Aetna Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Published Aetna negotiated rates for Knee Replacement at 16 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$79.42
Holy Cross Hospital
all plan types
Highest Rate
$31,455
HCA Florida Palms West Hospital
all plan types
Rate Spread
396x
across all plan types
Hospitals
16
with Aetna data
Aetna's negotiated rates for knee replacement across 16 Miami-Fort Lauderdale-West Palm Beach hospitals span a 396x range, from $79.42 at Holy Cross Hospital to $31,455 at HCA Florida Palms West Hospital. The median rate is $3,093. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial plans.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Holy Cross Hospital | $79.42 |
| Lakeside Medical Center | $1,218.22 |
| Cleveland Clinic Weston Hospital | $1,343.50 |
| Memorial Hospital Miramar | $14,881.96 |
| Memorial Hospital Pembroke | $14,881.96 |
| Memorial Hospital West | $14,881.96 |
| HCA Florida Northwest Hospital | $21,664 |
| HCA Florida Westside Hospital | $21,664 |
| HCA Florida Woodmont Hospital | $21,664 |
| HCA Florida Aventura Hospital | $22,787 |
| HCA Florida Kendall Hospital | $22,787 |
| HCA Florida Mercy Hospital | $22,787 |
| HCA Florida University Hospital | $22,787 |
| HCA Florida JFK Hospital | $24,476 |
| HCA Florida JFK North Hospital | $24,476 |
| HCA Florida Palms West Hospital | $24,476 |
Median of all 121 published Aetna rates for Knee Replacement at these hospitals: $3,093
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 Miami-Fort Lauderdale-West Palm Beach
Where Aetna knee replacement rates start in Miami. Among the 16 hospitals with Aetna rates, the lowest figures belong to Holy Cross Hospital at $79.42, Lakeside Medical Center at $1,218.22 and Cleveland Clinic Weston Hospital at $1,343.50. At the other end, HCA Florida Northwest Hospital, HCA Florida Westside Hospital and HCA Florida Woodmont Hospital list a lowest rate of $21,664, and the top published figure is $31,455 at HCA Florida Palms West Hospital.
Miami knee replacement spread and the plan label. The page shows a 396x spread, and the median of all 121 published Aetna rates is $3,093. The lowest rate at Holy Cross Hospital is labeled MEDICAID, so the low end likely reflects Medicaid or similar plans rather than commercial plans. Other rows are labeled Managed Medicare or QHP, which is a reminder that a rate is tied to a specific plan type.
Calls an Aetna member can make about knee replacement. These are facility rates, and professional fees are billed separately.
- Ask Aetna for the negotiated rate and estimated cost share under your own plan at a named hospital.
- Ask Aetna whether that hospital is in network for your plan.
- Ask 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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Miami-Fort Lauderdale-West Palm Beach?
The lowest Aetna negotiated rate for Knee Replacement in Miami-Fort Lauderdale-West Palm Beach is $79.42 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,455 at HCA Florida Palms West Hospital, a 396x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Aetna rates?
16 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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