Florida Blue Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach

Published Florida Blue negotiated rates for Knee Replacement at 14 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$79.42

Holy Cross Hospital

all plan types

Highest Rate

$27,625

Nicklaus Children's Hospital

all plan types

Rate Spread

348x

across all plan types

Hospitals

with Florida Blue data

Florida Blue's negotiated knee-replacement rates across 14 Miami-Fort Lauderdale-West Palm Beach hospitals span a 348x gap, from $79.42 at Holy Cross Hospital to $27,625 at Nicklaus Children's Hospital. The median rate is $623.87. The lowest listed rate is a Medicaid plan rate, so it may not reflect commercial pricing.

Why the range is so wide: Florida Blue 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 Blue Knee Replacement Rates by Hospital

Hospital	Lowest Florida Blue Rate	Plan Type	Highest Rate	Plans
Holy Cross Hospital	$79.42	MEDICAID	$20,512.96	958
Cleveland Clinic Weston Hospital	$1,279.21	Medicare Advantage PPO	$12,915.46	9
Lakeside Medical Center	$12,915.46	Medicare Advantage PPO	$12,915.46	2
HCA Florida Mercy Hospital	$13,571	MBN	$18,507	7
HCA Florida Northwest Hospital	$13,571	MBN	$18,507	7
HCA Florida Palms West Hospital	$13,571	MBN	$18,507	7
HCA Florida University Hospital	$13,571	MBN	$18,507	7
HCA Florida Westside Hospital	$13,571	MBN	$18,507	7
HCA Florida Aventura Hospital	$13,617	MBN	$18,507	7
HCA Florida JFK Hospital	$13,617	MBN	$18,507	7
HCA Florida JFK North Hospital	$13,617	MBN	$18,507	7
HCA Florida Kendall Hospital	$13,617	MBN	$18,507	7
HCA Florida Woodmont Hospital	$13,617	MBN	$18,507	7
Nicklaus Children's Hospital	$14,578	Mbn	$27,625	5

Median of all 1044 published Florida Blue rates for Knee Replacement at these hospitals: $623.87

Rates shown are Florida Blue's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Florida Blue 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 Florida Blue Negotiated Rates

A negotiated rate is the price Florida Blue 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 Blue 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

UnitedHealthcare $79.42 - $45,224 17 hospitals Aetna $79.42 - $31,455 16 hospitals Humana $79.42 - $14,479.74 16 hospitals Cigna $79.42 - $78,199.82 14 hospitals HealthSun Health Plans $104.81 - $15,284.17 14 hospitals Devoted Health $106.95 - $16,758.96 13 hospitals

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

Frequently Asked Questions

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

The lowest Florida Blue negotiated rate for Knee Replacement in Miami-Fort Lauderdale-West Palm Beach is $79.42 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $27,625 at Nicklaus Children's Hospital, a 348x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Blue negotiated rate what I'll pay?

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

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

14 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Florida Blue 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 Blue directly.

Does Florida Blue require prior authorization for knee replacement?

Almost all Florida Blue plans require prior authorization for knee replacement surgery. Without authorization, Florida Blue 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 Blue 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 Blue 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 Florida Blue website: www.floridablue.com