Molina Healthcare Knee Replacement Rates in Port St. Lucie
Published Molina Healthcare negotiated rates for Knee Replacement at 3 hospitals in Port St. Lucie, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,042.34
Cleveland Clinic Martin North Hospital
all plan types
Highest Rate
$2,702
HCA Florida St. Lucie Hospital
all plan types
Rate Spread
3x
across all plan types
Hospitals
3
with Molina Healthcare data
Molina Healthcare's negotiated rates for knee replacement in Port St. Lucie vary threefold, from $1,042.34 at Cleveland Clinic Martin North Hospital to $2,702 at HCA Florida St. Lucie Hospital. The lowest rate falls under Florida Kidcare, and rates tied to Medicaid or Medicare plans often run lower than commercial ones. The median across the three hospitals is $2,702.
Molina Healthcare Knee Replacement Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| Cleveland Clinic Martin North Hospital | $1,042.34 |
| HCA Florida Lawnwood Hospital | $1,950 |
| HCA Florida St. Lucie Hospital | $1,950 |
Median of all 37 published Molina Healthcare rates for Knee Replacement at these hospitals: $2,702
Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare Negotiated Rates
A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Port St. Lucie
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare Knee Replacement in Port St. Lucie?
The lowest Molina Healthcare negotiated rate for Knee Replacement in Port St. Lucie is $1,042.34 at Cleveland Clinic Martin North Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,702 at HCA Florida St. Lucie Hospital, a 3x difference. Commercial plan rates typically fall between these extremes.
Is the Molina Healthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.
How many Port St. Lucie hospitals have published Molina Healthcare rates?
3 hospitals in the Port St. Lucie area have published Molina Healthcare 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 Molina Healthcare directly.
Does Molina Healthcare require prior authorization for knee replacement?
Almost all Molina Healthcare plans require prior authorization for knee replacement surgery. Without authorization, Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com