Amerigroup Knee Replacement Rates in Knoxville
Published Amerigroup negotiated rates for Knee Replacement at 8 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$7,388.14
Tennova North Knoxville Medical Center
all plan types
Highest Rate
$13,125.50
Roane Medical Center
all plan types
Rate Spread
2x
across all plan types
Hospitals
8
with Amerigroup data
Amerigroup knee-replacement rates in Knoxville span 2x across 8 hospitals, from $7,388.14 at Tennova North Knoxville Medical Center to $13,125.50 at Roane Medical Center. The median negotiated rate is $12,230.62. The lowest rates may reflect Medicaid or Medicare plan types rather than commercial coverage.
Amerigroup Knee Replacement Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| Tennova North Knoxville Medical Center | $7,388.14 |
| Tennova Turkey Creek Medical Center | $7,388.14 |
| The University of Tennessee Medical Center | $8,743.37 |
| Fort Loudoun Medical Center | $12,230.62 |
| Fort Sanders Regional Medical Center | $12,230.62 |
| Methodist Medical Center of Oak Ridge | $12,230.62 |
| Parkwest Medical Center | $12,230.62 |
| Roane Medical Center | $12,230.62 |
Median of all 22 published Amerigroup rates for Knee Replacement at these hospitals: $12,230.62
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 Knoxville
Where Amerigroup knee replacement rates begin in Knoxville. The lowest published rates in the table are $7,388.14 at Tennova North Knoxville Medical Center and at Tennova Turkey Creek Medical Center, followed by $8,743.37 at The University of Tennessee Medical Center. At the other end, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center each show a highest rate of $13,125.50.
How far apart Knoxville knee replacement figures run. The spread across these 8 hospitals is 2x, and the median of all 22 published Amerigroup rates is $12,230.62. The plan types beside the lowest rates read as Medicaid-style plans (Amerigroup Medicaid TN, TNCare, Amerigroup Community Care), so the low end likely reflects those plans rather than commercial plans.
What an Amerigroup member can ask about a Knoxville knee replacement. These are facility rates, and professional fees are billed separately. Questions worth raising:
- Amerigroup: what is my own plan's negotiated rate and estimated cost share at a named hospital?
- Amerigroup and the hospital: is the hospital in network for my plan?
- The hospital: can I get an estimate for my situation?
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 Knoxville
Frequently Asked Questions
Where is the lowest-cost Amerigroup Knee Replacement in Knoxville?
The lowest Amerigroup negotiated rate for Knee Replacement in Knoxville is $7,388.14 at Tennova North Knoxville Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $13,125.50 at Roane Medical Center, a 2x 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 Knoxville hospitals have published Amerigroup rates?
8 hospitals in the Knoxville 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