Knee Replacement Cost in Ocala, FL

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

No cash price is published for a knee replacement (code 27447) at any of the 3 hospitals on this page: AdventHealth Ocala, HCA Florida Ocala Hospital and HCA Florida West Marion Hospital. Each shows a blank or $0 cash price, which is missing data and not a real price, so there is no cash range to report for Ocala from these files. Anyone paying without insurance would need to contact a hospital directly for a self-pay quote. The facility charge is also only one part of the total, because surgeon, anesthesia and other professional fees are billed separately from the hospital.

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

On this page, the question cannot be answered with figures, because none of the 3 hospitals published a gross charge or a cash price for code 27447. All three rows show blank or $0 values, which are treated as missing data. In general, a gross charge is a hospital's list price before any discounts, and a cash price is a separate figure for patients paying without insurance. When both are published, the cash price is often a percentage of the gross charge. Since neither is available here, no cash-to-gross percentage can be given for these hospitals.

Does insurance cover a knee replacement?

Whether insurance covers a knee replacement depends on the specific plan, so the plan's own documents or the insurer are the source for coverage details. The hospital files do list negotiated rates. AdventHealth Ocala shows insured rates from $13,407.17 to $29,763.91, and HCA Florida Ocala Hospital and HCA Florida West Marion Hospital each show rates from $1,950 to $43,255. If you are on a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until the deductible is reached, and the rate depends on your insurer.

Are there additional fees beyond the knee replacement facility charge?

Yes. The hospital facility charge is typically only one of several bills for a knee replacement. The surgeon bills separately for the operation, and an anesthesiologist or anesthesia group bills for anesthesia. Other separate bills can include a radiology or pathology group, a lab, and charges for the implant or devices if they are billed apart from the facility. Follow-up care may also generate separate bills, including physical therapy, durable medical equipment such as a walker or crutches, and prescriptions. An itemized bill or a good faith estimate can show which of these apply to a specific stay.

What is the cash price for knee replacement at AdventHealth Ocala?

AdventHealth Ocala has no published cash price for code 27447, Total Knee Replacement (Arthroplasty). The cash field is blank, which means the data is missing, not that the procedure is free. Its insured rates run from $13,407.17 to $29,763.91, and those are facility charges only. The gross charge is also missing.

What does Florida Blue pay for a knee replacement in Ocala?

Florida Blue's published rates for code 27447 in Ocala run from $13,437 at HCA Florida Ocala Hospital to $13,809.38 at AdventHealth Ocala, based on 3 hospitals. The page lists a median of $18,340 for Florida Blue. These are facility charges only, not the full cost of care.

What is the Simply Healthcare rate for knee replacement in Ocala?

Simply Healthcare's lowest published rate for code 27447 is $2,250 at HCA Florida Ocala Hospital, and its highest is $14,211.59 at AdventHealth Ocala. The median is $2,250 across 3 hospitals. The highest is about 6x the lowest. All figures are facility charges only.