Solis Health Plans Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Published Solis Health Plans negotiated rates for Knee Replacement at 4 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$104.81
Holy Cross Hospital
all plan types
Highest Rate
$15,150.10
Memorial Hospital West
all plan types
Rate Spread
145x
across all plan types
Hospitals
4
with Solis Health Plans data
Negotiated rates for knee replacement under Solis Health Plans vary 145-fold across four South Florida hospitals, from $104.81 at Holy Cross Hospital to $15,150.10 at Memorial Hospital West. The median rate is $655.06. The lowest figure is a Medicare Advantage rate, and Medicare and Medicaid rates often run below commercial ones.
Solis Health Plans Knee Replacement Rates by Hospital
| Hospital | Lowest Solis Health Plans Rate |
|---|---|
| Holy Cross Hospital | $104.81 |
| Memorial Hospital Miramar | $15,150.10 |
| Memorial Hospital Pembroke | $15,150.10 |
| Memorial Hospital West | $15,150.10 |
Median of all 13 published Solis Health Plans rates for Knee Replacement at these hospitals: $655.06
Rates shown are Solis Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Solis Health Plans 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 Solis Health Plans Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Where Solis knee replacement rates start in Miami. Among the 4 hospitals with Solis Health Plans rates, the lowest published figure is $104.81 at Holy Cross Hospital. At the other end, Memorial Hospital Miramar, Memorial Hospital Pembroke and Memorial Hospital West each list $15,150.10 as their lowest and highest rate.
How far Solis knee replacement figures stretch. The page shows a spread of 145x, and the median of all 13 published rates is $655.06. The lowest rate at Holy Cross Hospital is tied to a Solis Health Plans Medicare Advantage plan, so the low end likely reflects that kind of plan rather than commercial plans. The plan behind a rate is not always the one a given member holds.
Questions Solis members can bring about knee replacement. These are facility rates only, and professional fees are billed separately. A member can ask:
- Solis Health Plans for their own plan's negotiated rate and estimated cost share at a named hospital
- Solis Health Plans 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 Solis Health Plans Negotiated Rates
A negotiated rate is the price Solis Health Plans 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 Solis Health Plans 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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Solis Health Plans Knee Replacement in Miami-Fort Lauderdale-West Palm Beach?
The lowest Solis Health Plans negotiated rate for Knee Replacement in Miami-Fort Lauderdale-West Palm Beach is $104.81 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $15,150.10 at Memorial Hospital West, a 145x difference. Commercial plan rates typically fall between these extremes.
Is the Solis Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Solis Health Plans 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 Solis Health Plans for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Solis Health Plans rates?
4 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Solis Health Plans 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 Solis Health Plans directly.
Does Solis Health Plans require prior authorization for knee replacement?
Almost all Solis Health Plans plans require prior authorization for knee replacement surgery. Without authorization, Solis Health Plans 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 Solis Health Plans 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 Solis Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.