How much does Total knee replacement cost in San Diego?

Median insurer-negotiated rates range from $17,366 at Rady Children's Hospital to $95,912 at Sharp Coronado Hospital, based on the hospitals' own federally mandated price files.

Is it cheaper to pay cash than use insurance?

Sometimes. Several hospitals publish discounted cash prices below the rates insurers negotiate. If you haven't met your deductible, ask for the self-pay price.

Why do prices differ so much between hospitals?

Each hospital negotiates rates separately with each insurer, and hospitals in the same health system usually share one contract. The same procedure with the same insurer can cost several times more across town.

Costs · Surgery · Total knee replacement · San Diego · code 27447

How much does a total knee replacement cost in San Diego?

Total knee arthroplasty — surgeon fee code plus the inpatient payment group hospitals price it under. Below: the rates insurers have actually negotiated with 10 San Diego-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.

$17,366

lowest median negotiated rate

Rady Children's Hospital

$95,912

highest (adult hospitals)

Sharp Coronado Hospital

5.5×

price spread

same procedure, same metro

Rates shown

Median negotiated rate per hospital · sorted low → high · hover a bar for the full receipt

cash (self-pay) price

Hospital	Gross charge	Cash price	Negotiated	Range	# rates	vs median

* Specialty hospital (pediatric or cancer center) — rates reflect specialty case mix. † Median based on fewer than 3 published rates — treat as indicative. Bars show the median dollar-denominated commercial negotiated rate; hospitals sharing a health-system contract show similar rates.

SOURCE: standard-charges files from 10 hospitals · file dates 2026-03-30 → 2026-04-01 · retrieved 2026-08-14

Paying cash can beat using insurance. At UC San Diego Health, the self-pay price is $50,174 — less than the $50,762 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.

← Total knee replacement: overview