Knee Replacement Cost in Lakeland-Winter Haven, FL
Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the surfaces of the knee joint are removed and replaced with artificial components made of metal and plastic. The procedure is billed under HCPCS code 27447. The facility fee covers the hospital's charges for the operating room, surgical equipment, nursing and support staff, and the implant hardware, and it is distinct from physician and professional fees, which are billed separately. The prices on this page come from CMS-mandated hospital price transparency files, which hospitals must publish in machine-readable form.
Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-04-01
Data may be outdated
This hospital's pricing file has not been updated since 12/31/2025 (288 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.
Total Knee Replacement (Arthroplasty) (HCPCS 27447)
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| Hospital | Cash Price | |
|---|---|---|
| AdventHealth Heart of Florida | N/A | Schedule → |
What These Prices Mean
Three price types appear in hospital transparency files. The gross charge is the hospital's full list price, also called the chargemaster rate. The cash price is the amount offered to a self-pay patient. The insured range shows the lowest and highest negotiated rates between the hospital and its insurance payers. For this procedure at AdventHealth Heart of Florida, the gross charge and cash price are both listed as $0. A $0 entry does not represent a real price; it indicates incomplete data in the filing, so no gross-to-cash discount can be calculated. The insured range of $13,407.17 to $29,763.91 provides context instead. Patients on high-deductible health plans who have not yet met their deductible owe the negotiated rate, not the gross charge.
What code 27447 covers
Only one billing code applies to this procedure in the dataset. HCPCS 27447 describes total knee arthroplasty, meaning replacement of the entire joint surface rather than a partial section. The code describes the surgical service itself. Items such as anesthesia, surgeon services, and certain implants or supplies may be reported or billed separately from the facility rate.
Why Knee Replacement Prices Vary
Only one hospital, AdventHealth Heart of Florida, reports a price entry in the cash and gross columns, and both are $0, so no gross charge gap or cash price gap can be measured. No discount percentage can be calculated either, because the underlying gross and cash figures are missing. The variation visible in the data comes from negotiated insurance rates. Across 40 payer rates, the lowest is $12,915.46 and the highest is $32,934.41, a spread of roughly 3x. Medicare Advantage plans cluster at the low end, while Ambetter commercial and exchange plans occupy the high end. The same hospital system can hold very different contracts with different payers.
Facility type and alternatives
Hospital size, teaching status, and location can influence negotiated rates, as can the payer's bargaining position in a region. Outpatient surgery centers and freestanding facilities, which are not in this dataset, may bill differently for joint procedures. Because the cash price range here is listed as $0 to $0, an incomplete entry, the insured range of $12,915.46 to $32,934.41 is the most reliable pricing context available for this area.
Paying cash? Health insurance could lower your Knee Replacement cost.
Published cash prices on this page range from N/A to N/A. The lowest insured rate in the price table is $13,407.17 (AdventHealth Heart of Florida). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.
Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.
What Insurers Actually Pay
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Published negotiated rates for Total Knee Replacement (Arthroplasty) (HCPCS 27447) at Winter Haven Hospital, outpatient facility fee:
Total Knee Replacement (Arthroplasty) (27447), Winter Haven Hospital Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Aetna | Medicare PPO | $12,915.46 |
| BayCarePlus | Medicare HMO | $12,915.46 |
| Blue Cross | Medicare HMO | $12,915.46 |
| Humana Military | Commercial Other | $13,417.48 |
| CarePlus | Medicare HMO | $13,520.87 |
| United Healthcare | Medicare HMO | $13,819.54 |
| Solis Health | Medicare HMO | $14,207 |
| Freedom | Medicare HMO | $14,538.57 |
| Optimum | Medicare HMO | $14,538.57 |
| Aetna | Medicare HMO | $14,852.77 |
| Cigna | Medicare HMO | $14,852.77 |
| Health First | Medicare HMO | $14,852.77 |
| Humana | Medicare HMO | $16,144.32 |
| Wellcare | Medicare HMO | $18,081.64 |
| United Healthcare | Commercial HMO | $20,046 |
| Ambetter | Commercial Select Core | $29,059.78 |
| Ambetter | Commercial Value | $32,934.41 |
Key finding: Knee replacement rates in this area range from $12,915.46 for Medicare Advantage plans such as Aetna Medicare PPO to $32,934.41 for Ambetter Commercial Value at Winter Haven Hospital.
What to Do With These Knee Replacement Prices
Ask AdventHealth Heart of Florida for a number to hold against this page. Give the billing office code 27447 (total knee replacement) and ask for its cash or self-pay price plus an itemized estimate in writing. Ask whether the quote is a single bundled price or only the facility charge, and whether the stay would be billed as inpatient or outpatient.
Compare any quote with the insured range. This page shows insured facility rates from $13,407.17 to $29,763.91 at AdventHealth Heart of Florida for 27447. A quote that lands inside that span is at least in line with what insurers pay for the facility portion. A quote well outside it is worth asking about line by line. The range covers the hospital's facility charge only, so check that you are comparing like with like.
Expect the hospital's charge to be only part of the total. Ask who else will bill you, and whether each is included in the quote:
- The surgeon's professional fee
- The anesthesia provider
- The implant or supplies, if billed separately
- Follow-up care such as physical therapy
When a bill arrives, check that the facility fee and each professional fee appear as separate lines and that the code matches what you were quoted.
