UHC Knee Replacement Rates in Memphis
Published UnitedHealthcare negotiated rates for Knee Replacement at 8 hospitals in Memphis, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$3,963
Methodist Le Bonheur Germantown Hospital
all plan types
Highest Rate
$21,207.87
Baptist Memorial Hospital for Women
all plan types
Rate Spread
5x
across all plan types
Hospitals
8
with UnitedHealthcare data
UnitedHealthcare's negotiated rates for knee replacement in Memphis range 5x, from $3,963 at Methodist Le Bonheur Germantown Hospital to $21,207.87 at Baptist Memorial Hospital for Women. The median across eight hospitals is $14,369.42. The lowest rate is tied to a Medicaid plan, and low figures often reflect Medicaid or Medicare rather than commercial coverage.
UnitedHealthcare Knee Replacement Rates by Hospital
| Hospital | Lowest UnitedHealthcare Rate |
|---|---|
| Methodist Le Bonheur Germantown Hospital | $3,963 |
| Methodist North Hospital | $3,963 |
| Methodist South Hospital | $3,963 |
| Methodist University Hospital | $3,963 |
| Le Bonheur Children's Hospital | $5,271 |
| Baptist Memorial Hospital-Collierville | $21,207.87 |
| Baptist Memorial Hospital-Memphis | $21,207.87 |
| Baptist Memorial Hospital for Women | $21,207.87 |
Median of all 80 published UnitedHealthcare rates for Knee Replacement at these hospitals: $14,369.42
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 Memphis
Where UnitedHealthcare knee replacement rates start and end in Memphis. The lowest published rate is $3,963, shown at Methodist Le Bonheur Germantown Hospital, Methodist North Hospital and Methodist South Hospital. At the top, Baptist Memorial Hospital for Women, Baptist Memorial Hospital-Collierville and Baptist Memorial Hospital-Memphis each list $21,207.87.
The Memphis spread and the plan types behind it. Across 8 hospitals the spread is 5x, and the median of all 80 published rates is $14,369.42. The plan types beside the $3,963 rates are TennCare plans, which are Medicaid, so the low end likely reflects those plans rather than commercial plans. The $21,207.87 rates at the Baptist hospitals are listed as Commercial, each with 1 plan.
What a UnitedHealthcare member can ask about a Memphis knee replacement. These are facility rates, and professional fees are billed separately. A member can ask:
- UnitedHealthcare for their own plan's negotiated rate and estimated cost share at a named hospital
- UnitedHealthcare 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 Memphis
Frequently Asked Questions
Where is the lowest-cost UnitedHealthcare Knee Replacement in Memphis?
The lowest UnitedHealthcare negotiated rate for Knee Replacement in Memphis is $3,963 at Methodist Le Bonheur Germantown Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $21,207.87 at Baptist Memorial Hospital for Women, a 5x 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 Memphis hospitals have published UnitedHealthcare rates?
8 hospitals in the Memphis 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