Aetna Knee Replacement Rates in Port St. Lucie

Published Aetna negotiated rates for Knee Replacement at 3 hospitals in Port St. Lucie, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,586.22

Cleveland Clinic Martin North Hospital

all plan types

Highest Rate

$31,455

HCA Florida St. Lucie Hospital

all plan types

Rate Spread

20x

across all plan types

Hospitals

with Aetna data

Aetna's negotiated rates for knee replacement in Port St. Lucie span a 20x range, from $1,586.22 at Cleveland Clinic Martin North Hospital to $31,455 at HCA Florida St. Lucie Hospital. The median across the three hospitals is $24,476. The lowest rate is tied to a Medicare Advantage plan, and rates for government-funded plans often run well below commercial ones.

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna Knee Replacement Rates by Hospital

Hospital	Lowest Aetna Rate	Plan Type	Highest Rate	Plans
Cleveland Clinic Martin North Hospital	$1,586.22	Medicare Advantage PCP	$13,407.17	9
HCA Florida Lawnwood Hospital	$24,476	QHP	$31,455	5
HCA Florida St. Lucie Hospital	$24,476	QHP	$31,455	5

Median of all 19 published Aetna rates for Knee Replacement at these hospitals: $24,476

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 Port St. Lucie

AvMed $1,279.21 - $41,379 3 hospitals Florida Blue $1,214.06 - $24,677 3 hospitals Freedom Health $992.70 - $2,350 3 hospitals Humana $11,000 - $12,915.46 3 hospitals Molina Healthcare $1,042.34 - $2,702 3 hospitals Simply Healthcare $2,160 - $5,957.96 3 hospitals

View all Knee Replacement prices in Port St. Lucie (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Knee Replacement in Port St. Lucie?

The lowest Aetna negotiated rate for Knee Replacement in Port St. Lucie is $1,586.22 at Cleveland Clinic Martin North Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,455 at HCA Florida St. Lucie Hospital, a 20x 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 Port St. Lucie hospitals have published Aetna rates?

3 hospitals in the Port St. Lucie 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