Florida Blue Knee Replacement Rates in Naples
Published Florida Blue negotiated rates for Knee Replacement at 3 hospitals in Naples, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$8,320.05
NCH Baker Hospital (Naples Community Hospital)
all plan types
Highest Rate
$29,041
Physicians Regional Medical Center - Pine Ridge
all plan types
Rate Spread
3x
across all plan types
Hospitals
3
with Florida Blue data
Florida Blue's negotiated rates for knee replacement in Naples vary threefold, from $8,320.05 at NCH Baker Hospital (Naples Community Hospital) to $29,041 at Physicians Regional Medical Center - Pine Ridge. The median across the three hospitals is $15,298. The lowest rate is an Exchange plan rate, and lower rates in this data often reflect Medicaid or Medicare rather than commercial plans.
Florida Blue Knee Replacement Rates by Hospital
| Hospital | Lowest Florida Blue Rate |
|---|---|
| NCH Baker Hospital (Naples Community Hospital) | $8,320.05 |
| Physicians Regional Medical Center - Collier Boulevard | $13,173.75 |
| Physicians Regional Medical Center - Pine Ridge | $13,173.75 |
Median of all 19 published Florida Blue rates for Knee Replacement at these hospitals: $15,298
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 Naples
View all Knee Replacement prices in Naples (cash + insured) →Frequently Asked Questions
Where is the lowest-cost Florida Blue Knee Replacement in Naples?
The lowest Florida Blue negotiated rate for Knee Replacement in Naples is $8,320.05 at NCH Baker Hospital (Naples Community Hospital), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $29,041 at Physicians Regional Medical Center - Pine Ridge, a 3x 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 Naples hospitals have published Florida Blue rates?
3 hospitals in the Naples 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