WellCare Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Published WellCare negotiated rates for Knee Replacement at 6 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$79.42
Holy Cross Hospital
all plan types
Highest Rate
$14,613.82
Memorial Hospital West
all plan types
Rate Spread
184x
across all plan types
Hospitals
6
with WellCare data
WellCare's negotiated rates for knee replacement in the Miami-Fort Lauderdale-West Palm Beach area span a 184x range, from $79.42 at Holy Cross Hospital to $14,613.82 at Memorial Hospital West. The lowest rate is a Medicaid plan, and such rates often sit well below commercial ones. Across the six hospitals listed, the median is $496.35.
WellCare Knee Replacement Rates by Hospital
| Hospital | Lowest WellCare Rate |
|---|---|
| Holy Cross Hospital | $79.42 |
| Cleveland Clinic Weston Hospital | $1,279.21 |
| Lakeside Medical Center | $13,561.23 |
| Memorial Hospital Miramar | $14,211.60 |
| Memorial Hospital Pembroke | $14,211.60 |
| Memorial Hospital West | $14,211.60 |
Median of all 59 published WellCare rates for Knee Replacement at these hospitals: $496.35
Rates shown are WellCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all WellCare 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 WellCare Knee Replacement Rates in Miami-Fort Lauderdale-West Palm Beach
Where WellCare knee replacement rates start in Miami. Holy Cross Hospital shows the lowest published rate at $79.42, followed by Cleveland Clinic Weston Hospital at $1,279.21 and Lakeside Medical Center at $13,561.23. At the other end, Memorial Hospital West, Memorial Hospital Miramar and Memorial Hospital Pembroke each list a highest rate of $14,613.82.
How far the Miami WellCare figures stretch. Across the 6 hospitals, the spread is 184x, and the median of all 59 published rates is $496.35. The plan types beside the lowest rates are Medicaid at Holy Cross Hospital and Medicare Advantage at Cleveland Clinic Weston Hospital, so the low end likely reflects those plans rather than commercial plans.
Questions to bring about a Miami knee replacement. These are facility rates, and professional fees are billed separately. Before choosing a hospital, you can ask:
- WellCare, for your own plan's negotiated rate and estimated cost share at a named hospital
- WellCare, whether that hospital is in network for your plan
- The hospital, for a written estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding WellCare Negotiated Rates
A negotiated rate is the price WellCare 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 WellCare 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 WellCare Knee Replacement in Miami-Fort Lauderdale-West Palm Beach?
The lowest WellCare negotiated rate for Knee Replacement in Miami-Fort Lauderdale-West Palm Beach is $79.42 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $14,613.82 at Memorial Hospital West, an 184x difference. Commercial plan rates typically fall between these extremes.
Is the WellCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what WellCare 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 WellCare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published WellCare rates?
6 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published WellCare 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 WellCare directly.
Does WellCare require prior authorization for knee replacement?
Almost all WellCare plans require prior authorization for knee replacement surgery. Without authorization, WellCare 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 WellCare 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 WellCare 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 WellCare website: www.wellcare.com