care Plan | $198.28 |
| Wellpoint | Amerivantage Government | $199.22 |
| WellCare | Medicare Managed Care Plan | $201.95 |
| Wellpoint | Amerivantage Government | $202.11 |
| HealthSpring | Medicare Managed Care Plan | $206.62 |
| HealthSpring | Medicare Managed Care Plan | $210.32 |
| HealthSpring | Medicare Managed Care Plan | $211.59 |
| HealthSpring | Medicare Managed Care Plan | $228.95 |
| HealthSpring | Medicare Managed Care Plan | $229.66 |
| UnitedHealthCare | Medicare Managed Care Plan | $237.93 |
| UnitedHealthCare | Medicare Managed Care Plan | $256.35 |
| UnitedHealthCare | Medicare Managed Care Plan | $257.88 |
| UnitedHealthCare | Medicare Managed Care Plan | $259.42 |
| Cigna | OAP All Commercial Plans | $266.88 |
| UnitedHealthCare | Medicare Managed Care Plan | $271.70 |
| Cigna | OAP All Commercial Plans | $272.51 |
| Oscar | Exchange | $272.94 |
| Oscar | Exchange | $279.01 |
| Oscar | Exchange | $281.03 |
| Oscar | Exchange | $290.23 |
| Ambetter | Exchange | $294.76 |
| UnitedHealthCare | Medicare Managed Care Plan | $296.26 |
| UnitedHealthCare | Medicare Managed Care Plan | $299.33 |
| Oscar | Exchange | $302.95 |
| Oscar | Exchange | $305.29 |
| Oscar | Exchange | $307.31 |
| HealthSpring | Medicare Managed Care Plan | $310.47 |
| HealthSpring | Medicare Managed Care Plan | $311.54 |
| Ambetter | Exchange | $317.43 |
| HealthSpring | Medicare Managed Care Plan | $321.10 |
| Aetna | Medicare Managed Care Plan | $323.87 |
| Oscar | Exchange | $324.13 |
| WellCare | Medicare Managed Care Plan | $330.09 |
| Oscar | Exchange | $331.57 |
| Oscar | Exchange | $332.60 |
| UnitedHealthCare | Medicare Managed Care Plan | $333.10 |
| HealthSpring | Medicare Managed Care Plan | $334.45 |
| Oscar | Exchange | $334.72 |
| Oscar | Exchange | $339.66 |
| Ambetter | Exchange | $340.11 |
| HealthSpring | Medicare Managed Care Plan | $342.37 |
| Wellpoint | Amerivantage Government | $343.19 |
| Oscar | Exchange | $345.32 |
| HealthSpring | Medicare Managed Care Plan | $349.17 |
| Wellpoint | Amerivantage Government | $349.64 |
| HealthSpring | Medicare Managed Care Plan | $350.88 |
| HealthSpring | Medicare Managed Care Plan | $353 |
| HealthSpring | Medicare Managed Care Plan | $353.35 |
| Cigna | IFP Connect Exchange | $354.64 |
| HealthSpring | Medicare Managed Care Plan | $355.62 |
| Cigna | IFP Connect Exchange | $361.74 |
| Ambetter | Exchange | $362.78 |
| Ambetter | Exchange | $366.69 |
| Oscar | Exchange | $367.31 |
| Humana | Military Government | $367.84 |
| Oscar | Exchange | $368.62 |
| HealthSpring | Medicare Managed Care Plan | $370.02 |
| HealthSpring | Medicare Managed Care Plan | $380.54 |
| HealthSpring | Medicare Managed Care Plan | $381.02 |
| Oscar | Exchange | $383.46 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $384 |
| Wellpoint | Amerivantage Government | $384.20 |
| Ambetter | Exchange | $385.45 |
| HealthSpring | Medicare Managed Care Plan | $387.03 |
| Ambetter | Exchange | $391.13 |
| Oscar | Exchange | $394.25 |
| HealthSpring | Medicare Managed Care Plan | $400.07 |
| Ambetter | Exchange | $408.13 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $409.60 |
| HealthSpring | Medicare Managed Care Plan | $410.80 |
| Ambetter | Exchange | $415.58 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $419.84 |
| Oscar | Exchange | $422.55 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $424.96 |
| Cigna | IFP Connect Exchange | $425.57 |
| Oscar | Exchange | $430.64 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $432.64 |
| HealthSpring | Medicare Managed Care Plan | $432.81 |
| HealthSpring | Medicare Managed Care Plan | $440.19 |
| Oscar | Exchange | $446.82 |
| BCBS | Network S - Blue Select Other Commercial Plan | $452.86 |
| Wellpoint | Amerivantage Government | $453.32 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $460.80 |
| Ambetter | Exchange | $462.52 |
| Ambetter | Exchange | $464.47 |
| UnitedHealthCare | All Commercial Plans | $466.92 |
| HealthSpring | Medicare Managed Care Plan | $474.62 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $486.40 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $488.69 |
| Ambetter | Exchange | $488.92 |
| Ambetter | Exchange | $498.50 |
| Ambetter | Exchange | $498.50 |
| Ambetter | Exchange | $498.82 |
| Wellpoint | Amerivantage Government | $507.68 |
| Oscar | Exchange | $529.62 |
| BCBS | Network S - Blue Select Other Commercial Plan | $532.77 |
| BCBS | Network S - Blue Select Other Commercial Plan | $540.44 |
