Knee Replacement Cost in Orlando, FL

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

The cash prices reported for knee replacement (HCPCS 27447) at all seven Orlando hospitals in this dataset are $0. This indicates the data is incomplete, not that the procedure is free. For context, insured negotiated rates range from $1,950 to $40,109 depending on the hospital and payer. By hospital, AdventHealth Orlando lists $13,407.17 to $35,528.99 and AdventHealth Waterman lists $13,407.17 to $27,052.98. Only one code applies, so there is no code variant difference. These figures are facility fees. Physician and professional fees are billed separately.

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. Almost no one pays it, since insurers negotiate lower rates and cash-paying patients are often offered reduced prices. For knee replacement, every hospital in this dataset reports a gross charge of $0 and a cash price of $0, so actual gross-to-cash ratios cannot be calculated. The $0 values reflect missing or incomplete data, not real prices. The insured negotiated rates, which range from $1,950 to $40,109, give a better sense of what payers actually pay.

Does insurance cover a knee replacement?

Coverage depends on the specific plan and whether the plan considers the procedure medically necessary. Non-emergency surgeries like knee replacement commonly require prior authorization from the insurer. Negotiated rates for code 27447 vary widely across the 571 payer rates in this data, from $1,950 to $40,109. If you are on a high-deductible plan and have not met your deductible, you generally owe the negotiated rate for the procedure, not the gross charge, until the deductible is satisfied. Your plan documents or insurer can confirm your specific coverage and cost-sharing.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility fee covers the hospital's room, equipment, and staff, but surgical procedures involve additional separate bills. The surgeon's professional fee is billed separately from the hospital. The anesthesiologist also bills separately for anesthesia services. Other items such as pre-operative testing, post-operative physical therapy, and follow-up visits may also be billed separately. If a procedure is performed through the emergency department, separate ER facility fees apply. None of these additional fees are included in the prices shown on this page, and dollar amounts for them are not available in the source data.

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

AdventHealth Orlando has no published cash price for CPT 27447 Total Knee Replacement (Arthroplasty), and its gross charge is also missing. A blank or $0 entry means the data is missing, not that the procedure is free. The only published figures are insured rates, which run from $13,407.17 to $35,528.99 and cover the facility charge only.

What are the lowest and highest published insured prices for a knee replacement in Orlando?

The lowest insured rate in the Orlando price table is $1,950 at HCA Florida Osceola Hospital, and the highest is $40,109 at HCA Florida Lake Monroe Hospital, both for CPT 27447. These are facility charges only. Surgeon, anesthesia and implant billing are not included, and none of the 7 hospitals publishes a cash price.

What does Florida Blue pay for a knee replacement at Orlando hospitals?

Florida Blue's published rates for CPT 27447 range from $13,407.17 at AdventHealth Orlando to $28,970 at UCF Lake Nona Hospital, across 7 hospitals, with a median of $21,882. The highest is about 2x the lowest. These figures are facility charges only and do not include separate professional fees.

What is CPT code 27447 for knee replacement?

CPT 27447 is the billing code for Total Knee Replacement (Arthroplasty), and it is the only code on this Orlando page. All 7 hospitals list prices under it. Every figure shown is a facility charge, and gross charges and cash prices are missing for all 7 hospitals, so blanks should be read as missing data, not free care.

How much does Humana pay for a knee replacement at HCA Florida Lake Monroe Hospital?

The page does not show a Humana rate for HCA Florida Lake Monroe Hospital. Humana's published rates for CPT 27447 range from $5,957.97 at UF Health Leesburg Hospital to $14,077.52 at AdventHealth Orlando, across 9 hospitals, with a median of $11,000. These are facility charges only.