Humana Knee Replacement Rates in Tampa-St. Petersburg
Published Humana negotiated rates for Knee Replacement at 21 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$11,000
HCA Florida Bayonet Point Hospital
all plan types
Highest Rate
$71,326.12
Tampa General Hospital Brooksville
all plan types
Rate Spread
6x
across all plan types
Hospitals
21
with Humana data
Humana's negotiated rates for knee replacement in Tampa-St. Petersburg span a 6x range, from $11,000 at HCA Florida Bayonet Point Hospital to $71,326.12 at Tampa General Hospital Brooksville. Across 21 hospitals, the median rate is $11,000. The lowest rates are often tied to Medicaid or Medicare Advantage plans rather than commercial coverage.
Humana Knee Replacement Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| HCA Florida Bayonet Point Hospital | $11,000 |
| HCA Florida Brandon Hospital | $11,000 |
| HCA Florida Largo Hospital | $11,000 |
| HCA Florida Largo West Hospital | $11,000 |
| HCA Florida Northside Hospital | $11,000 |
| HCA Florida Oak Hill Hospital | $11,000 |
| HCA Florida Pasadena Hospital | $11,000 |
| HCA Florida South Shore Hospital | $11,000 |
| HCA Florida South Tampa Hospital | $11,000 |
| HCA Florida St. Petersburg Hospital | $11,000 |
| HCA Florida Trinity Hospital | $11,000 |
| HCA Florida West Tampa Hospital | $11,000 |
| AdventHealth North Pinellas | $13,407.17 |
| BayCare Hospital Wesley Chapel | $13,417.48 |
| Mease Countryside Hospital | $13,417.48 |
| Mease Dunedin Hospital | $13,417.48 |
| Morton Plant Hospital | $13,417.48 |
| Morton Plant North Bay Hospital | $13,417.48 |
| South Florida Baptist Hospital | $13,417.48 |
| St. Joseph's Hospital | $13,417.48 |
| Tampa General Hospital Brooksville | $71,326.12 |
Median of all 184 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.
Reading Humana Knee Replacement Rates in Tampa-St. Petersburg
Where Humana knee replacement rates start in Tampa. The lowest published rate is $11,000, shown at HCA Florida Bayonet Point Hospital, HCA Florida Brandon Hospital and HCA Florida Largo Hospital, among other HCA Florida hospitals in the table. The highest is $71,326.12 at Tampa General Hospital Brooksville, and the next highest start at $13,417.48 at hospitals such as Morton Plant Hospital and St. Joseph's Hospital.
How far the Tampa spread runs and what the plan label suggests. The page shows a 6x spread across 21 hospitals, and the median of all 184 published Humana rates is $11,000. The plan type beside the $11,000 rates is MGMCRHMO, which looks like a Medicare Advantage plan, so the low end likely reflects those plans rather than commercial plans. The highest rate is labeled All Commercial Plans.
What a Humana member can ask about a Tampa knee replacement. These are facility rates, and professional fees are billed separately. Questions to bring:
- Ask Humana for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Humana whether that hospital is in network for your plan.
- Ask the hospital for an 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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Humana Knee Replacement in Tampa-St. Petersburg?
The lowest Humana negotiated rate for Knee Replacement in Tampa-St. Petersburg is $11,000 at HCA Florida Bayonet Point Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $71,326.12 at Tampa General Hospital Brooksville, 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 Tampa-St. Petersburg hospitals have published Humana rates?
21 hospitals in the Tampa-St. Petersburg 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