UHC Knee Replacement Rates in Naples
Published UnitedHealthcare negotiated rates for Knee Replacement at 3 hospitals in Naples, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$5,957.97
Physicians Regional Medical Center - Collier Boulevard
all plan types
Highest Rate
$34,339
NCH Baker Hospital (Naples Community Hospital)
all plan types
Rate Spread
6x
across all plan types
Hospitals
3
with UnitedHealthcare data
UnitedHealthcare's negotiated rates for knee replacement in Naples span a 6x gap, from $5,957.97 at Physicians Regional Medical Center - Collier Boulevard to $34,339 at NCH Baker Hospital (Naples Community Hospital). The median across the three hospitals is $17,799. The lowest figure is a UHC Medicaid FL rate, and Medicaid and Medicare rates typically run below commercial plans.
UnitedHealthcare Knee Replacement Rates by Hospital
| Hospital | Lowest UnitedHealthcare Rate |
|---|---|
| Physicians Regional Medical Center - Collier Boulevard | $5,957.97 |
| Physicians Regional Medical Center - Pine Ridge | $5,957.97 |
| NCH Baker Hospital (Naples Community Hospital) | $34,339 |
Median of all 10 published UnitedHealthcare rates for Knee Replacement at these hospitals: $17,799
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.
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 Naples
View all Knee Replacement prices in Naples (cash + insured) →Frequently Asked Questions
Where is the lowest-cost UnitedHealthcare Knee Replacement in Naples?
The lowest UnitedHealthcare negotiated rate for Knee Replacement in Naples is $5,957.97 at Physicians Regional Medical Center - Collier Boulevard, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $34,339 at NCH Baker Hospital (Naples Community Hospital), a 6x 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 Naples hospitals have published UnitedHealthcare rates?
3 hospitals in the Naples 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