Knee Replacement Cost in Pensacola, FL

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

Among the two Pensacola hospitals on this page, only Santa Rosa Medical Center published a cash price for code 27447, listed at $23,494.02. HCA Florida West Hospital did not publish a cash price, so that field is missing data and not a price of $0. These amounts cover the hospital facility charge only. Surgeon, anesthesia and other professional fees are billed separately and are not included in the figure above. Prices are drawn from hospital price transparency files and may change, so confirming a current quote with the hospital's billing office is the way to get a figure for a specific situation.

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

The gross charge is a hospital's full list price, often set far above what anyone actually pays. At Santa Rosa Medical Center, the gross charge for code 27447 is $156,626.78, while the cash price is $23,494.02, which is 15% of gross. Cash prices typically reflect a discount the hospital applies for self-pay patients, and insurers negotiate their own rates that are usually much lower than the list price. HCA Florida West Hospital did not publish a gross charge or a cash price, so no comparison can be made there. Missing fields are data gaps, not zero-dollar prices.

Does insurance cover a knee replacement?

Whether a knee replacement is covered depends on the specific plan, so the plan's own documents and the insurer are the sources for coverage details. The hospital files show negotiated rates, not coverage decisions. At Santa Rosa Medical Center, insured rates for code 27447 run from $1,288.06 to $125,301.42. At HCA Florida West Hospital, they run from $1,950 to $45,365. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate for the facility charge until the deductible is satisfied.

Are there additional fees beyond the knee replacement facility charge?

The facility charge is only one part of the total bill for a knee replacement. Separate bills are typical for the surgeon's professional fee and for the anesthesiologist or anesthesia group. Other separate charges can come from radiology or imaging reads, pathology, and any implant or device vendors billed outside the facility. Post-surgery care may add physical therapy, durable medical equipment such as a walker or brace, prescriptions, and follow-up office visits. A skilled nursing or rehabilitation stay, if used, is billed by that facility. Each of these may come from a different provider and arrive as its own statement.

What is the cash price for knee replacement at Santa Rosa Medical Center?

Santa Rosa Medical Center publishes a cash price of $23,494.02 for code 27447, Total Knee Replacement (Arthroplasty). That is a facility charge only and is 15% of its gross charge of $156,626.78. Professional fees are not part of this figure, so the total bill may include other charges.

How much does UnitedHealthcare pay for a knee replacement in Pensacola hospitals?

UnitedHealthcare rates for knee replacement range from $6,052.95 at Baptist Hospital (Pensacola) to $45,365 at HCA Florida West Hospital, across 4 hospitals. The median is $45,365. The highest is about 7x the lowest. These are facility charges only and do not include surgeon or anesthesia fees.

What does CPT code 27447 mean on Pensacola hospital price lists?

Code 27447 is the billing code for Total Knee Replacement (Arthroplasty), the only code on this page. Both HCA Florida West Hospital and Santa Rosa Medical Center list prices under it. The amounts shown are facility charges, and a blank or $0 entry means the hospital did not publish that figure.