| Cigna | IFP Connect Exchange | $559 |
| UnitedHealthCare | Limited Network Other Commercial Plan | $565.01 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $567.27 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $567.27 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $574.93 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $583.68 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $588.80 |
| UnitedHealthCare | All Commercial Plans | $592.45 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $596.02 |
| Oscar | Exchange | $598.45 |
| Cigna | IFP Connect Exchange | $602 |
| UnitedHealthCare | All Commercial Plans | $627.78 |
| Cigna | OAP All Commercial Plans | $627.96 |
| Cigna | IFP Connect Exchange | $645 |
| UnitedHealthCare | All Commercial Plans | $649.86 |
| Cigna | IFP Connect Exchange | $688 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $716.80 |
| Cigna | IFP Connect Exchange | $731 |
| UnitedHealthCare | All Commercial Plans | $744.60 |
| Cigna | Local Plus Other Commercial Plan | $749.48 |
| Ambetter | Exchange | $770.91 |
| Cigna | IFP Connect Exchange | $774 |
| Ambetter | Exchange | $782.26 |
| Cigna | OAP All Commercial Plans | $784.95 |
| Cigna | OAP All Commercial Plans | $801.50 |
| Ambetter | Exchange | $816.25 |
| Ambetter | Exchange | $831.16 |
| Oscar | Exchange | $853.20 |
| Ambetter | Exchange | $861.60 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $902.68 |
| Ambetter | Exchange | $906.95 |
| Wellpoint | Amerivantage Government | $938.71 |
| Cigna | OAP All Commercial Plans | $941.94 |
| Wellpoint | Amerivantage Government | $1,024.11 |
| Ambetter | Exchange | $1,026.72 |
| Oscar | Exchange | $1,027.07 |
| UnitedHealthCare | Limited Network Other Commercial Plan | $1,042.44 |
| Ambetter | Exchange | $1,042.99 |
| UnitedHealthCare | Medicare Managed Care Plan | $1,061.98 |
| UnitedHealthCare | Medicare Managed Care Plan | $1,061.98 |
| UnitedHealthCare | All Commercial Plans | $1,075.53 |
| HealthSpring | Medicare Managed Care Plan | $1,093.84 |
| Wellpoint | Amerivantage Government | $1,104.36 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $1,115.08 |
| Wellpoint | Amerivantage Government | $1,115.08 |
| Aetna | Medicare Managed Care Plan | $1,146.94 |
| HealthSpring | Medicare Managed Care Plan | $1,146.94 |
| HealthSpring | Medicare Managed Care Plan | $1,146.94 |
| Humana | Military Government | $1,147.46 |
| UnitedHealthCare | Medicare Managed Care Plan | $1,147.46 |
| HealthSpring | Medicare Managed Care Plan | $1,152.66 |
| HealthSpring | Medicare Managed Care Plan | $1,152.66 |
| Ambetter | Exchange | $1,156.31 |
| UnitedHealthCare | All Commercial Plans | $1,158.26 |
| UnitedHealthCare | All Commercial Plans | $1,183.71 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $1,204.83 |
| Wellpoint | Amerivantage Government | $1,204.83 |
| Wellpoint | Amerivantage Government | $1,204.83 |
| Oscar | Exchange | $1,225.21 |
| Aetna | Medicare Managed Care Plan | $1,239.26 |
| HealthSpring | Medicare Managed Care Plan | $1,239.26 |
| UnitedHealthCare | All Commercial Plans | $1,241 |
| WellCare | Medicare Managed Care Plan | $1,262.21 |
| UnitedHealthCare | All Commercial Plans | $1,268.26 |
| UnitedHealthCare | All Commercial Plans | $1,323.73 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,330.06 |
| Cigna | OAP All Commercial Plans | $1,340.05 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,347.68 |
| UnitedHealthCare | All Commercial Plans | $1,352.81 |
| UnitedHealthCare | Medicare Managed Care Plan | $1,354.01 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,371.79 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,372.28 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,376.35 |
| Cigna | IFP Connect Exchange | $1,376.80 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,382.84 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,395.47 |
| Cigna | OAP All Commercial Plans | $1,404.90 |
| UnitedHealthCare | All Commercial Plans | $1,406.46 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,414.59 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,433.70 |
| UnitedHealthCare | All Commercial Plans | $1,437.37 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,446.17 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $1,449.60 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,451.32 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,471.93 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,477.84 |
