Molina Healthcare Knee Replacement Rates in Tampa-St. Petersburg
Published Molina Healthcare negotiated rates for Knee Replacement at 13 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,950
HCA Florida Bayonet Point Hospital
all plan types
Highest Rate
$20,110.75
Tampa General Hospital
all plan types
Rate Spread
10x
across all plan types
Hospitals
13
with Molina Healthcare data
Molina Healthcare's negotiated rates for knee replacement in Tampa-St. Petersburg span a 10x range, from $1,950 at HCA Florida Bayonet Point Hospital to $20,110.75 at Tampa General Hospital. Across 13 hospitals, the median rate is $2,702. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
Molina Healthcare Knee Replacement Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| HCA Florida Bayonet Point Hospital | $1,950 |
| HCA Florida Brandon Hospital | $1,950 |
| HCA Florida Largo Hospital | $1,950 |
| HCA Florida Largo West Hospital | $1,950 |
| HCA Florida Northside Hospital | $1,950 |
| HCA Florida Oak Hill Hospital | $1,950 |
| HCA Florida Pasadena Hospital | $1,950 |
| HCA Florida South Shore Hospital | $1,950 |
| HCA Florida South Tampa Hospital | $1,950 |
| HCA Florida St. Petersburg Hospital | $1,950 |
| HCA Florida Trinity Hospital | $1,950 |
| HCA Florida West Tampa Hospital | $1,950 |
| Tampa General Hospital | $20,110.75 |
Median of all 25 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 Tampa-St. Petersburg
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare Knee Replacement in Tampa-St. Petersburg?
The lowest Molina Healthcare negotiated rate for Knee Replacement in Tampa-St. Petersburg is $1,950 at HCA Florida Bayonet Point Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $20,110.75 at Tampa General Hospital, a 10x 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 Tampa-St. Petersburg hospitals have published Molina Healthcare rates?
13 hospitals in the Tampa-St. Petersburg 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