Oscar Health Knee Replacement Rates in Sarasota-Bradenton
Published Oscar Health negotiated rates for Knee Replacement at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$356.35
Sarasota Memorial Hospital
all plan types
Highest Rate
$35,879
HCA Florida Sarasota Doctors Hospital
all plan types
Rate Spread
101x
across all plan types
Hospitals
5
with Oscar Health data
Oscar Health's negotiated knee-replacement rates in Sarasota-Bradenton span a 101x gap, from $356.35 at Sarasota Memorial Hospital (Individual Exchange) to $35,879 at HCA Florida Sarasota Doctors Hospital. The median across five hospitals is $3,340.76. Lowest rates can reflect plan types such as Medicaid or Medicare rather than commercial coverage.
Oscar Health Knee Replacement Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Sarasota Memorial Hospital | $356.35 |
| Sarasota Memorial Hospital - Venice | $7,453.55 |
| HCA Florida Blake Hospital | $35,879 |
| HCA Florida Englewood Hospital | $35,879 |
| HCA Florida Sarasota Doctors Hospital | $35,879 |
Median of all 11 published Oscar Health rates for Knee Replacement at these hospitals: $3,340.76
Rates shown are Oscar Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Oscar Health 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 Oscar Health Knee Replacement Rates in Sarasota-Bradenton
Where Sarasota knee replacement rates start for Oscar Health. Sarasota Memorial Hospital lists the lowest published rate at $356.35, followed by Sarasota Memorial Hospital - Venice at $7,453.55. At the top, HCA Florida Blake Hospital, HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital each list $35,879.
How wide the Oscar Health knee replacement spread runs. The page shows a 101x spread across the 5 hospitals, with a median of $3,340.76 across all 11 published rates. The plan types beside the lowest rates are Individual Exchange and HIX, not Medicaid, CHIP or Medicare Advantage, but the plan behind any single rate is not always stated, so a figure may not match your own plan.
Questions for Oscar Health and your Sarasota hospital. A member can ask:
- Oscar Health for their own plan's negotiated rate and estimated cost share at a named hospital.
- Oscar Health whether that hospital is in network for their plan.
- The hospital for a written estimate.
These are facility rates, and professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Oscar Health Negotiated Rates
A negotiated rate is the price Oscar Health 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 Oscar Health 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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Oscar Health Knee Replacement in Sarasota-Bradenton?
The lowest Oscar Health negotiated rate for Knee Replacement in Sarasota-Bradenton is $356.35 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $35,879 at HCA Florida Sarasota Doctors Hospital, a 101x difference. Commercial plan rates typically fall between these extremes.
Is the Oscar Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Oscar Health 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 Oscar Health for a pre-service cost estimate specific to your plan.
How many Sarasota-Bradenton hospitals have published Oscar Health rates?
5 hospitals in the Sarasota-Bradenton area have published Oscar Health 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 Oscar Health directly.
Does Oscar Health require prior authorization for knee replacement?
Almost all Oscar Health plans require prior authorization for knee replacement surgery. Without authorization, Oscar Health 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 Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com