▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in FL
Hospitals
4
Min
$17,905
Median
$59,500
Max
$59,500
Range multiplier
3.3×
By payer (24 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 8 | $2,105 | $11,438 | $17,596 | 8.4× |
| UnitedHealthcare | 1 | 3 | $15,566 | $17,296 | $18,084 | 1.2× |
| Aetna | 2 | 3 | $18,442 | $44,626 | $59,500 | 3.2× |
| prime health services | 1 | 2 | $77,350 | $83,300 | $89,250 | 1.2× |
| Humana | 2 | 2 | $18,442 | $38,376 | $58,310 | 3.2× |
| facility billing - op | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| healthspring mcr replacement | 1 | 1 | $18,263 | $18,263 | $18,263 | 1.0× |
| ilumed aco reach | 1 | 1 | $59,500 | $59,500 | $59,500 | 1.0× |
| Medicare | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| occunet | 1 | 1 | $40,287 | $40,287 | $40,287 | 1.0× |
| Oscar Health | 1 | 1 | $28,648 | $28,648 | $28,648 | 1.0× |
| palm beach aco reach | 1 | 1 | $57,715 | $57,715 | $57,715 | 1.0× |
| simply healthcare | 1 | 1 | $59,500 | $59,500 | $59,500 | 1.0× |
| smarthealth | 1 | 1 | $18,084 | $18,084 | $18,084 | 1.0× |
| sunshine state health plan | 1 | 1 | $59,500 | $59,500 | $59,500 | 1.0× |
| triwest | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| velocity provider ppo network | 1 | 1 | $71,400 | $71,400 | $71,400 | 1.0× |
| WellCare | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| aarp mcr hmo | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| wellmed | 1 | 1 | $59,500 | $59,500 | $59,500 | 1.0× |
| alignment health | 1 | 1 | $59,500 | $59,500 | $59,500 | 1.0× |
| Ambetter | 1 | 1 | $29,544 | $29,544 | $29,544 | 1.0× |
| blue mcr replacement | 1 | 1 | $17,905 | $17,905 | $17,905 | 1.0× |
| Cigna | 1 | 1 | $11,580 | $11,580 | $11,580 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| PAM SPECIALTY HOSPITAL OF SARASOTA | SARASOTA | FL | 10 | — | — | $57,715 | $59,500 | $89,250 |
| EMERALD COAST BEHAVIORAL HOSPITAL | PANAMA CITY | FL | 16 | — | — | $2,105 | $17,905 | $44,626 |
| WELLINGTON REGL MEDICAL CENTER | WEST PALM BEACH | FL | 0 | — | — | — | — | — |
| LAKEWOOD RANCH MEDICAL CENTER | BRADENTON | FL | 0 | — | — | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.