Cigna Knee Replacement Rates in Memphis

Published Cigna negotiated rates for Knee Replacement at 5 hospitals in Memphis, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$2,079.86

Methodist University Hospital

all plan types

Highest Rate

$24,596.87

Methodist South Hospital

all plan types

Rate Spread

12x

across all plan types

Hospitals

5

with Cigna data

Cigna's negotiated rates for knee replacement in Memphis span 12x, from $2,079.86 at Methodist University Hospital to $24,596.87 at Methodist South Hospital. Across five hospitals, the median rate is $19,168.41. The lowest figure is tied to a specific Cigna EPO plan, and low rates in this data can reflect Medicaid or Medicare-linked plans rather than commercial coverage.

Why the range is so wide: Cigna 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.

Cigna Knee Replacement Rates by Hospital

Hospital Lowest Cigna Rate
Methodist University Hospital $2,079.86
Le Bonheur Children's Hospital $5,097.59
Methodist Le Bonheur Germantown Hospital $17,464.27
Methodist North Hospital $17,464.27
Methodist South Hospital $17,464.27

Median of all 34 published Cigna rates for Knee Replacement at these hospitals: $19,168.41

Rates shown are Cigna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Cigna 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 Cigna Knee Replacement Rates in Memphis

Where Cigna knee replacement rates start and end in Memphis. The lowest published rate is $2,079.86 at Methodist University Hospital, followed by $5,097.59 at Le Bonheur Children's Hospital. At the high end, Methodist South Hospital shows $24,596.87, and Methodist University Hospital, Methodist Le Bonheur Germantown Hospital and Methodist North Hospital also list that figure as their highest.

The 12x Memphis spread and the plan behind a rate. Across 34 published Cigna rates at these 5 hospitals, the median is $19,168.41, and the lowest and highest rates sit 12x apart. The plan types beside the lowest rates are labeled as EPO, IFP and HMO products, not Medicaid, CHIP or Medicare Advantage plans, but the plan behind any single rate is not always fully described, so a low figure may not apply to every member.

What a Cigna member can ask about a Memphis knee replacement. These are facility rates, and professional fees are billed separately.

  • Ask Cigna for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask Cigna 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 Cigna Negotiated Rates

A negotiated rate is the price Cigna 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 Cigna 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 Memphis

View all Knee Replacement prices in Memphis (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Cigna Knee Replacement in Memphis?

The lowest Cigna negotiated rate for Knee Replacement in Memphis is $2,079.86 at Methodist University Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $24,596.87 at Methodist South Hospital, a 12x difference. Commercial plan rates typically fall between these extremes.

Is the Cigna negotiated rate what I'll pay?

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

How many Memphis hospitals have published Cigna rates?

5 hospitals in the Memphis area have published Cigna 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 Cigna directly.

Does Cigna require prior authorization for knee replacement?

Almost all Cigna plans require prior authorization for knee replacement surgery. Without authorization, Cigna 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 Cigna 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 Cigna 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 Cigna website: www.cigna.com