Amerigroup Knee Replacement Rates in Chattanooga
Published Amerigroup negotiated rates for Knee Replacement at 4 hospitals in Chattanooga, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$2,365
Parkridge East Hospital
all plan types
Highest Rate
$12,332.65
CHI Memorial Hospital Hixson
all plan types
Rate Spread
5x
across all plan types
Hospitals
4
with Amerigroup data
Amerigroup knee-replacement rates in Chattanooga span a 5x range, from $2,365 at Parkridge East Hospital to $12,332.65 at CHI Memorial Hospital Hixson. The median across the four hospitals is $2,365. Parkridge East's rate is listed under a Medicaid plan type, and lower rates often reflect government-program contracts rather than commercial ones.
Amerigroup Knee Replacement Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| Parkridge East Hospital | $2,365 |
| Parkridge Medical Center | $2,365 |
| CHI Memorial Hospital Chattanooga | $12,332.65 |
| CHI Memorial Hospital Hixson | $12,332.65 |
Median of all 10 published Amerigroup rates for Knee Replacement at these hospitals: $2,365
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup 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 Amerigroup Knee Replacement Rates in Chattanooga
Where Amerigroup knee replacement rates start and end in Chattanooga. Of the 4 hospitals with published Amerigroup rates, Parkridge East Hospital and Parkridge Medical Center sit lowest at $2,365 each. CHI Memorial Hospital Chattanooga and CHI Memorial Hospital Hixson sit highest at $12,332.65 each.
How far apart Chattanooga knee replacement rates run. The spread shown on this page is 5x, and the median of all 10 published Amerigroup rates for this procedure at these hospitals is $2,365. The lowest rates are tagged MCD, which points to Medicaid, so the low end likely reflects those plans rather than commercial plans. The highest rates are tagged Medicare|All Plans, and the plan behind a published rate is not always clear.
What an Amerigroup member can ask about a Chattanooga knee replacement. These are facility rates, and professional fees are billed separately. A member can ask:
- Amerigroup for their own plan's negotiated rate and estimated cost share at a named hospital
- Amerigroup whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup 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 Amerigroup 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 Chattanooga
Frequently Asked Questions
Where is the lowest-cost Amerigroup Knee Replacement in Chattanooga?
The lowest Amerigroup negotiated rate for Knee Replacement in Chattanooga is $2,365 at Parkridge East Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,332.65 at CHI Memorial Hospital Hixson, a 5x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup 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 Amerigroup for a pre-service cost estimate specific to your plan.
How many Chattanooga hospitals have published Amerigroup rates?
4 hospitals in the Chattanooga area have published Amerigroup 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 Amerigroup directly.
Does Amerigroup require prior authorization for knee replacement?
Almost all Amerigroup plans require prior authorization for knee replacement surgery. Without authorization, Amerigroup 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 Amerigroup 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 Amerigroup 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 Amerigroup website: www.amerigroup.com