Cost of a Knee Replacement Surgery Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare landscape includes over 130 hospitals serving 8.6 million residents, with robust orthopedic surgery networks concentrated around Richmond, Norfolk, and Northern Virginia. Patients seeking Knee Replacement Surgery typically pay between $976 and $2,946, with a median out-of-pocket cost of $1,473 based on actual negotiated insurance rates. Virginia has 2,671 active Knee Replacement Surgery providers, giving patients substantial choice when browsing all providers across the state.
Average
$1,798
Median
$1,473
Lowest
$976
Highest
$2,946
Providers
2,671
21% below national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $920 | $1,473 | $2,659 | 2,724 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $360 | $614 | $1,157 | 2,789 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $389 | $587 | $1,182 | 2,679 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $98 | $686 | $1,355 | 3,145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $404 | $622 | $1,238 | 2,859 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $601 | $956 | $1,782 | 2,772 |
| Septoplasty Nasal septum repair | 30520 | $433 | $646 | $1,298 | 2,682 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $192 | $307 | $589 | 2,754 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $358 | $554 | $1,079 | 2,668 |
| Mastectomy Partial or simple mastectomy | 19301 | $346 | $626 | $1,292 | 2,760 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $309 | $464 | $920 | 2,679 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27447 — Total knee arthroplasty). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 27447 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27447 (Total knee arthroplasty), as mandated by the CMS Price Transparency Rule.
What CPT 27447 covers: the provider's professional fee for knee replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Virginia
These hospitals in Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
Fort Belvoir, VA
SALEM, VA
GRUNDY, VA
CHARLOTTESVILLE, VA
CHARLOTTESVILLE, VA
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Knee Replacement Surgery Visit Costs Vary Across Virginia
Virginia's healthcare costs run approximately 3% above the national average, reflecting the state's mix of expensive Northern Virginia markets and more affordable rural regions. The state's proximity to Washington DC creates high-cost areas around Arlington and Fairfax, while rural Southwest Virginia maintains significantly lower overhead costs.
Urban vs. Rural Provider Availability
Northern Virginia, Richmond, and Hampton Roads concentrate most of Virginia's orthopedic specialists, creating competitive markets with multiple options for patients. Rural areas in Southwest Virginia and the Shenandoah Valley may have limited local options, requiring patients to travel 50+ miles for specialized knee replacement surgeons. This geographic disparity affects both access and pricing across the state.
Facility Type and Overhead Costs
Virginia's major health systems including Sentara Healthcare, HCA Virginia, and Bon Secours operate hospital-based orthopedic clinics with higher overhead costs than independent practices. Academic centers like UVA Health and VCU Health charge additional teaching facility fees, while the growing number of ambulatory surgery centers offer more competitive pricing. Northern Virginia's high real estate costs significantly impact practice overhead expenses.
Insurance Market Competition in Virginia
Anthem Blue Cross Blue Shield dominates Virginia's commercial insurance market with over 40% market share, followed by Optima Health (strong in Eastern Virginia) and UnitedHealthcare. This relatively competitive environment helps keep negotiated rates reasonable compared to monopoly markets. Regional insurers like Cigna and Aetna also maintain networks, providing additional options for patients and employers.
Physician Supply and Demand in Virginia
With 2,671 providers performing knee replacements across Virginia, the state maintains adequate orthopedic surgeon availability relative to its 8.6 million residents. This healthy supply helps control pricing and reduces wait times for consultations, though subspecialty fellowship-trained surgeons may still have longer booking schedules. Rural areas continue to face surgeon shortages, potentially driving patients to urban centers.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Knee Replacement Surgery Costs in Virginia
What is the average cost of a Knee Replacement Surgery visit in Virginia without insurance?
Does Virginia Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee Replacement Surgery near me in Virginia?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Replacement Surgery visit in Virginia?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Virginia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27447)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,559 | $4,785 |
| 2 | Rhode Island Range: $1,136 – $6,051 | $3,170 |
| 3 | Alaska Range: $1,136 – $6,451 | $3,152 |
| 4 | Massachusetts Range: $1,061 – $6,051 | $3,102 |
| 5 | Connecticut Range: $909 – $6,051 | $2,917 |
| 6 | Delaware Range: $1,005 – $6,051 | $2,914 |
| 7 | Montana Range: $92 – $6,877 | $2,879 |
| 8 | Pennsylvania Range: $909 – $6,051 | $2,837 |
| 9 | Wyoming Range: $1,657 – $4,492 | $2,807 |
| 10 | South Dakota Range: $1,099 – $5,330 | $2,798 |
| 11 | Georgia Range: $1,131 – $5,082 | $2,783 |
| 12 | New York Range: $898 – $6,051 | $2,746 |
| 13 | Minnesota Range: $873 – $5,078 | $2,705 |
| 14 | New Hampshire Range: $1,433 – $4,078 | $2,650 |
| 15 | Iowa Range: $95 – $4,753 | $2,594 |
| 16 | West Virginia Range: $1,204 – $4,734 | $2,556 |
| 17 | Nebraska Range: $1,637 – $3,009 | $2,527 |
| 18 | Washington Range: $1,606 – $3,703 | $2,474 |
| 19 | New Jersey Range: $952 – $4,588 | $2,321 |
| 20 | New Mexico Range: $1,216 – $3,606 | $2,318 |
| 21 | North Carolina Range: $1,136 – $3,785 | $2,311 |
| 22 | Maine Range: $1,713 – $2,689 | $2,297 |
| 23 | Oregon Range: $1,116 – $3,635 | $2,288 |
| 24 | District of Columbia Range: $1,061 – $3,475 | $2,286 |
| 25 | Colorado Range: $1,136 – $3,475 | $2,220 |
| 26 | North Dakota Range: $1,198 – $3,475 | $2,189 |
| 27 | Utah Range: $842 – $2,906 | $2,184 |
| 28 | Kentucky Range: $977 – $3,564 | $2,126 |
| 29 | Michigan Range: $1,136 – $3,355 | $2,121 |
| 30 | Maryland Range: $1,204 – $3,475 | $2,015 |
| 31 | Idaho Range: $1,061 – $3,049 | $2,001 |
| 32 | Indiana Range: $90 – $4,087 | $1,966 |
| 33 | Hawaii Range: $1,018 – $2,946 | $1,953 |
| 34 | Vermont Range: $958 – $3,286 | $1,900 |
| 35 | South Carolina Range: $1,060 – $3,108 | $1,898 |
| 36 | Mississippi Range: $1,039 – $3,303 | $1,895 |
| 37 | Illinois Range: $85 – $3,789 | $1,884 |
| 38 | Arkansas Range: $1,138 – $2,603 | $1,878 |
| 39 | Texas Range: $1,056 – $3,006 | $1,877 |
| 40 | California Range: $75 – $3,286 | $1,863 |
| 41 | Nevada Range: $1,136 – $2,632 | $1,853 |
| 42 | Alabama Range: $964 – $2,946 | $1,845 |
| 43 | Tennessee Range: $1,147 – $2,647 | $1,843 |
| 44 | Missouri Range: $1,272 – $2,246 | $1,811 |
| 45 | Virginia Range: $976 – $2,946 | $1,798 |
| 46 | Louisiana Range: $989 – $2,664 | $1,757 |
| 47 | Kansas Range: $1,272 – $2,223 | $1,698 |
| 48 | Ohio Range: $848 – $2,491 | $1,603 |
| 49 | Arizona Range: $1,097 – $2,276 | $1,503 |
| 50 | Oklahoma Range: $85 – $2,533 | $1,311 |
| 51 | Florida Range: $35 – $2,438 | $843 |