Aetna Knee Replacement Rates in Jacksonville
Published Aetna negotiated rates for Knee Replacement at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$3,287.76
UF Health Jacksonville
all plan types
Highest Rate
$31,455
HCA Florida Orange Park Hospital
all plan types
Rate Spread
10x
across all plan types
Hospitals
13
with Aetna data
Aetna's negotiated rates for knee replacement in Jacksonville span a 10x range, from $3,287.76 at UF Health Jacksonville (HMO) to $31,455 at HCA Florida Orange Park Hospital. The median across 13 hospitals is $9,943.18. Lower rates may reflect Medicaid or Medicare plans rather than commercial coverage.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| UF Health Jacksonville | $3,287.76 |
| Baptist Medical Center Beaches | $7,149.55 |
| Baptist Medical Center Clay | $7,149.55 |
| Baptist Medical Center Jacksonville | $7,149.55 |
| Baptist Medical Center Nassau | $7,149.55 |
| Baptist Medical Center South | $7,149.55 |
| Wolfson Children's Hospital | $7,149.55 |
| Ascension St. Vincent's Clay County | $26,877 |
| Ascension St. Vincent's Riverside | $26,877 |
| Ascension St. Vincent's Southside | $26,877 |
| Ascension St. Vincent's St. Johns County | $26,877 |
| HCA Florida Memorial Hospital | $31,455 |
| HCA Florida Orange Park Hospital | $31,455 |
Median of all 30 published Aetna rates for Knee Replacement at these hospitals: $9,943.18
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.
Reading Aetna Knee Replacement Rates in Jacksonville
Aetna knee replacement in Jacksonville: the lowest and highest posted rates. UF Health Jacksonville posts the lowest Aetna rate at $3,287.76. Baptist Medical Center Beaches and Baptist Medical Center Clay follow at $7,149.55. At the top, HCA Florida Orange Park Hospital and HCA Florida Memorial Hospital both post $31,455, with the Ascension St. Vincent's locations at $26,877.
How far apart Jacksonville rates land. The page shows a 10x spread, and the median of all 30 published Aetna rates is $9,943.18. Most of the Baptist and Wolfson Children's Hospital rows at the low end list Managed Medicaid or Healthy Kids as the plan type, so that end likely reflects those plans rather than commercial plans.
Calls a member can make about Aetna knee replacement. These are facility rates, and professional fees are billed separately. A member can ask:
- Aetna for their own plan's negotiated rate and estimated cost share at a named hospital, such as UF Health Jacksonville
- Aetna whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
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 Jacksonville
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Jacksonville?
The lowest Aetna negotiated rate for Knee Replacement in Jacksonville is $3,287.76 at UF Health Jacksonville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,455 at HCA Florida Orange Park Hospital, a 10x 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 Jacksonville hospitals have published Aetna rates?
13 hospitals in the Jacksonville 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