Aetna Knee Replacement Rates in Pensacola
Published Aetna negotiated rates for Knee Replacement at 5 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$6,052.96
Baptist Hospital (Pensacola)
all plan types
Highest Rate
$32,708
Ascension Sacred Heart Pensacola
all plan types
Rate Spread
5x
across all plan types
Hospitals
5
with Aetna data
Aetna's negotiated rates for knee replacement in Pensacola span a 5x range, from $6,052.96 at Baptist Hospital to $32,708 at Ascension Sacred Heart Pensacola. The median across five hospitals is $16,595. The lowest rate is tied to the BETTER HLTHY KIDS plan, and rates under government-linked plans often run lower than commercial ones.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Baptist Hospital (Pensacola) | $6,052.96 |
| Gulf Breeze Hospital | $6,052.96 |
| Santa Rosa Medical Center | $14,500 |
| HCA Florida West Hospital | $19,913 |
| Ascension Sacred Heart Pensacola | $32,708 |
Median of all 13 published Aetna rates for Knee Replacement at these hospitals: $16,595
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 Pensacola
Where Pensacola knee replacement rates start for Aetna. Baptist Hospital (Pensacola) and Gulf Breeze Hospital both list a lowest rate of $6,052.96. At the other end, Ascension Sacred Heart Pensacola lists $32,708, with HCA Florida West Hospital's lowest at $19,913 and Santa Rosa Medical Center's at $14,500.
How far Aetna's Pensacola figures spread. The page shows a 5x spread, and the median of all 13 published Aetna rates for this procedure is $16,595. The plan type beside the two lowest rates reads BETTER HLTHY KIDS, which looks like a children's health program, so the low end likely reflects that kind of plan rather than commercial plans. Other rows carry labels such as QHP or an internal code, so the plan behind a rate is not always clear.
What an Aetna member can ask before a Pensacola knee replacement. These are facility rates, and professional fees are billed separately.
- Ask Aetna for your own plan's negotiated rate and estimated cost share 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 Pensacola
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Pensacola?
The lowest Aetna negotiated rate for Knee Replacement in Pensacola is $6,052.96 at Baptist Hospital (Pensacola), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $32,708 at Ascension Sacred Heart Pensacola, a 5x 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 Pensacola hospitals have published Aetna rates?
5 hospitals in the Pensacola 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