Aetna Knee Replacement Rates in Daytona Beach-Deltona

Published Aetna negotiated rates for Knee Replacement at 8 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$6,402.10

Halifax Health | UF Health Medical Center of Deltona

all plan types

Highest Rate

$14,345.67

AdventHealth Palm Coast Parkway

all plan types

Rate Spread

across all plan types

Hospitals

with Aetna data

Aetna's negotiated rates for knee replacement in Daytona Beach-Deltona range from $6,402.10 at Halifax Health | UF Health Medical Center of Deltona to $14,345.67 at AdventHealth Palm Coast Parkway, a 2x spread across 8 hospitals. The lowest rate is listed under a managed Medicaid plan, which often prices below commercial plans. The median rate is $14,345.67.

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna Knee Replacement Rates by Hospital

Hospital	Lowest Aetna Rate	Plan Type	Highest Rate	Plans
Halifax Health \| UF Health Medical Center of Deltona	$6,402.10	MANAGED MEDICAID	$30,166.12	3
Halifax Health Medical Center of Daytona Beach	$13,407.17	MEDICARE ADVANTAGE	$30,166.12	2
AdventHealth Daytona Beach	$14,345.67	Medicare Managed Care - Hmo/Ppo	$14,345.67	1
AdventHealth Deland	$14,345.67	Medicare Managed Care - Hmo/Ppo	$14,345.67	1
AdventHealth Fish Memorial	$14,345.67	Medicare Managed Care - Hmo/Ppo	$14,345.67	1
AdventHealth New Smyrna Beach	$14,345.67	Medicare Managed Care Plan	$14,345.67	1
AdventHealth Palm Coast	$14,345.67	Medicare Managed Care - Hmo/Ppo	$14,345.67	1
AdventHealth Palm Coast Parkway	$14,345.67	Medicare Managed Care - HMO/PPO	$14,345.67	1

Median of all 11 published Aetna rates for Knee Replacement at these hospitals: $14,345.67

Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Aetna Negotiated Rates

A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Knee Replacement in Daytona Beach-Deltona

Florida Health Care Plans $12,736.81 - $29,093.55 8 hospitals Humana $6,097.24 - $13,943.45 7 hospitals

View all Knee Replacement prices in Daytona Beach-Deltona (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Knee Replacement in Daytona Beach-Deltona?

The lowest Aetna negotiated rate for Knee Replacement in Daytona Beach-Deltona is $6,402.10 at Halifax Health | UF Health Medical Center of Deltona, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $14,345.67 at AdventHealth Palm Coast Parkway, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Aetna negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.

How many Daytona Beach-Deltona hospitals have published Aetna rates?

8 hospitals in the Daytona Beach-Deltona area have published Aetna negotiated rates for Knee Replacement in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Does Aetna require prior authorization for knee replacement?

Almost all Aetna plans require prior authorization for knee replacement surgery. Without authorization, Aetna can deny the claim entirely. Start the approval process well before your planned surgery date and confirm what documentation your plan requires.

We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Aetna website: www.aetna.com