AvMed Knee Replacement Rates in Orlando
Published AvMed negotiated rates for Knee Replacement at 5 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$4,442
HCA Florida Osceola Hospital
all plan types
Highest Rate
$11,960
HCA Florida Lake Monroe Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
5
with AvMed data
AvMed's negotiated rate for knee replacement in Orlando ranges from $4,442 at HCA Florida Osceola Hospital to $11,960 at HCA Florida Lake Monroe Hospital, a roughly 3x spread across five hospitals. The median rate is $11,960, matching the top of the range. Lower rates may reflect Medicaid or Medicare plan types rather than commercial coverage.
AvMed Knee Replacement Rates by Hospital
| Hospital | Lowest AvMed Rate |
|---|---|
| HCA Florida Osceola Hospital | $4,442 |
| HCA Florida Oviedo Medical Center | $4,442 |
| HCA Florida Poinciana Hospital | $4,442 |
| UCF Lake Nona Hospital | $4,442 |
| HCA Florida Lake Monroe Hospital | $8,576 |
Median of all 49 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.
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 Orlando
Frequently Asked Questions
Where is the lowest-cost AvMed Knee Replacement in Orlando?
The lowest AvMed negotiated rate for Knee Replacement in Orlando is $4,442 at HCA Florida Osceola Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $11,960 at HCA Florida Lake Monroe Hospital, a 3x 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 Orlando hospitals have published AvMed rates?
5 hospitals in the Orlando 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.