Aetna Knee Replacement Rates in Sarasota-Bradenton
Published Aetna negotiated rates for Knee Replacement at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$207.13
Sarasota Memorial Hospital
all plan types
Highest Rate
$31,455
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
152x
across all plan types
Hospitals
5
with Aetna data
Aetna's negotiated rates for knee replacement in Sarasota-Bradenton span a 152x range, from $207.13 at Sarasota Memorial Hospital to $31,455 at HCA Florida Sarasota Doctors Hospital. The median across five hospitals is $6,347.94. The lowest figure is a Medicare Advantage rate, and rates for government-backed plans often sit well below commercial ones.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Sarasota Memorial Hospital | $207.13 |
| Sarasota Memorial Hospital - Venice | $6,347.94 |
| HCA Florida Blake Hospital | $31,455 |
| HCA Florida Englewood Hospital | $31,455 |
| HCA Florida Sarasota Doctors Hospital | $31,455 |
Median of all 26 published Aetna rates for Knee Replacement at these hospitals: $6,347.94
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 Sarasota-Bradenton
Where Aetna knee replacement rates start in Sarasota. Sarasota Memorial Hospital posts the lowest Aetna rate in the table at $207.13, followed by Sarasota Memorial Hospital - Venice at $6,347.94. At the other end, HCA Florida Blake Hospital, HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital each show $31,455.
How far apart Aetna's Sarasota figures land. The spread on this page is 152x, and the median of all 26 published Aetna rates for this procedure at these hospitals is $6,347.94. The lowest rate at Sarasota Memorial Hospital is tied to a Medicare Advantage plan, so the low end likely reflects that kind of plan rather than commercial plans. The plan behind any given rate is not always stated, so a table figure may not match your own coverage.
Calls an Aetna member can place before booking. These are facility rates, and professional fees are billed separately. A member can ask:
- Aetna for the negotiated rate and estimated cost share under their own plan at a named hospital
- Aetna whether that hospital is in network for their plan
- The hospital for a written 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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Sarasota-Bradenton?
The lowest Aetna negotiated rate for Knee Replacement in Sarasota-Bradenton is $207.13 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,455 at HCA Florida Sarasota Doctors Hospital, a 152x 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 Sarasota-Bradenton hospitals have published Aetna rates?
5 hospitals in the Sarasota-Bradenton 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