Simply Healthcare Knee Replacement Rates in Sarasota-Bradenton
Published Simply Healthcare negotiated rates for Knee Replacement at 5 hospitals in Sarasota-Bradenton, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$166.77
Sarasota Memorial Hospital
all plan types
Highest Rate
$32,680
HCA Florida Blake Hospital
all plan types
Rate Spread
196x
across all plan types
Hospitals
5
with Simply Healthcare data
Simply Healthcare's negotiated rates for knee replacement in Sarasota-Bradenton span a 196x range, from $166.77 at Sarasota Memorial Hospital to $32,680 at HCA Florida Blake Hospital. The median across five hospitals is $2,117.12. The lowest rates often reflect Medicaid or Medicare plan types rather than commercial coverage, so the figures below are not directly comparable.
Simply Healthcare Knee Replacement Rates by Hospital
| Hospital | Lowest Simply Healthcare Rate |
|---|---|
| Sarasota Memorial Hospital | $166.77 |
| HCA Florida Englewood Hospital | $2,250 |
| HCA Florida Sarasota Doctors Hospital | $2,250 |
| Sarasota Memorial Hospital - Venice | $5,957.97 |
| HCA Florida Blake Hospital | $32,680 |
Median of all 35 published Simply Healthcare rates for Knee Replacement at these hospitals: $2,117.12
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.
Reading Simply Healthcare Knee Replacement Rates in Sarasota-Bradenton
Where Sarasota knee replacement rates start for Simply Healthcare. The lowest published rate is $166.77 at Sarasota Memorial Hospital, followed by $2,250 at HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital. At the high end, HCA Florida Blake Hospital lists $32,680, and Sarasota Memorial Hospital - Venice tops out at $14,077.53 in its own range.
How wide the Simply Healthcare knee replacement gap runs. The page shows a 196x spread across 5 hospitals, with a median of $2,117.12 for all 35 published rates. The plan types beside the lowest rates are Healthy Kids, MGMCR and HIX. Healthy Kids looks like a CHIP plan and MGMCR looks like a Medicaid or Medicare Advantage plan, so the low end likely reflects those plans rather than commercial plans. The plan behind a rate is not always stated.
Questions to bring about a Sarasota knee replacement with Simply Healthcare. These are facility rates, and professional fees are billed separately. A member can ask:
- Simply Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital
- Simply Healthcare whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
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 Sarasota-Bradenton
Frequently Asked Questions
Where is the lowest-cost Simply Healthcare Knee Replacement in Sarasota-Bradenton?
The lowest Simply Healthcare negotiated rate for Knee Replacement in Sarasota-Bradenton is $166.77 at Sarasota Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $32,680 at HCA Florida Blake Hospital, a 196x 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 Sarasota-Bradenton hospitals have published Simply Healthcare rates?
5 hospitals in the Sarasota-Bradenton 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.