Humana Knee Replacement Rates in Daytona Beach-Deltona

Published Humana negotiated rates for Knee Replacement at 7 hospitals in Daytona Beach-Deltona, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$6,097.24

Halifax Health | UF Health Medical Center of Deltona

all plan types

Highest Rate

$13,943.45

AdventHealth Palm Coast Parkway

all plan types

Rate Spread

across all plan types

Hospitals

with Humana data

Humana's negotiated knee-replacement rates in Daytona Beach-Deltona run from $6,097.24 at Halifax Health | UF Health Medical Center of Deltona to $13,943.45 at AdventHealth Palm Coast Parkway, a 2x spread across 7 hospitals. The lowest figure is a Managed Medicaid rate, which often sits below commercial rates. The median is $13,943.45, matching the top of the range.

Why the range is so wide: Humana 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.

Humana Knee Replacement Rates by Hospital

Hospital	Lowest Humana Rate	Plan Type	Highest Rate	Plans
Halifax Health \| UF Health Medical Center of Deltona	$6,097.24	MANAGED MEDICAID	$26,680.26	3
Halifax Health Medical Center of Daytona Beach	$13,004.95	MEDICARE ADVANTAGE	$26,680.26	2
AdventHealth Daytona Beach	$13,943.45	Careplus Medicare Managed Care - Hmo	$14,654.03	2
AdventHealth Deland	$13,943.45	Careplus Medicare Managed Care - Hmo	$14,908.77	2
AdventHealth Fish Memorial	$13,943.45	Careplus Medicare Managed Care - Hmo	$14,908.77	2
AdventHealth Palm Coast	$13,943.45	Careplus Medicare Managed Care - Hmo	$14,908.77	2
AdventHealth Palm Coast Parkway	$13,943.45	CarePlus Medicare Managed Care - HMO	$13,943.45	1

Median of all 14 published Humana rates for Knee Replacement at these hospitals: $13,943.45

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.

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 Daytona Beach-Deltona

Aetna $6,402.10 - $14,345.67 8 hospitals Florida Health Care Plans $12,736.81 - $29,093.55 8 hospitals

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

Frequently Asked Questions

Where is the lowest-cost Humana Knee Replacement in Daytona Beach-Deltona?

The lowest Humana negotiated rate for Knee Replacement in Daytona Beach-Deltona is $6,097.24 at Halifax Health | UF Health Medical Center of Deltona, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $13,943.45 at AdventHealth Palm Coast Parkway, a 2x 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 Daytona Beach-Deltona hospitals have published Humana rates?

7 hospitals in the Daytona Beach-Deltona 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