Humana Knee Replacement Rates in Chattanooga
Published Humana negotiated rates for Knee Replacement at 4 hospitals in Chattanooga, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$2,204
CHI Memorial Hospital Chattanooga
all plan types
Highest Rate
$14,000
Parkridge Medical Center
all plan types
Rate Spread
6x
across all plan types
Hospitals
4
with Humana data
Humana's negotiated rates for knee replacement in Chattanooga span a 6x range, from $2,204 at CHI Memorial Hospital Chattanooga to $14,000 at Parkridge Medical Center. The median across four hospitals is $12,678.42. Rates reflect different plan types, and lower figures often come from Medicaid or Medicare Advantage rather than commercial plans.
Humana Knee Replacement Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| CHI Memorial Hospital Chattanooga | $2,204 |
| CHI Memorial Hospital Hixson | $2,204 |
| Parkridge East Hospital | $14,000 |
| Parkridge Medical Center | $14,000 |
Median of all 10 published Humana rates for Knee Replacement at these hospitals: $12,678.42
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana Knee Replacement Rates in Chattanooga
Where Humana knee replacement rates start in Chattanooga. The lowest published rate is $2,204, listed at both CHI Memorial Hospital Chattanooga and CHI Memorial Hospital Hixson. At the other end, Parkridge East Hospital and Parkridge Medical Center each show $14,000.
How wide Humana's Chattanooga spread runs. Across the 4 hospitals, the spread is 6x, and the median of all 10 published rates is $12,678.42. The plan type beside the $2,204 rates is listed as Commercial|All Plans, so the plan behind a rate is not always clearly stated. The $14,000 rates are tagged ChoicecareMGMCR, so read each figure with its plan label in mind.
Questions for Humana and the hospital about a Chattanooga knee replacement. These are facility rates, and professional fees are billed separately. Before choosing a hospital, a member can ask:
- Humana, for their own plan's negotiated rate and estimated cost share at a named hospital
- Humana, whether that hospital is in network for their plan
- The hospital, for a written estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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 Chattanooga
Frequently Asked Questions
Where is the lowest-cost Humana Knee Replacement in Chattanooga?
The lowest Humana negotiated rate for Knee Replacement in Chattanooga is $2,204 at CHI Memorial Hospital Chattanooga, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $14,000 at Parkridge Medical Center, a 6x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Chattanooga hospitals have published Humana rates?
4 hospitals in the Chattanooga area have published Humana 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 Humana directly.
Does Humana require prior authorization for knee replacement?
Almost all Humana plans require prior authorization for knee replacement surgery. Without authorization, Humana 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 Humana 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 Humana 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 Humana website: www.humana.com