UHC Knee Replacement Rates in Jacksonville
Published UnitedHealthcare negotiated rates for Knee Replacement at 9 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$6,553.76
Baptist Medical Center Beaches
all plan types
Highest Rate
$46,000
HCA Florida Orange Park Hospital
all plan types
Rate Spread
7x
across all plan types
Hospitals
9
with UnitedHealthcare data
UnitedHealthcare's negotiated rates for knee replacement in Jacksonville span a 7x range, from $6,553.76 at Baptist Medical Center Beaches to $46,000 at HCA Florida Orange Park Hospital. The lowest figure reflects a Managed Medicaid rate, which often runs below commercial pricing. Across 9 hospitals, the median rate is $46,000.
UnitedHealthcare Knee Replacement Rates by Hospital
| Hospital | Lowest UnitedHealthcare Rate |
|---|---|
| Baptist Medical Center Beaches | $6,553.76 |
| Baptist Medical Center Clay | $6,553.76 |
| Baptist Medical Center Jacksonville | $6,553.76 |
| Baptist Medical Center Nassau | $6,553.76 |
| Baptist Medical Center South | $6,553.76 |
| Wolfson Children's Hospital | $6,553.76 |
| UF Health Jacksonville | $13,943.45 |
| HCA Florida Memorial Hospital | $46,000 |
| HCA Florida Orange Park Hospital | $46,000 |
Median of all 30 published UnitedHealthcare rates for Knee Replacement at these hospitals: $46,000
Rates shown are UnitedHealthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all UnitedHealthcare 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 UnitedHealthcare Knee Replacement Rates in Jacksonville
Where UnitedHealthcare knee replacement rates start in Jacksonville. The lowest published rate is $6,553.76, shared by Baptist Medical Center Beaches, Baptist Medical Center Clay and Baptist Medical Center Jacksonville, among others. At the top, HCA Florida Orange Park Hospital and HCA Florida Memorial Hospital both list $46,000.
How wide the Jacksonville knee replacement spread runs. The page shows a 7x spread across 9 hospitals, and the median of all 30 published rates is $46,000. Every lowest-rate entry in the table is labeled Managed Medicaid, with UF Health Jacksonville next at $13,943.45 under Medicare Advantage. The low end likely reflects those plans rather than commercial plans.
What UnitedHealthcare members can ask about a knee replacement. These are facility rates, and professional fees are billed separately. Members can contact:
- UnitedHealthcare, for their own plan's negotiated rate and estimated cost share at a named hospital, and 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 UnitedHealthcare Negotiated Rates
A negotiated rate is the price UnitedHealthcare 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 UnitedHealthcare 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
Frequently Asked Questions
Where is the lowest-cost UnitedHealthcare Knee Replacement in Jacksonville?
The lowest UnitedHealthcare negotiated rate for Knee Replacement in Jacksonville is $6,553.76 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $46,000 at HCA Florida Orange Park Hospital, a 7x difference. Commercial plan rates typically fall between these extremes.
Is the UnitedHealthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what UnitedHealthcare 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 UnitedHealthcare for a pre-service cost estimate specific to your plan.
How many Jacksonville hospitals have published UnitedHealthcare rates?
9 hospitals in the Jacksonville area have published UnitedHealthcare 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 UnitedHealthcare directly.
Does UnitedHealthcare require prior authorization for knee replacement?
Almost all UnitedHealthcare plans require prior authorization for knee replacement surgery. Without authorization, UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare website: www.uhc.com