| UnitedHealthCare | All Commercial Plans | $1,489.19 |
| Cigna | OAP All Commercial Plans | $1,498.56 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,498.95 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,500.61 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,509.51 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,510.17 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,514.97 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,519.72 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,520.07 |
| UnitedHealthCare | All Commercial Plans | $1,521.92 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,538.84 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,541.18 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,548.40 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,557.96 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,557.96 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,562.29 |
| UnitedHealthCare | Community Plan (SNP) Medicare Managed Care Plan | $1,566.28 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,567.51 |
| UnitedHealthCare | All Commercial Plans | $1,571.93 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,583.40 |
| Cigna | OAP All Commercial Plans | $1,586 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,586.63 |
| Cigna | OAP All Commercial Plans | $1,592.22 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,605.75 |
| UnitedHealthCare | All Commercial Plans | $1,606.47 |
| Cigna | IFP Connect Exchange | $1,608.06 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,615.07 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,615.30 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,624.86 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,625.63 |
| Cigna | OAP All Commercial Plans | $1,627.21 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,634.42 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,636.18 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,640.19 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,646.74 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,657.29 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,667.85 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,676.89 |
| Cigna | Local Plus Other Commercial Plan | $1,680 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,682.21 |
| Cigna | OAP All Commercial Plans | $1,685.88 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,688.96 |
| Wellpoint | AmeriGroup Community Care Government | $1,699.43 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,700.85 |
| Cigna | OAP All Commercial Plans | $1,708 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,710.07 |
| UnitedHealthCare | Medicare Managed Care Plan | $1,721.19 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,730 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,734.53 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,741.74 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,749.12 |
| Cigna | OAP All Commercial Plans | $1,750 |
| Cigna | Local Plus Other Commercial Plan | $1,760 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,762.85 |
| Cigna | IFP Connect Exchange | $1,770.17 |
| Cigna | IFP Connect Exchange | $1,773.22 |
| UnitedHealthCare | All Commercial Plans | $1,775.57 |
| Cigna | Local Plus Other Commercial Plan | $1,792 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,796.67 |
| Cigna | IFP Connect Exchange | $1,808.69 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,816.02 |
| Cigna | OAP All Commercial Plans | $1,830 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,832.61 |
| Cigna | Local Plus Other Commercial Plan | $1,870 |
| Cigna | OAP All Commercial Plans | $1,875 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,882.93 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,892.49 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,942.31 |
| UnitedHealthCare | All Commercial Plans | $1,944.67 |
| Cigna | OAP All Commercial Plans | $1,952 |
| BCBS | Network S - Blue Select Other Commercial Plan | $1,968.95 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $1,984.53 |
| UnitedHealthCare | All Commercial Plans | $1,985.59 |
| Cigna | Local Plus Other Commercial Plan | $2,000 |
| Cigna | OAP All Commercial Plans | $2,000 |
| Cigna | OAP All Commercial Plans | $2,003.74 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,005.64 |
| BCBS | Network S - Blue Select Other Commercial Plan | $2,047.64 |
| BCBS | Network S - Blue Select Other Commercial Plan | $2,064.53 |
