Knee Replacement Cost in Port St. Lucie, FL

How much does a knee replacement cost without insurance in Port St. Lucie?

Only one hospital on this page publishes a cash price for code 27447. Cleveland Clinic Martin North Hospital lists $5,096, with a gross charge of $7,840. HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital published no cash price, so their self-pay figures are missing data. The cash price covers the hospital facility charge only. Professional fees, such as the surgeon and anesthesia, are billed separately and are not included in these figures. Asking a hospital's billing office for a written estimate can clarify what is and is not included.

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

The gross charge is a list price that few patients actually pay, and hospitals often set cash prices as a discount from it. At Cleveland Clinic Martin North Hospital, the gross charge for code 27447 is $7,840 and the cash price is $5,096, which is 65% of gross. The other two hospitals on this page, HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital, show no usable gross charge or cash price because both were published as $0 or blank. That is missing data, so no cash-to-gross comparison can be made for them.

Does insurance cover a knee replacement?

Whether insurance covers a knee replacement depends on your specific plan, so the plan's own documents and its member services line are the source for that answer. This page shows negotiated facility rates for code 27447. At Cleveland Clinic Martin North Hospital, insured rates run from $992.70 to $49,724.51. At HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital, they run from $1,495 to $52,111. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until it is met.

Are there additional fees beyond the knee replacement facility charge?

The facility charge is only one part of the total cost. Separate bills commonly come from the surgeon, the anesthesiologist or anesthesia group, and the radiology or pathology services involved. Other bills may come from the implant or device supplier if billed outside the hospital, physical therapy, durable medical equipment such as a walker or brace, and prescriptions. Follow-up visits and any stay at a rehabilitation facility are also usually billed apart from the hospital facility fee. An itemized bill or estimate from each provider shows what each one charges.

What is the cash price for a knee replacement at Cleveland Clinic Martin North Hospital?

Cleveland Clinic Martin North Hospital publishes a cash price of $5,096 for CPT 27447, Total Knee Replacement (Arthroplasty). That is 65% of its $7,840 gross charge. This is a facility charge only, so surgeon, anesthesia and other professional fees are not included. It is the only cash price published on this page.

Which Port St. Lucie hospitals don't publish a cash price for knee replacement?

HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital have no published cash price for code 27447 on this page. Their gross charges are also listed as missing. A $0 or blank entry in hospital data means the figure was not reported, not that the service is free.

How much does Florida Blue pay for a knee replacement in Port St. Lucie?

Florida Blue's published facility rates for code 27447 in Port St. Lucie run from $1,214.06 at Cleveland Clinic Martin North Hospital to $24,677 at HCA Florida St. Lucie Hospital. The page lists a median of $22,715.50 across 3 hospitals. These figures cover the facility charge only.

What is CPT code 27447 and what does it cover on this page?

CPT 27447 is the billing code for Total Knee Replacement (Arthroplasty), the only code shown on this page. The prices listed under it are facility charges from 3 hospitals in Port St. Lucie. Surgeon, anesthesia and other professional bills are separate and are not included in these figures.