Humana Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Published Humana negotiated rates for Knee Replacement at 16 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
$14,479.74
Memorial Hospital West
all plan types
Rate Spread
182x
across all plan types
Hospitals
16
with Humana data
Humana's negotiated rates for knee replacement in the Miami-Fort Lauderdale-West Palm Beach area span a 182x gap, from $79.42 at Holy Cross Hospital to $14,479.74 at Memorial Hospital West. The lowest figure is a Humana Medicaid rate, and low-end rates often reflect Medicaid or Medicare plans rather than commercial ones. Across 16 hospitals, the median is $11,000.
Humana Knee Replacement Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| Holy Cross Hospital | $79.42 |
| HCA Florida Aventura Hospital | $11,000 |
| HCA Florida JFK Hospital | $11,000 |
| HCA Florida JFK North Hospital | $11,000 |
| HCA Florida Kendall Hospital | $11,000 |
| HCA Florida Mercy Hospital | $11,000 |
| HCA Florida Northwest Hospital | $11,000 |
| HCA Florida Palms West Hospital | $11,000 |
| HCA Florida University Hospital | $11,000 |
| HCA Florida Westside Hospital | $11,000 |
| HCA Florida Woodmont Hospital | $11,000 |
| Cleveland Clinic Weston Hospital | $12,915.46 |
| Lakeside Medical Center | $12,915.46 |
| Memorial Hospital Miramar | $14,479.74 |
| Memorial Hospital Pembroke | $14,479.74 |
| Memorial Hospital West | $14,479.74 |
Median of all 195 published Humana rates for Knee Replacement at these hospitals: $11,000
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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Humana Knee Replacement in Miami-Fort Lauderdale-West Palm Beach?
The lowest Humana 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 $14,479.74 at Memorial Hospital West, an 182x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Humana rates?
16 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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