Knee replacement (total) in Virginia

Below is what hospitals in Virginia charge if you pay cash, and the typical rate insurers negotiated.

Cash prices at 4 hospitals in Virginia run from $21,942 to $28,771. The typical hospital charges $28,147. Where a hospital sits on this scale matters more than the number alone:

typical: $28,147
Cheaper than most hospitalsPricier than most hospitals

16 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low

What these numbers mean. Cash price is what the hospital lists for patients paying out of pocket. Negotiated median is the middle of what insurance companies actually agreed to pay. Gross charge is the sticker price — almost nobody pays it. What you will actually pay is usually different from both numbers: with insurance, your deductible, copay, or coinsurance decides what you owe — the negotiated rate is what the insurer pays, not your bill. A single line item may not be the whole cost: physician, anesthesia, pathology, and facility fees can be billed separately. Prices vary by hospital and change over time; always confirm with the hospital before you go.
HospitalCash price Where it sitsInsurance pays (typical)Gross charge
Wythe County Community Hospital
VA
$21,942Insurance typically pays $22,456Sticker price $54,854
Lowest price of any hospital
$22,456$54,854
Twin County Regional Hospital
VA
$27,524Insurance typically pays —Sticker price $68,810
Cheaper than 67% of hospitals
—$68,810
Sovah Health - Martinsville
VA
$28,771Insurance typically pays —Sticker price $71,927
Pricier than 67% of hospitals
—$71,927
Sovah Health Danville
VA
$28,771Insurance typically pays —Sticker price $71,927
Pricier than 67% of hospitals
—$71,927
Medical College Of Virginia Hospitals
VA · Price file January 2, 2026
—Insurance typically pays $12,777Sticker price ——$12,777—
Cjw Medical Center
VA
—Insurance typically pays $14,000Sticker price ——$14,000—
Henrico Doctors' Hospital
VA
—Insurance typically pays $6,470Sticker price ——$6,470—
John Randolph Medical Center
VA
—Insurance typically pays $6,470Sticker price ——$6,470—
Dominion Hospital
VA
—Insurance typically pays $12,000Sticker price ——$12,000—
Reston Hospital Center
VA
—Insurance typically pays $5,195Sticker price ——$5,195—
Stonesprings Hospital Center
VA
—Insurance typically pays $5,532Sticker price ——$5,532—
Spotsylvania Regional Medical Center
VA
—Insurance typically pays $5,649Sticker price ——$5,649—
Lewisgale Hospital Alleghany
VA
—Insurance typically pays $12,000Sticker price ——$12,000—
Lewisgale Hospital Montgomery
VA
—Insurance typically pays $14,000Sticker price ——$14,000—
Lewisgale Hospital Pulaski
VA
—Insurance typically pays $12,000Sticker price ——$12,000—
Lewisgale Medical Center
VA
—Insurance typically pays $14,000Sticker price ——$14,000—

← See national prices

Procedure code 27447. Prices are from each hospital's own published price file — see methodology.