| Cigna | OAP All Commercial Plans | $2,074 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,090.09 |
| BCBS | Network S - Blue Select Other Commercial Plan | $2,093.20 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,121.76 |
| Cigna | IFP Connect Exchange | $2,127.86 |
| BCBS | BlueCare Medicaid Managed Care Plan | $2,155 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,173.64 |
| Cigna | OAP All Commercial Plans | $2,196 |
| Cigna | Local Plus Other Commercial Plan | $2,200 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,216.76 |
| Cigna | OAP All Commercial Plans | $2,250 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,250.49 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,258.99 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,283.42 |
| BCBS | TennCare Select Medicaid Managed Care Plan | $2,287.45 |
| Oscar | Exchange | $2,295.72 |
| Ambetter | Exchange | $2,312.62 |
| BCBS | Network S - Blue Select Other Commercial Plan | $2,313.04 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,375.10 |
| Oscar | Exchange | $2,396.62 |
| Oscar | Exchange | $2,396.62 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,417.33 |
| Ambetter | Exchange | $2,492.49 |
| Cigna | Local Plus Other Commercial Plan | $2,530 |
| Cigna | OAP All Commercial Plans | $2,625 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $2,702.34 |
| Ambetter | Exchange | $2,990.99 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,325.14 |
| BCBS | Network S - Blue Select Other Commercial Plan | $3,329.83 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,377.74 |
| BCBS | Network S - Blue Select Other Commercial Plan | $3,377.74 |
| BCBS | Network S - Blue Select Other Commercial Plan | $3,401.70 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,509.50 |
| BCBS | Network S - Blue Select Other Commercial Plan | $3,509.50 |
| UnitedHealthCare | Limited Network Other Commercial Plan | $3,531.29 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,545.43 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,593.34 |
| Cigna | Local Plus Other Commercial Plan | $3,676.48 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $3,725.10 |
| Cigna | Local Plus Other Commercial Plan | $3,747.41 |
| Aetna | Whole Health, Inc. Other Commercial Plan | $3,819.20 |
| UnitedHealthCare | All Commercial Plans | $3,923.65 |
| Cigna | OAP All Commercial Plans | $3,924.73 |
| Cigna | OAP All Commercial Plans | $4,007.48 |
| UnitedHealthCare | All Commercial Plans | $4,040.78 |
| UnitedHealthCare | All Commercial Plans | $4,061.60 |
| Cigna | OAP All Commercial Plans | $4,709.68 |
| BCBS | Network P - Blue Preferred Other Commercial Plan | $4,764.77 |
| BCBS | Network S - Blue Select Other Commercial Plan | $4,790.20 |
| BCBS | Network S Other Commercial Plan | $4,866 |
| BCBS | Network P Other Commercial Plan | $5,518 |
| Aetna | Whole Health Other Commercial Plan | $6,569 |
| Aetna | Vanderbilt Health Affiliated Network (VHAN) Other Commercial Plan | $7,298 |
| Aetna | TN Preferred PPO | $8,667 |
| Aetna | All Commercial Plans | $9,629 |
| UnitedHealthCare | TN CoverKids Medicaid Managed Care Plan | $10,480.21 |
| HeathSpring | Vision Medicare Managed Care Plan | $12,602.85 |
| Humana | Medicare Managed Care - Behavioral Health | $13,232.99 |
| HealthSpring | Medicare Managed Care Plan | $13,611.07 |
| Wellpoint | TennCare Medicaid Managed Care Plan | $13,737.10 |
| Wellcare | Medicare Managed Care - Behavioral Health | $13,863.13 |
| Aetna | Medicare Managed Care - Behavioral Health | $14,115.19 |
| UnitedHealthCare | ACO Tiered Other Commercial Plan | $19,935 |
| UnitedHealthCare | Core Other Commercial Plan | $21,107 |
| UnitedHealthCare | Heritage Benefit Plans Other Commercial Plan | $21,107 |
| Ambetter Health | Exchange | $21,398.23 |
| Cigna | IFP Connect Exchange | $21,570.23 |
| Cigna | IFP Connect Exchange | $23,347.83 |
| UnitedHealthCare | All Commercial Plans | $23,452 |
| UMR | All Commercial Plans | $23,452 |
| UnitedHealthCare | Traditional | $23,452 |
| UnitedHealthCare | Options PPO | $25,797 |
| Ambetter Health | Behavioral Health Plan | $26,592 |
| Oscar | Exchange | $27,243.57 |
| UnitedHealthCare | HCA, Inc. Other Commercial Plan | $28,142 |
| Direct to Employer | City of Springfield Other Commercial Plan | $28,356.40 |
Key finding: Payer rates for code 27447 span from $12.56 (Wellpoint Amerivantage Government) to $37,269 (BCBS NetworkP), a 2,967x difference across 1,196 listed rates.
