Simply Healthcare Knee Replacement Rates in Tampa-St. Petersburg

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

Lowest Rate

$2,250

HCA Florida Bayonet Point Hospital

all plan types

Highest Rate

$22,524.04

Tampa General Hospital

all plan types

Rate Spread

10x

across all plan types

Hospitals

with Simply Healthcare data

Simply Healthcare's negotiated rates for knee replacement in Tampa-St. Petersburg span a 10x range, from $2,250 at HCA Florida Bayonet Point Hospital to $22,524.04 at Tampa General Hospital. The median across 19 hospitals is $2,250, though the lowest rates often reflect Medicaid or Medicare plans 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 Bayonet Point Hospital	$2,250	MGMCR	$28,852	5
HCA Florida Brandon Hospital	$2,250	MGMCR	$27,085	5
HCA Florida Largo Hospital	$2,250	MGMCR	$27,085	5
HCA Florida Largo West Hospital	$2,250	MGMCR	$27,085	5
HCA Florida Northside Hospital	$2,250	MGMCR	$27,085	5
HCA Florida Oak Hill Hospital	$2,250	MGMCR	$28,852	5
HCA Florida Pasadena Hospital	$2,250	MGMCR	$27,085	5
HCA Florida South Shore Hospital	$2,250	MGMCR	$27,085	5
HCA Florida South Tampa Hospital	$2,250	MGMCR	$27,085	5
HCA Florida St. Petersburg Hospital	$2,250	MGMCR	$27,085	5
HCA Florida Trinity Hospital	$2,250	MGMCR	$28,852	5
HCA Florida West Tampa Hospital	$2,250	MGMCR	$27,085	5
Tampa General Hospital Brooksville	$14,077.52	Medicare Managed Care Plan	$14,077.52	1
AdventHealth Carrollwood	$14,211.59	Medicare Managed Care - Hmo	$14,211.59	1
AdventHealth North Pinellas	$14,211.59	Medicare Managed Care - Hmo	$14,211.59	1
AdventHealth Tampa	$14,211.59	Medicare Managed Care - Hmo	$14,211.59	1
AdventHealth Wesley Chapel	$14,211.59	Medicare Managed Care - Hmo	$14,211.59	1
AdventHealth Zephyrhills	$14,211.59	Medicare Managed Care - Hmo	$14,211.59	1
Tampa General Hospital	$14,211.59	Medicare Managed Care Plan	$22,524.04	2

Median of all 68 published Simply Healthcare rates for Knee Replacement at these hospitals: $2,250

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 Tampa-St. Petersburg

Where Tampa knee replacement rates start for Simply Healthcare. The lowest published rate is $2,250, and it appears at HCA Florida Bayonet Point Hospital, HCA Florida Brandon Hospital and HCA Florida Largo Hospital, among other HCA Florida hospitals in the table. At the other end, Tampa General Hospital shows $22,524.04 as its highest rate, and AdventHealth Tampa lists $14,211.59.

How wide the spread runs, and what the plan types hint at. The rate spread on this page is 10x, and the median of all 68 published rates is $2,250. The plan type beside every $2,250 rate is MGMCR, which looks like a Medicare Advantage plan, so the low end likely reflects those plans rather than commercial plans. The plan behind a given rate is not always spelled out in the data.

Questions to bring about a Simply Healthcare knee replacement in Tampa. These rates are for the facility only, 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 a written 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 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 Oscar Health $16,758.96 - $33,071 19 hospitals

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

Frequently Asked Questions

Where is the lowest-cost Simply Healthcare Knee Replacement in Tampa-St. Petersburg?

The lowest Simply Healthcare negotiated rate for Knee Replacement in Tampa-St. Petersburg is $2,250 at HCA Florida Bayonet Point Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $22,524.04 at Tampa General Hospital, a 10x 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 Tampa-St. Petersburg hospitals have published Simply Healthcare rates?

19 hospitals in the Tampa-St. Petersburg 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.