Knee Replacement Cost in San Francisco, CA (2026): Average Prices & What You'll Pay

What does a knee replacement cost in San Francisco, CA?

You could pay $1,549 or $10,688 for the same knee replacement in San Francisco, CA — depending entirely on which facility you choose. The median cash price across 9 reporting hospitals is $5,382. This data comes directly from hospital price transparency files published under federal law.

Insurers negotiate this down to a median of $3,856, while self-pay patients are quoted $10,628 — about 2.8× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. San Francisco, CA prices for a knee replacement span 25× across 9 reporting hospitals, from $725 (Sequoia Hospital in Redwood City) up to $18,129 (MarinHealth Medical Center in Greenbrae) for identical care. Half of San Francisco, CA facilities price it at or below $5,382, with most clustered between $725 and $10,688.

Where knee replacement costs vary in San Francisco, CA

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

→ Compare all procedure costs   → Knee Replacement costs nationwide

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Lower-cost options in San Francisco, CA start around $725 or below. Most hospitals cluster between $725 and $10,928. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Contra Costa County in Matrinez (cash price from $2,784); Stanford Health Care Tri-Valley in Pleasanton (cash price from $5,382); MarinHealth Medical Center in Greenbrae (cash price from $10,328). These are declared cash prices — contact each facility for a formal quote before scheduling.

San Francisco, CA Knee Replacement prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in San Francisco, CA:

• Appendectomy Cost in San Francisco, CA
• Cataract Surgery Cost in San Francisco, CA

Where you can save the most on knee replacement in San Francisco, CA

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Most expensive knee replacement providers in San Francisco, CA

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Why prices vary this much

Setting drives much of the gap in San Francisco, CA: the median outpatient price is $5,382 versus $2,784 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the San Francisco, CA facilities reporting prices, 3 fall in a low-cost tier (up to $725) while 3 sit in a high-cost tier ($10,928 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)

Compare knee replacement costs in nearby states

• New York
• California
• Texas
• Florida

Frequently asked questions: knee replacement costs in San Francisco, CA

How much does a knee replacement cost in San Francisco, CA?

Across 9 San Francisco, CA hospitals that publish prices, a knee replacement ranges from $725 to $18,129, with a median of $5,382. Most facilities fall between $725 and $10,688. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a knee replacement in San Francisco, CA?

Based on declared prices, the lowest-cost facility in our San Francisco, CA data is Sequoia Hospital in Redwood City at about $725. By metro, San Francisco has the lowest median ($725). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.

Why is a knee replacement so much cheaper at some San Francisco, CA hospitals?

Prices vary up to 25× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In San Francisco, CA, the median cash (self-pay) price is $10,628 versus a median negotiated rate of $3,856 — about 2.8× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a knee replacement in San Francisco, CA?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Explore all knee replacement cost data

→ See knee replacement costs across all states

CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)