Knee Replacement Cost in Daytona Beach-Deltona, FL

How much does a knee replacement cost without insurance in Daytona Beach-Deltona?

The cash prices reported for code 27447 at all six AdventHealth hospitals (Daytona Beach, Deland, Fish Memorial, New Smyrna Beach, Palm Coast, and Palm Coast Parkway) are $0. This indicates the data is incomplete; it is not an actual price. For context, insured rates range from $12,736.81 to $29,287.95 at these hospitals, and payer-specific rates across the area run from $6,052.96 to $30,836.48. Only one code is reported, so no variant comparison applies. These figures are facility fees only. Physician and professional fees are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge, or chargemaster price, is a hospital's list price for a service before any discounts. Almost no one pays it, since insurers negotiate lower rates and cash-paying patients are typically offered discounts. For this procedure, every AdventHealth hospital reports a gross charge of $0 and a cash price of $0, so no gross-to-cash ratio can be calculated. These zeros reflect incomplete reporting rather than real prices. In files with complete data, a hospital with a higher gross charge can still have a higher cash price even after a larger percentage discount, because the discount applies to a bigger starting figure.

Does insurance cover a knee replacement?

Coverage depends on the specific plan and on whether the insurer finds the procedure medically necessary. Negotiated rates for code 27447 vary widely, from $6,052.96 to $30,836.48 across payers in the Daytona Beach-Deltona area. Non-emergency surgeries often require prior authorization from the insurer before the procedure is scheduled. If you have a high-deductible health plan and have not met your deductible, you owe the negotiated rate for the service, not the gross charge, until the deductible is satisfied. Your plan documents or insurer can confirm the benefits that apply.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility fee covers the hospital's room, equipment, staff, and implants. Surgical procedures like knee replacement also involve separate professional fees, including the surgeon's fee and the anesthesiologist's fee, which are billed apart from the hospital. Other services, such as pathology, imaging, or physical therapy, may also be billed separately. Procedures performed in the emergency department incur separate ER facility fees. Dollar amounts for these additional charges are not included in the hospital transparency data used on this page.

What is the lowest insured rate for a knee replacement in Daytona Beach?

At AdventHealth Daytona Beach, the insured rates for CPT 27447 Total Knee Replacement (Arthroplasty) run from $12,736.81 to $22,376.56. The $12,736.81 figure is also the lowest insured rate in the price table. These are facility charges only. Gross charge and cash price are blank at this hospital, which means missing data, not free.

What is the highest published insured price for a total knee replacement near Daytona Beach-Deltona?

The highest insured rate in the price table is $29,287.95 at AdventHealth New Smyrna Beach for code 27447. That hospital's insured range runs from $12,736.81 to $29,287.95. These are facility charges only and do not reflect surgeon or anesthesia billing.

Do any Daytona Beach-Deltona hospitals publish a cash price for knee replacement?

No. None of the 6 hospitals on this page publish a cash price for code 27447, and all 6 have a blank or $0 gross charge, which means the data is missing, not free. The six hospitals are AdventHealth Daytona Beach, AdventHealth Deland, AdventHealth Fish Memorial, AdventHealth New Smyrna Beach, AdventHealth Palm Coast and AdventHealth Palm Coast Parkway.

What does Humana pay for a knee replacement at Halifax Health | UF Health Medical Center of Deltona?

Humana's lowest published rate for a total knee replacement in this area is $6,097.24, at Halifax Health | UF Health Medical Center of Deltona. Its highest is $13,943.45, at AdventHealth Palm Coast Parkway. The Humana comparison covers 7 hospitals. These are facility rates only, not surgeon or anesthesia fees.

What is billing code 27447 and how do rates vary by payer in Deltona?

Code 27447 is Total Knee Replacement (Arthroplasty), the only billing code on this page. At Halifax Health | UF Health Medical Center of Deltona, 42 published payer rates run from $6,052.96 for West Volusia managed Medicaid to $30,166.12 for the Aetna exchange plan. Facility charges only; the highest is about 5x the lowest.