AvMed Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach

Published AvMed negotiated rates for Knee Replacement at 12 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$99.82

Holy Cross Hospital

all plan types

Highest Rate

$41,379

HCA Florida University Hospital

all plan types

Rate Spread

415x

across all plan types

Hospitals

12

with AvMed data

AvMed's negotiated rates for knee replacement in the Miami-Fort Lauderdale-West Palm Beach area span a 415x range, from $99.82 at Holy Cross Hospital to $41,379 at HCA Florida University Hospital. The lowest figure is under an AvMed Medicare Advantage plan, and low rates often reflect Medicaid or Medicare products rather than commercial ones. Across 12 hospitals, the median rate is $11,960.

Why the range is so wide: AvMed 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.

AvMed Knee Replacement Rates by Hospital

Hospital Lowest AvMed Rate
Holy Cross Hospital $99.82
Cleveland Clinic Weston Hospital $1,279.21
HCA Florida Aventura Hospital $11,960
HCA Florida Kendall Hospital $11,960
HCA Florida Mercy Hospital $11,960
HCA Florida Northwest Hospital $11,960
HCA Florida Westside Hospital $11,960
HCA Florida Woodmont Hospital $11,960
HCA Florida JFK Hospital $24,058
HCA Florida JFK North Hospital $24,058
HCA Florida Palms West Hospital $24,058
HCA Florida University Hospital $24,058

Median of all 132 published AvMed rates for Knee Replacement at these hospitals: $11,960

Rates shown are AvMed's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AvMed 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 AvMed Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach

Where AvMed knee replacement rates start in Miami. The lowest published rate is $99.82 at Holy Cross Hospital, followed by $1,279.21 at Cleveland Clinic Weston Hospital. At the other end, HCA Florida University Hospital, HCA Florida JFK Hospital and HCA Florida JFK North Hospital each list a highest rate of $41,379. Twelve hospitals have AvMed rates on this page.

How far apart the Miami AvMed spread runs. The spread shown is 415x, and the median of all 132 published rates is $11,960. The lowest entries at Holy Cross Hospital and Cleveland Clinic Weston Hospital are labeled Medicare Advantage, so the low end likely reflects those plans rather than commercial plans.

What an AvMed member can ask about a Miami knee replacement. These are facility rates, and professional fees are billed separately.

  • Ask AvMed for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask AvMed whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding AvMed Negotiated Rates

A negotiated rate is the price AvMed 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 AvMed 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 Miami-Fort Lauderdale-West Palm Beach

View all Knee Replacement prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AvMed Knee Replacement in Miami-Fort Lauderdale-West Palm Beach?

The lowest AvMed negotiated rate for Knee Replacement in Miami-Fort Lauderdale-West Palm Beach is $99.82 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $41,379 at HCA Florida University Hospital, a 415x difference. Commercial plan rates typically fall between these extremes.

Is the AvMed negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AvMed 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 AvMed for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published AvMed rates?

12 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published AvMed 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 AvMed directly.

Does AvMed require prior authorization for knee replacement?

Almost all AvMed plans require prior authorization for knee replacement surgery. Without authorization, AvMed 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 AvMed 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 AvMed or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.