Knee replacement cost in Lexington, KY
In Lexington-Fayette, KY, 4 hospitals list a cash price for total knee replacement: from $14,101.22 to $25,369.98, with a median of $18,354.92. The lowest listed price is at Bluegrass Community Hospital — $4,253.70 less than the median here. Across Kentucky, the median is $15,240.62 at 13 hospitals.
Cash prices at 4 facilities across 4 cities for code 27447, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Lexington-Fayette, KY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Bluegrass Community Hospital lowest Versailles, KY · (859) 879-2300 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $14,101.22 | $35,253.04 | $10,575.91–$35,253.04 | 60% | — source file |
| Bourbon Community Hospital Paris, KY · (859) 987-3600 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $15,240.62 | $38,101.54 | $11,121.84–$38,101.54 | 60% | — source file |
| Georgetown Community Hospital Georgetown, KY · (502) 868-1100 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $21,469.22 | $53,673.05 | $12,641.39–$53,673.05 | 60% | — source file |
| Clark Regional Medical Center Winchester, KY · (859) 737-8559 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $25,369.98 | $63,424.96 | $3,585.71 | 60% | — source file |
Outpatient: lowest $14,101.22, median $18,354.92, highest $25,369.98 — a 1.8× difference within the same market.
Cash or insurance?
At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
A total knee replacement removes worn cartilage and bone from the knee and replaces the joint surfaces with metal and plastic parts. It is most often done for severe knee arthritis that limits walking and daily life.
What the price covers
The hospital price usually covers the operating room, implants and hospital stay. The surgeon, anesthesiologist and outpatient physical therapy are often billed separately unless the price is a bundled package.