What to Do With These Knee Replacement Prices
Start with CPT 27447. When you call a hospital's billing or price estimate office, give the code 27447 (total knee replacement) and ask for its cash or self-pay price and an itemized estimate. Ask what the quote includes and excludes, and whether the stay would be billed as inpatient or outpatient.
Line up any quote against the two published cash prices. Only two hospitals here publish a cash price: $11,314.80 at Metro Nashville General Hospital and $18,465.02 at HighPoint Health Sumner (Sumner Regional Medical Center). At HighPoint Health Sumner, that cash price sits above its insured range of $2,813 to $13,197, so you can ask how a quote compares with what insurers pay there. Check whether a quote you receive is a facility price only or something broader.
Read the bill line by line. The facility charge is one piece of a knee replacement. Check whether these show up as separate bills:
- The surgeon's professional fee
- The anesthesia provider
- Implants or supplies, if billed apart from the facility charge
- Follow-up care such as physical therapy
You can ask whether any of these are bundled into a single package price.
A blank is not a bargain. Eight of the 10 hospitals on this page show no gross charge and no cash price, because those fields were published as $0 or blank. That means missing data, not a free or zero-cost service. For those hospitals, ask directly for the price.
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 Nashville?
Cash prices for code 27447 are available at two of the ten hospitals in this dataset. Nashville General lists $11,314.80, and HighPoint Health Sumner lists $18,465.02, so the published self-pay range is $11,314.80 to $18,465.02. The eight TriStar hospitals list $0 for cash price, which appears to be incomplete data. Their insured rates range from $2,179 to $37,269 and provide context in the absence of a cash figure. These amounts are facility fees only. Physician and professional fees, such as the surgeon's, are billed separately and are not included in the prices above.
Why is the gross charge so much higher than the cash price?
The gross charge, or chargemaster price, is a hospital's standard list price before any discounts or negotiated rates. Almost no one pays it. Nashville General's cash price of $11,314.80 is 60% of its $18,858 gross charge. HighPoint Health Sumner's cash price of $18,465.02 is 23% of its $79,249.01 gross charge. The larger percentage discount at HighPoint Health Sumner still results in a higher cash price, because its starting gross charge is more than four times as large. The gross figure functions mainly as a baseline from which discounts and contract rates are calculated.
Does insurance cover a knee replacement?
Coverage depends on the specific plan and on whether the insurer determines the procedure is medically necessary. Non-emergency surgeries typically require prior authorization from the insurer. Negotiated rates vary widely: across 1,196 payer rates listed for code 27447, amounts run from $12.56 to $37,269. If you are on a high-deductible health plan and have not met your deductible, you owe the negotiated rate for the service, not the gross charge. Once the deductible is met, coinsurance or copayment terms in the plan determine the remaining amount.
Are there additional fees beyond the knee replacement facility charge?
Yes. The facility charge covers the hospital's operating room, equipment, supplies, and staff. Several other services are billed separately, including the surgeon's professional fee and the anesthesiologist's fee. Other separately billed items can include pathology or laboratory services, imaging, durable medical equipment, and post-surgical rehabilitation. Each of these may come from a different provider with its own bill. Procedures performed in the emergency department also incur separate ER facility fees. Dollar amounts for these additional services are not part of the source data and are not listed here.
What is the cash price for a knee replacement at Metro Nashville General Hospital?
Metro Nashville General Hospital publishes a cash price of $11,314.80 for code 27447 Total Knee Replacement (Arthroplasty), against a gross charge of $18,858. The cash price is 60% of the gross charge. This is a facility charge only, so surgeon, anesthesia and other professional fees are not included.
