Oscar Health Knee Replacement Rates in Tampa-St. Petersburg

Published Oscar Health negotiated rates for Knee Replacement at 19 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$16,758.96

Tampa General Hospital Brooksville

all plan types

Highest Rate

$33,071

HCA Florida West Tampa Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Oscar Health data

Oscar Health's negotiated knee-replacement rates in Tampa-St. Petersburg range from $16,758.96 at Tampa General Hospital Brooksville to $33,071 at HCA Florida West Tampa Hospital, a 2x spread across 19 hospitals. The median rate is $33,071. Lower rates may reflect plan types such as Medicaid or Medicare rather than commercial coverage.

Why the range is so wide: Oscar Health negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Oscar Health Knee Replacement Rates by Hospital

Hospital	Lowest Oscar Health Rate	Plan Type	Highest Rate	Plans
Tampa General Hospital Brooksville	$16,758.96	Exchange	$26,814.33	2
AdventHealth Tampa	$22,145.96	Individual Epo	$22,145.96	1
AdventHealth Wesley Chapel	$24,619.58	Individual Epo	$24,619.58	1
AdventHealth Carrollwood	$25,059.33	Individual Epo	$25,059.33	1
Tampa General Hospital	$26,814.33	Exchange	$26,814.33	1
AdventHealth North Pinellas	$29,611.06	Individual Epo	$29,611.06	1
AdventHealth Zephyrhills	$31,092.56	Individual Epo	$31,092.56	1
HCA Florida Bayonet Point Hospital	$33,071	HIX	$33,071	1
HCA Florida Brandon Hospital	$33,071	HIX	$33,071	1
HCA Florida Largo Hospital	$33,071	HIX	$33,071	1
HCA Florida Largo West Hospital	$33,071	HIX	$33,071	1
HCA Florida Northside Hospital	$33,071	HIX	$33,071	1
HCA Florida Oak Hill Hospital	$33,071	HIX	$33,071	1
HCA Florida Pasadena Hospital	$33,071	HIX	$33,071	1
HCA Florida South Shore Hospital	$33,071	HIX	$33,071	1
HCA Florida South Tampa Hospital	$33,071	HIX	$33,071	1
HCA Florida St. Petersburg Hospital	$33,071	HIX	$33,071	1
HCA Florida Trinity Hospital	$33,071	HIX	$33,071	1
HCA Florida West Tampa Hospital	$33,071	HIX	$33,071	1

Median of all 20 published Oscar Health rates for Knee Replacement at these hospitals: $33,071

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.

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 Tampa-St. Petersburg

Aetna $12,915.46 - $31,455 26 hospitals Florida Blue $8,128 - $13,809.38 25 hospitals Cigna $3,885 - $14,852.77 25 hospitals Humana $11,000 - $71,326.12 21 hospitals Freedom Health $1,638 - $14,077.52 19 hospitals Simply Healthcare $2,250 - $22,524.04 19 hospitals

View all Knee Replacement prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Oscar Health Knee Replacement in Tampa-St. Petersburg?

The lowest Oscar Health negotiated rate for Knee Replacement in Tampa-St. Petersburg is $16,758.96 at Tampa General Hospital Brooksville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $33,071 at HCA Florida West Tampa Hospital, a 2x 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 Tampa-St. Petersburg hospitals have published Oscar Health rates?

19 hospitals in the Tampa-St. Petersburg 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