Knee Replacement Cost in Jacksonville, FL

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

No cash price is available for a knee replacement at either Jacksonville hospital on this page. HCA Florida Memorial Hospital and HCA Florida Orange Park Hospital both published their cash price as $0 or blank for code 27447, which is treated as missing data and not as a real price. That means 0 of 2 rows have a published cash figure, and no cash range can be given. The only published figures are insured rates, from $1,950 to $46,000. Professional fees, such as the surgeon and anesthesia, are billed separately from the facility charge and are not included in these figures.

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

For this page the question cannot be answered with real figures, because the gross charge is missing at both hospitals. HCA Florida Memorial Hospital and HCA Florida Orange Park Hospital each published the gross charge as $0 or blank for code 27447, and neither published a cash price. Without both numbers, no cash-to-gross percentage exists in the data. In general, a gross charge is a hospital's list price, while cash and insured prices are separately set amounts. Here, the only published prices are the insured rates, from $1,950 to $46,000, and they show no relationship to a gross charge.

Does insurance cover a knee replacement?

Whether insurance covers a knee replacement depends on your specific plan, so the plan's own documents or the insurer are the sources to check. Both hospitals on this page published insured rates for code 27447, with a range of $1,950 to $46,000. At HCA Florida Memorial Hospital, 161 rates are listed, and the lowest is $1,950 under Optimum Healthcare while the highest is $46,000 under United. If you are on a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until it is met.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility charge shown on this page covers the hospital's side of the procedure, and other bills commonly arrive separately. These typically include the surgeon's professional fee, an anesthesiologist's fee, and charges from a radiologist or pathologist if their services are used. Implants, pre-surgical testing, laboratory work and imaging may also be billed on their own, depending on how the hospital itemizes. Rehabilitation, physical therapy, durable medical equipment and prescription medications after surgery are usually billed by other providers or pharmacies. Asking each provider for an itemized statement shows which charges are included in which bill.

What does Aetna pay for a total knee replacement in Jacksonville?

Aetna's published rates for CPT 27447 across 13 hospitals run from $3,287.76 at UF Health Jacksonville to $31,455 at HCA Florida Orange Park Hospital, with a median of $9,943.18. The highest is about 10x the lowest. These figures are facility charges only and do not include surgeon or anesthesia fees.

How much does Florida Blue pay for knee replacement surgery at Jacksonville hospitals?

Florida Blue's published rates for CPT 27447 cover 3 hospitals. They run from $4,636.67 at UF Health Jacksonville to $42,938 at HCA Florida Orange Park Hospital, with a median of $21,118. The highest is about 9x the lowest. All figures are facility charges only, not the full cost of surgery.

What is the difference between the lowest and highest payer rates at HCA Florida Memorial Hospital for 27447?

HCA Florida Memorial Hospital lists 161 published payer rates for CPT 27447 Total Knee Replacement (Arthroplasty). The lowest is $1,950 under Optimum Healthcare, and the highest is about 24x that amount, listed under United. These are facility charges only. The hospital has no published gross charge or cash price on this page.