Aetna Knee Replacement Rates in Orlando
Published Aetna negotiated rates for Knee Replacement at 9 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$14,345.67
AdventHealth Orlando
all plan types
Highest Rate
$31,455
UCF Lake Nona Hospital
all plan types
Rate Spread
2x
across all plan types
Hospitals
9
with Aetna data
Aetna's negotiated rates for knee replacement in Orlando span a 2x range, from $14,345.67 at AdventHealth Orlando to $31,455 at UCF Lake Nona Hospital. The median across nine hospitals is $29,886. The lowest rate applies to a Medicare Managed Care plan, so it reflects a different plan type than commercial rates.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| AdventHealth Orlando | $14,345.67 |
| AdventHealth Waterman | $14,345.67 |
| UF Health Leesburg Hospital | $14,345.67 |
| UF Health The Villages Hospital | $14,345.67 |
| HCA Florida Lake Monroe Hospital | $24,257 |
| HCA Florida Osceola Hospital | $24,257 |
| HCA Florida Oviedo Medical Center | $24,257 |
| HCA Florida Poinciana Hospital | $24,257 |
| UCF Lake Nona Hospital | $24,257 |
Median of all 24 published Aetna rates for Knee Replacement at these hospitals: $29,886
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 Orlando
Where Aetna knee replacement rates start in Orlando. The lowest published rate is $14,345.67, shown for AdventHealth Orlando, AdventHealth Waterman and UF Health Leesburg Hospital (UF Health The Villages Hospital lists the same figure). At the top, UCF Lake Nona Hospital shows $31,455, and HCA Florida Lake Monroe Hospital, HCA Florida Osceola Hospital, HCA Florida Oviedo Medical Center and HCA Florida Poinciana Hospital also reach $31,455, with their lowest rate at $24,257.
Aetna's 2x spread and the plan label behind it. Across 9 hospitals and 24 published rates, the spread is 2x and the median is $29,886. The plan types beside the lowest rates are Medicare Managed Care and Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. Rates near $24,257 are tagged QHP.
Calls a member can make about Aetna knee replacement. Ask Aetna for the negotiated rate and estimated cost share under your own plan at a named Orlando hospital, and ask whether that hospital is in network for your plan. Then ask the hospital for an estimate. These are facility rates, and professional fees are billed separately.
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 Orlando
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Orlando?
The lowest Aetna negotiated rate for Knee Replacement in Orlando is $14,345.67 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,455 at UCF Lake Nona 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 Orlando hospitals have published Aetna rates?
9 hospitals in the Orlando 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