Ambetter Knee Replacement Rates in Knoxville
Published Ambetter negotiated rates for Knee Replacement at 5 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$2,009
Fort Loudoun Medical Center
all plan types
Highest Rate
$2,009
Roane Medical Center
all plan types
Rate Spread
1x
across all plan types
Hospitals
5
with Ambetter data
Ambetter Knee Replacement Rates by Hospital
| Hospital | Lowest Ambetter Rate |
|---|---|
| Fort Loudoun Medical Center | $2,009 |
| Fort Sanders Regional Medical Center | $2,009 |
| Methodist Medical Center of Oak Ridge | $2,009 |
| Parkwest Medical Center | $2,009 |
| Roane Medical Center | $2,009 |
Median of all 35 published Ambetter rates for Knee Replacement at these hospitals: $2,009
Rates shown are Ambetter's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Ambetter 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 Ambetter Negotiated Rates
A negotiated rate is the price Ambetter 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 Ambetter 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 Knoxville
Frequently Asked Questions
Where is the lowest-cost Ambetter Knee Replacement in Knoxville?
The lowest Ambetter negotiated rate for Knee Replacement in Knoxville is $2,009 at Fort Loudoun Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,009 at Roane Medical Center. Commercial plan rates typically fall between these extremes.
Is the Ambetter negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Ambetter 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 Ambetter for a pre-service cost estimate specific to your plan.
How many Knoxville hospitals have published Ambetter rates?
5 hospitals in the Knoxville area have published Ambetter 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 Ambetter directly.
Does Ambetter require prior authorization for knee replacement?
Almost all Ambetter plans require prior authorization for knee replacement surgery. Without authorization, Ambetter 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 Ambetter 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 Ambetter 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 Ambetter website: www.ambetterhealth.com