Knee Replacement Cost in Naples, FL

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

Cash prices for total knee replacement (HCPCS 27447) are $23,918.23 at Physicians Regional Collier and $40,196.80 at Physicians Regional Pine Ridge. NCH Baker Hospital lists $0 for its cash price, which appears to be incomplete data; its insured rates range from $8,320.05 to $34,339 for context. Among hospitals with complete data, the cash price range is $23,918.23 to $40,196.80, a difference of $16,278.57. Only one billing code applies, so there is no code variant difference. These figures are facility fees only. Surgeon, anesthesiologist, and other 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 a hospital's full list price before any discounts or negotiated rates. Almost no one pays it. At Physicians Regional Collier, the cash price is 18% of the $132,879.05 gross charge. At Pine Ridge, the cash price is 21% of the $191,413.32 gross charge. Pine Ridge's discount is smaller in percentage terms, yet its gross charge is higher to begin with, so its cash price of $40,196.80 still exceeds Collier's $23,918.23. Insurers negotiate their own rates, which are also generally far below gross charges.

Does insurance cover a knee replacement?

Coverage depends on your specific plan and on whether the procedure is determined to be medically necessary. Negotiated rates for code 27447 vary widely across 118 payer rates, from $1,288.06 to $127,098.45. Non-emergency surgical procedures commonly require prior authorization from the insurer before the procedure is scheduled. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge, until the deductible is satisfied. Your insurer can confirm your plan's rate and what portion you would owe.

Are there additional fees beyond the knee replacement facility charge?

Yes. The prices on this page are facility fees, which cover the hospital's room, equipment, and staff. Several other charges are billed separately. The surgeon bills a professional fee for performing the operation. The anesthesiologist bills separately for anesthesia services. Other separate bills may include pathology, radiology, physical therapy, and durable medical equipment such as crutches or a walker. If the procedure is performed or begins in the emergency department, a separate emergency department facility fee also applies. None of these additional charges are included in the figures shown here, and dollar amounts for them are not available in the source data.

What is the cash price for a knee replacement at Physicians Regional Medical Center - Collier Boulevard in Naples?

The published cash price for CPT 27447 at Physicians Regional Medical Center - Collier Boulevard is $23,918.23, which the page shows as 18% of its gross charge of $132,879.05. This is a facility charge only, so surgeon, anesthesia and other professional fees are not included.

What is the cash price for a knee replacement at NCH Baker Hospital in Naples?

NCH Baker Hospital (Naples Community Hospital) has no published cash price for code 27447. Its gross charge and cash price were published as $0 or blank, which means the data is missing, not that the procedure is free. The hospital does list insured rates from $8,320.05 to $34,339.

What are the lowest and highest knee replacement cash prices in Naples, FL?

Among the Naples hospitals with a published cash price, the range is from $23,918.23 at Physicians Regional Medical Center - Collier Boulevard to $40,196.80 at Physicians Regional Medical Center - Pine Ridge. Both are facility charges for code 27447. NCH Baker Hospital (Naples Community Hospital) has no cash price published.

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

For code 27447, the page shows UnitedHealthcare rates from $5,957.97 at Physicians Regional Medical Center - Collier Boulevard to $34,339 at NCH Baker Hospital (Naples Community Hospital), with a median of $17,799 across 3 hospitals. These are facility rates only and do not include separate professional fees.

What is the Aetna rate for knee replacement code 27447 in Naples?

Aetna's rates for code 27447 in Naples range from $13,173.75 at Physicians Regional Medical Center - Collier Boulevard to $26,814.33 at NCH Baker Hospital (Naples Community Hospital), with a median of $24,352.50 across 3 hospitals. The payer table also lists other Aetna plans, including Aetna First Health at $88,231.69. All figures are facility charges.