UHC Knee Replacement Rates in Orlando

Published UnitedHealthcare negotiated rates for Knee Replacement at 7 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$13,432.07

UF Health The Villages Hospital

all plan types

Highest Rate

$40,109

UCF Lake Nona Hospital

all plan types

Rate Spread

3x

across all plan types

Hospitals

7

with UnitedHealthcare data

UnitedHealthcare's negotiated rates for knee replacement in Orlando range from $13,432.07 at UF Health The Villages Hospital to $40,109 at UCF Lake Nona Hospital, a threefold spread across 7 hospitals. The lowest rate is a Medicare Advantage rate, and Medicare and Medicaid plans often price below commercial ones. The median rate is $40,109.

Why the range is so wide: UnitedHealthcare 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.

UnitedHealthcare Knee Replacement Rates by Hospital

Hospital Lowest UnitedHealthcare Rate
UF Health The Villages Hospital $13,432.07
UF Health Leesburg Hospital $13,943.45
HCA Florida Lake Monroe Hospital $40,109
HCA Florida Osceola Hospital $40,109
HCA Florida Oviedo Medical Center $40,109
HCA Florida Poinciana Hospital $40,109
UCF Lake Nona Hospital $40,109

Median of all 42 published UnitedHealthcare rates for Knee Replacement at these hospitals: $40,109

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 Orlando

Where UnitedHealthcare knee replacement rates start and top out in Orlando. The lowest published rates are $13,432.07 at UF Health The Villages Hospital and $13,943.45 at UF Health Leesburg Hospital. The highest is $40,109 at UCF Lake Nona Hospital, and the same figure appears at HCA Florida Lake Monroe Hospital and HCA Florida Osceola Hospital.

How wide the Orlando knee replacement spread runs. The page shows a 3x spread across 7 hospitals, and the median of all 42 published rates is $40,109. Both of the lowest rates are listed under Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. The higher figure at the other hospitals is listed under an all-payer appendix label, which does not say which plan sits behind it.

What UnitedHealthcare members can ask about an Orlando knee replacement. These are facility rates, and professional fees are billed separately.

  • Ask UnitedHealthcare for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask UnitedHealthcare whether that hospital is in network for your plan.
  • Ask the hospital for an estimate before scheduling.

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 Orlando

View all Knee Replacement prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Knee Replacement in Orlando?

The lowest UnitedHealthcare negotiated rate for Knee Replacement in Orlando is $13,432.07 at UF Health The Villages Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $40,109 at UCF Lake Nona Hospital, a 3x 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 Orlando hospitals have published UnitedHealthcare rates?

7 hospitals in the Orlando 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