Florida Health Care Plans Knee Replacement Rates in Daytona Beach-Deltona

Published Florida Health Care Plans negotiated rates for Knee Replacement at 8 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$12,736.81

AdventHealth Daytona Beach

all plan types

Highest Rate

$29,093.55

Halifax Health | UF Health Medical Center of Deltona

all plan types

Rate Spread

across all plan types

Hospitals

with Florida Health Care Plans data

Florida Health Care Plans negotiated rates for knee replacement in Daytona Beach-Deltona range from $12,736.81 at AdventHealth Daytona Beach to $29,093.55 at Halifax Health | UF Health Medical Center of Deltona, a roughly 2x spread across 8 hospitals. The median rate is $12,736.81, matching the lowest figure, which is listed under a Medicare Managed Care HMO plan rather than a commercial one.

Why the range is so wide: Florida Health Care Plans 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.

Florida Health Care Plans Knee Replacement Rates by Hospital

Hospital	Lowest Florida Health Care Plans Rate	Plan Type	Highest Rate	Plans
AdventHealth Daytona Beach	$12,736.81	Medicare Managed Care - Hmo	$12,736.81	1
AdventHealth Deland	$12,736.81	Medicare Managed Care - Hmo	$12,736.81	1
AdventHealth Fish Memorial	$12,736.81	Medicare Managed Care - Hmo	$12,736.81	1
AdventHealth New Smyrna Beach	$12,736.81	Medicare Managed Care Plan	$12,736.81	1
AdventHealth Palm Coast	$12,736.81	Medicare Managed Care - Hmo	$12,736.81	1
AdventHealth Palm Coast Parkway	$12,736.81	Medicare Managed Care - HMO	$12,736.81	1
Halifax Health Medical Center of Daytona Beach	$27,082.47	ALL PRODUCTS	$29,093.55	2
Halifax Health \| UF Health Medical Center of Deltona	$27,082.47	ALL PRODUCTS	$29,093.55	2

Median of all 10 published Florida Health Care Plans rates for Knee Replacement at these hospitals: $12,736.81

Rates shown are Florida Health Care Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Florida Health Care Plans 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 Florida Health Care Plans Knee Replacement Rates in Daytona Beach-Deltona

Where Florida Health Care Plans knee replacement rates start in Daytona Beach. The lowest published rate is $12,736.81, listed at AdventHealth Daytona Beach, AdventHealth Deland and AdventHealth Fish Memorial. At the other end, Halifax Health Medical Center of Daytona Beach and Halifax Health | UF Health Medical Center of Deltona each show $27,082.47 as their lowest rate, and $29,093.55 as their highest.

How wide the Daytona Beach knee replacement spread runs. The page shows a 2x spread across the 8 hospitals with rates, and the median of all 10 published rates is $12,736.81. The plan types beside the lowest rates are Medicare Managed Care plans, so the low end likely reflects those plans rather than commercial plans. The higher rates at the Halifax Health hospitals are listed under ALL PRODUCTS, which does not say which plan sits behind them.

Questions for your Florida Health Care Plans knee replacement estimate. These are facility rates, and professional fees are billed separately. A member can ask:

Florida Health Care Plans for their own plan's negotiated rate and estimated cost share at a named hospital
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 Florida Health Care Plans Negotiated Rates

A negotiated rate is the price Florida Health Care Plans 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 Florida Health Care Plans 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 Daytona Beach-Deltona

Aetna $6,402.10 - $14,345.67 8 hospitals Humana $6,097.24 - $13,943.45 7 hospitals

View all Knee Replacement prices in Daytona Beach-Deltona (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Health Care Plans Knee Replacement in Daytona Beach-Deltona?

The lowest Florida Health Care Plans negotiated rate for Knee Replacement in Daytona Beach-Deltona is $12,736.81 at AdventHealth Daytona Beach, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $29,093.55 at Halifax Health | UF Health Medical Center of Deltona, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Health Care Plans negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Florida Health Care Plans 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 Florida Health Care Plans for a pre-service cost estimate specific to your plan.

How many Daytona Beach-Deltona hospitals have published Florida Health Care Plans rates?

8 hospitals in the Daytona Beach-Deltona area have published Florida Health Care Plans 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 Florida Health Care Plans directly.

Does Florida Health Care Plans require prior authorization for knee replacement?

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