Simply Healthcare Knee Replacement Rates in Jacksonville

Published Simply Healthcare negotiated rates for Knee Replacement at 9 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$2,250

HCA Florida Memorial Hospital

all plan types

Highest Rate

$7,263.55

UF Health Jacksonville

all plan types

Rate Spread

across all plan types

Hospitals

with Simply Healthcare data

Simply Healthcare's negotiated knee-replacement rates in Jacksonville span a 3x range, from $2,250 at HCA Florida Memorial Hospital (MGMCR) to $7,263.55 at UF Health Jacksonville. Across nine hospitals, the median rate is $6,255.86. The lowest rates are often tied to Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Simply Healthcare 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.

Simply Healthcare Knee Replacement Rates by Hospital

Hospital	Lowest Simply Healthcare Rate	Plan Type	Highest Rate	Plans
HCA Florida Memorial Hospital	$2,250	MGMCR	$28,557	5
HCA Florida Orange Park Hospital	$2,250	MGMCR	$28,557	5
Baptist Medical Center Beaches	$6,255.86	Managed Medicaid	$7,149.55	3
Baptist Medical Center Clay	$6,255.86	Managed Medicaid	$7,149.55	3
Baptist Medical Center Jacksonville	$6,255.86	Managed Medicaid	$7,149.55	3
Baptist Medical Center Nassau	$6,255.86	Managed Medicaid	$7,149.55	3
Baptist Medical Center South	$6,255.86	Managed Medicaid	$7,149.55	3
Wolfson Children's Hospital	$6,255.86	Managed Medicaid	$7,149.55	3
UF Health Jacksonville	$7,263.55	MCD HMO	$7,263.55	2

Median of all 30 published Simply Healthcare rates for Knee Replacement at these hospitals: $6,255.86

Rates shown are Simply Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Simply 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 Simply Healthcare Negotiated Rates

A negotiated rate is the price Simply 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 Simply 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 Jacksonville

Aetna $3,287.76 - $31,455 13 hospitals Humana $5,957.96 - $32,093 12 hospitals Devoted Health $13,638.83 - $16,758.96 9 hospitals Molina Healthcare $2,702 - $16,790.09 9 hospitals UnitedHealthcare $6,553.76 - $46,000 9 hospitals Florida Community Care $6,553.76 - $6,851.67 7 hospitals

View all Knee Replacement prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare Knee Replacement in Jacksonville?

The lowest Simply Healthcare negotiated rate for Knee Replacement in Jacksonville is $2,250 at HCA Florida Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $7,263.55 at UF Health Jacksonville, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the Simply Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Simply 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 Simply Healthcare for a pre-service cost estimate specific to your plan.

How many Jacksonville hospitals have published Simply Healthcare rates?

9 hospitals in the Jacksonville area have published Simply 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 Simply Healthcare directly.

Does Simply Healthcare require prior authorization for knee replacement?

Almost all Simply Healthcare plans require prior authorization for knee replacement surgery. Without authorization, Simply 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 Simply 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 Simply 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.