A blank here is missing data, not a free knee replacement. The gross charge and cash price for this hospital were published as $0 or blank, so this page has no cash figure to compare against. Only the insured range is usable, which makes a written quote from the hospital the most useful number you can get.
Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.
General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer
What Patients Ask About Knee Replacement Costs
How much does a knee replacement cost without insurance in Lakeland-Winter Haven?
The cash price for knee replacement (HCPCS 27447) at AdventHealth Heart of Florida is listed as $0. This appears to be incomplete data rather than a real price, so it cannot be used to estimate self-pay cost. For context, insured rates at that hospital range from $13,407.17 to $29,763.91, and rates across the Lakeland-Winter Haven area range from $12,915.46 to $32,934.41. Only one billing code applies, so there is no code variant cost difference. These figures reflect facility fees only. Physician and professional fees, including those for the surgeon and anesthesiologist, are billed separately and are not included.
Why is the gross charge so much higher than the cash price?
The gross charge, or chargemaster price, is a hospital's full list price before any discounts or negotiated rates. Almost no one pays it. Insurers negotiate lower rates, and self-pay patients are often offered a discounted cash price. For this procedure at AdventHealth Heart of Florida, both the gross charge and cash price are listed as $0, so a gross-to-cash ratio cannot be calculated. The $0 values indicate incomplete reporting. Only one hospital is in the dataset, so no comparison of discount percentages between hospitals is possible. The insured range of $13,407.17 to $29,763.91 offers a better sense of what is actually paid.
Does insurance cover a knee replacement?
Coverage for knee replacement depends on your specific plan and on whether the insurer determines the procedure is medically necessary. Non-emergency surgeries typically require prior authorization from the insurer before scheduling. Negotiated rates vary widely by payer: in this area they range from $12,915.46 to $32,934.41 across 40 payer rates, with Medicare Advantage plans at the lower end and Ambetter commercial plans at the higher end. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for the facility fee, not the gross charge, until the deductible is satisfied.
Are there additional fees beyond the knee replacement facility charge?
Yes. The facility fee covers the hospital's room, equipment, and staff, but a knee replacement involves additional services billed separately. The surgeon charges a professional fee, and the anesthesiologist bills separately for anesthesia services. Other separate charges may include pathology, imaging, physical therapy, and durable medical equipment. Each of these may come from different providers with their own billing. If any part of care occurs in the emergency department, separate ER facility fees apply. The prices shown on this page reflect facility fees only. Dollar amounts for these additional fees are not part of the source data.
What is the cash price for a knee replacement at AdventHealth Heart of Florida?
No cash price is published for code 27447 Total Knee Replacement (Arthroplasty) at AdventHealth Heart of Florida. The cash field is blank in the data, which means missing, not free. The gross charge is also missing. Insured rates are published from $13,407.17 to $29,763.91, and these are facility charges only.
What are the lowest and highest knee replacement prices in Lakeland-Winter Haven?
The lowest insured rate on this page is $13,407.17 and the highest is $29,763.91, both at AdventHealth Heart of Florida for code 27447. These are facility charges only and do not include surgeon, anesthesia or other bills. No cash prices are published for this page.
How much does Ambetter pay for a knee replacement in Winter Haven?
In the Winter Haven payer table for code 27447, Ambetter appears with a Commercial Select Core rate of $29,059.78 and a Commercial Value rate of $32,934.41. These are facility charges only, so surgeon and anesthesia fees are not included. Rates vary by plan, so other Ambetter plans may differ.
What is the United Healthcare rate for knee replacement at Winter Haven Hospital?
United Healthcare has a Commercial HMO rate of $20,046 for code 27447 Total Knee Replacement (Arthroplasty) at Winter Haven Hospital. This is a facility charge only. Other United Healthcare plans may have different rates, and the table lists 17 published rates in total.
What does billing code 27447 mean on the Lakeland-Winter Haven knee replacement page?
Code 27447 is Total Knee Replacement (Arthroplasty), the only billing code on this page. One hospital, AdventHealth Heart of Florida, has a price row, with insured rates from $13,407.17 to $29,763.91 as facility charges. The gross charge and cash price are missing in the data, which does not mean free.
Compare Other Procedures in Lakeland-Winter Haven
Data Sources
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Heads up: source files are large
Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.
AdventHealth Heart of Florida
File updated: 2026-04-01 · Accessed by us: 2026-10-15
Attested by: Tim Reiner
We are not affiliated with AdventHealth Heart of Florida. Published prices may not reflect your actual cost. Disclaimer
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AdventHealth Lake Wales
File updated: 2026-04-01 · Accessed by us: 2026-10-15
Attested by: Tim Reiner
We are not affiliated with AdventHealth Lake Wales. Published prices may not reflect your actual cost. Disclaimer
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Bartow Regional Medical Center
File updated: 2026-01-01 · Accessed by us: 2026-10-15
Attested by: Jillian Cuckler
We are not affiliated with Bartow Regional Medical Center. Published prices may not reflect your actual cost. Disclaimer
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Winter Haven Hospital
File updated: 2026-01-01 · Accessed by us: 2026-10-15
Attested by: Jillian Cuckler
We are not affiliated with Winter Haven Hospital. Published prices may not reflect your actual cost. Disclaimer
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Lakeland Regional Health Medical Center
File updated: 12/31/2025 · Accessed by us: 2026-10-15
Attested by: Lance Green
We are not affiliated with Lakeland Regional Health Medical Center. Published prices may not reflect your actual cost. Disclaimer
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