Aetna Knee Replacement Rates in Naples
Published Aetna negotiated rates for Knee Replacement at 3 hospitals in Naples, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$13,173.75
Physicians Regional Medical Center - Collier Boulevard
all plan types
Highest Rate
$26,814.33
NCH Baker Hospital (Naples Community Hospital)
all plan types
Rate Spread
2x
across all plan types
Hospitals
3
with Aetna data
Aetna's negotiated rates for knee replacement in Naples, FL range from $13,173.75 at Physicians Regional Medical Center - Collier Boulevard to $26,814.33 at NCH Baker Hospital, a roughly 2x spread across three hospitals. The median rate is $24,352.50. The lowest figure is listed under an Aetna Medicare Advantage plan, and rates for those plans often run below commercial ones.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Physicians Regional Medical Center - Collier Boulevard | $13,173.75 |
| Physicians Regional Medical Center - Pine Ridge | $13,173.75 |
| NCH Baker Hospital (Naples Community Hospital) | $13,407.17 |
Median of all 12 published Aetna rates for Knee Replacement at these hospitals: $24,352.50
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 Naples
View all Knee Replacement prices in Naples (cash + insured) →Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Naples?
The lowest Aetna negotiated rate for Knee Replacement in Naples is $13,173.75 at Physicians Regional Medical Center - Collier Boulevard, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $26,814.33 at NCH Baker Hospital (Naples Community Hospital), 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 Naples hospitals have published Aetna rates?
3 hospitals in the Naples 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