What is the highest published self-pay price for a knee replacement in Nashville?
The highest published cash price on this page is $18,465.02 at HighPoint Health Sumner (Sumner Regional Medical Center) for code 27447. Its gross charge is $79,249.01, and the cash price is 23% of that figure. Both numbers are facility charges only and do not include separate professional fees.
Which Nashville hospitals publish a cash price for total knee replacement 27447?
Only 2 of the 10 hospitals on this page publish a cash price for 27447: Metro Nashville General Hospital at $11,314.80 and HighPoint Health Sumner (Sumner Regional Medical Center) at $18,465.02. The other 8 hospitals show no cash price. That means the data is missing, not that the procedure is free.
What insurance rates does TriStar Centennial Medical Center publish for knee replacement?
TriStar Centennial Medical Center publishes insured rates for code 27447 from $2,179 to $37,269. These are facility charges only. Its gross charge and cash price appear as $0 or blank in the source data, which means they are missing, not free.
What does CPT code 27447 mean on Nashville hospital price lists?
Code 27447 is the billing code for Total Knee Replacement (Arthroplasty), and it is the only code on this page. All 10 Nashville-area hospitals here are listed under it. The prices shown are facility charges only, and a $0 or blank entry means the hospital's figure is missing, not free.
Compare Other Procedures in Nashville
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.
Ascension Saint Thomas Midtown
File updated: 01/01/2026 · Accessed by us: 2026-10-15
Attested by: Shubhada Jagasia
We are not affiliated with Ascension Saint Thomas Midtown. Published prices may not reflect your actual cost. Disclaimer
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Ascension Saint Thomas Rutherford
File updated: 01/01/2026 · Accessed by us: 2026-10-15
Attested by: Daphne David
We are not affiliated with Ascension Saint Thomas Rutherford. Published prices may not reflect your actual cost. Disclaimer
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Ascension Saint Thomas West
File updated: 01/01/2026 · Accessed by us: 2026-10-15
Attested by: Shubhada Jagasia
We are not affiliated with Ascension Saint Thomas West. Published prices may not reflect your actual cost. Disclaimer
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HighPoint Health Sumner (Sumner Regional Medical Center)
File updated: 7/10/2026 · Accessed by us: 2026-10-15
Attested by: Rod Karkleroad
We are not affiliated with HighPoint Health Sumner (Sumner Regional Medical Center). Published prices may not reflect your actual cost. Disclaimer
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Maury Regional Medical Center
File updated: 1/1/2026 · Accessed by us: 2026-10-15
Attested by: Gregory Whitlock
We are not affiliated with Maury Regional Medical Center. Published prices may not reflect your actual cost. Disclaimer
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Metro Nashville General Hospital
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Veronica Elders
We are not affiliated with Metro Nashville General Hospital. Published prices may not reflect your actual cost. Disclaimer
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TriStar Centennial Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Thomas Ozburn
We are not affiliated with TriStar Centennial Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar Hendersonville Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Justin Coury
We are not affiliated with TriStar Hendersonville Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar Horizon Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Samuel Chocklett
We are not affiliated with TriStar Horizon Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar NorthCrest Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Pete Long-Innes
We are not affiliated with TriStar NorthCrest Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar Skyline Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Lauren Dudley
We are not affiliated with TriStar Skyline Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar Southern Hills Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Nicholas Howald
We are not affiliated with TriStar Southern Hills Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar StoneCrest Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Ryan Lemasters
We are not affiliated with TriStar StoneCrest Medical Center. Published prices may not reflect your actual cost. Disclaimer
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TriStar Summit Medical Center
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Cindy Bergmeier
We are not affiliated with TriStar Summit Medical Center. Published prices may not reflect your actual cost. Disclaimer
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Vanderbilt University Medical Center
File updated: 2026-10-01 · Accessed by us: 2026-10-15
Attested by: Cecelia Moore
We are not affiliated with Vanderbilt University Medical Center. Published prices may not reflect your actual cost. Disclaimer
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Vanderbilt Wilson County Hospital
File updated: 2026-10-01 · Accessed by us: 2026-10-15
Attested by: Cecelia Moore
We are not affiliated with Vanderbilt Wilson County Hospital. Published prices may not reflect your actual cost. Disclaimer
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