Humana Knee Replacement Rates in Orlando
Published Humana negotiated rates for Knee Replacement at 9 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$5,957.97
UF Health Leesburg Hospital
all plan types
Highest Rate
$14,077.52
AdventHealth Orlando
all plan types
Rate Spread
2x
across all plan types
Hospitals
9
with Humana data
Humana's negotiated rates for knee replacement in Orlando vary more than twofold across nine hospitals, from $5,957.97 at UF Health Leesburg Hospital to $14,077.52 at AdventHealth Orlando. The median rate is $11,000. The lowest figure is tied to a managed Medicaid plan, so it may not reflect commercial coverage.
Humana Knee Replacement Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| UF Health Leesburg Hospital | $5,957.97 |
| UF Health The Villages Hospital | $5,957.97 |
| HCA Florida Lake Monroe Hospital | $11,000 |
| HCA Florida Osceola Hospital | $11,000 |
| HCA Florida Oviedo Medical Center | $11,000 |
| HCA Florida Poinciana Hospital | $11,000 |
| UCF Lake Nona Hospital | $11,000 |
| AdventHealth Waterman | $13,608.27 |
| AdventHealth Orlando | $14,077.52 |
Median of all 77 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 Orlando
Frequently Asked Questions
Where is the lowest-cost Humana Knee Replacement in Orlando?
The lowest Humana negotiated rate for Knee Replacement in Orlando is $5,957.97 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $14,077.52 at AdventHealth Orlando, 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 Orlando hospitals have published Humana rates?
9 hospitals in the Orlando 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