Knee Replacement Cost in Gainesville, FL

How much does a knee replacement cost without insurance in Gainesville?

Cash prices for code 27447 are listed as $0 at both HCA Gainesville and HCA North Florida. These appear to be incomplete data, not actual prices, so no self-pay cost can be stated from the files. For context, insured rates at HCA Gainesville are $45,365, and at HCA North Florida they range from $1,950 to $31,116 in the summary, with payer-specific rates reaching $45,365. Only one code is listed, so there is no variant comparison. These amounts represent facility fees, which cover the hospital's room, equipment, and staff. Physician and professional fees are billed separately.

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

The gross charge, also called the chargemaster price, is the hospital's full list price for a service before any discounts or negotiated rates. Almost no one pays it. Insurers negotiate lower rates, and hospitals typically offer reduced cash prices to self-pay patients. For code 27447, both HCA Gainesville and HCA North Florida list gross charges of $0 and cash prices of $0. These appear to be incomplete data, so a gross-to-cash ratio cannot be calculated. When complete figures are published, a larger percentage discount can still produce a higher cash price at a hospital whose gross charge starts higher.

Does insurance cover a knee replacement?

Coverage depends on the specific plan and on whether the procedure is deemed medically necessary. Non-emergency surgeries like knee replacement commonly require prior authorization, meaning the insurer approves the service in advance. Negotiated rates vary widely: across 153 payer rates, the lowest is $1,950 and the highest is $45,365. If you have a high-deductible health plan and have not yet met your deductible, you generally owe the negotiated rate for your plan, not the gross charge. Out-of-pocket amounts also depend on copays, coinsurance, and your plan's out-of-pocket maximum.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility fee covers the hospital's operating room, equipment, and staff, but other services are billed separately. For a surgical procedure like knee replacement, the surgeon bills a professional fee, and the anesthesiologist bills separately for anesthesia services. Other separate charges may include pathology, physical therapy, and follow-up visits. Dollar amounts for these fees are not included in the hospital transparency data. If the procedure were performed following an emergency department visit, separate ER facility fees would also apply. Each billing entity may send its own statement.

What is the cash price for knee replacement at HCA Florida Gainesville Hospital?

No cash price is published for code 27447 at HCA Florida Gainesville Hospital. The cash price field was published as $0 or blank, which means the data is missing, not that the procedure is free. The only figure shown is an insured rate of $45,365, and that is a facility charge only.

What is the lowest and highest insured price for knee replacement in Gainesville?

Across the two Gainesville hospitals on this page, the lowest insured rate for code 27447 is $1,950 at HCA Florida North Florida Hospital. The highest is $45,365 at HCA Florida Gainesville Hospital. Both are facility charges only and do not include surgeon, anesthesia, or implant billing.

How much does UnitedHealthcare pay for a knee replacement in Gainesville?

UnitedHealthcare rates for code 27447 on this page range from $6,553.77 at UF Health Shands Hospital to $45,365 at HCA Florida North Florida Hospital. The median is $45,365 across 3 hospitals, and the highest is about 7x the lowest. These are facility charges only.

What does CPT code 27447 mean on a knee replacement bill?

Code 27447 is Total Knee Replacement (Arthroplasty), the only billing code shown on this page. Both HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital list it. Gross charges for it are missing ($0 or blank) at both hospitals, which means the data is unavailable, not free.

Why do the HCA Florida North Florida Hospital knee replacement rates vary so much?

HCA Florida North Florida Hospital publishes 105 rates for code 27447, from $1,950 for Molina Healthcare to $45,365 for United. The highest is about 23x the lowest in that table. These are facility charges only, and gross and cash prices are missing.