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Florida

Cost of a Knee Replacement Surgery Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's position as the nation's largest ambulatory surgery center market creates unique cost dynamics for orthopedic procedures. Knee Replacement Surgery patients in Florida typically encounter negotiated rates ranging from $35 to $2,438, with a median cost of $55 across 4,375 active providers statewide. The Sunshine State's concentration of specialized orthopedic facilities and year-round influx of medical tourists contributes to competitive pricing structures for joint replacement procedures, allowing patients to browse extensive provider networks throughout Florida's major metropolitan areas.

Average

$843

Median

$55

Lowest

$35

Highest

$2,438

Providers

4,375

National avg: $2,275Florida: $843

63% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

How does knee replacement compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Hip Replacement

Total hip replacement (arthroplasty)

27130$35$55$2,3914,789
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$35$55$9644,841
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$35$55$9804,406
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$35$55$1,1914,594
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$35$55$1,0645,363
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$976$2,2653,427
Septoplasty

Nasal septum repair

30520$35$55$9384,395
Tonsillectomy

Tonsillectomy, primary or secondary

42820$35$55$5054,801
Inguinal Hernia Repair

Inguinal hernia repair

49505$35$55$9204,365
Mastectomy

Partial or simple mastectomy

19301$85$688$1,5363,378
Carpal Tunnel Surgery

Open carpal tunnel release

64721$35$55$7334,392

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27447 — Total knee arthroplasty). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 27447 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27447 (Total knee arthroplasty), as mandated by the CMS Price Transparency Rule.

What CPT 27447 covers: the provider's professional fee for knee replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Florida

These hospitals in Florida are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

MAYO CLINIC

JACKSONVILLE, FL

4/5
91% would recommend947 patient surveys
SARASOTA MEMORIAL HOSPITAL - VENICE

NORTH VENICE, FL

4/5
87% would recommend2,243 patient surveys
HCA FLORIDA TWIN CITIES HOSPITAL

NICEVILLE, FL

4/5
84% would recommend402 patient surveys
BAYCARE HOSPITAL WESLEY CHAPEL

WESLEY CHAPEL, FL

4/5
83% would recommend327 patient surveys
GULF BREEZE HOSPITAL

GULF BREEZE, FL

4/5
82% would recommend449 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Knee Replacement Surgery Visit Costs Vary Across Florida

Florida's healthcare costs run approximately 2% above national averages, reflecting the state's position as a premier destination for orthopedic care and medical tourism. The concentration of specialized joint replacement centers and the nation's largest ambulatory surgery center market creates unique pricing dynamics that benefit from both competition and clinical excellence.

Urban vs. Rural Provider Availability

Florida's population centers along the I-4 corridor from Tampa to Orlando to Jacksonville, plus the Miami-Fort Lauderdale metroplex, concentrate most specialized Knee Replacement Surgery providers, leaving rural counties in the Panhandle and central regions with limited local options. Patients in rural areas often travel to major metropolitan areas for joint replacement consultations and surgery, potentially increasing overall episode costs through travel and lodging expenses. The state's geography creates access disparities between coastal urban areas rich in orthopedic specialists and interior counties served primarily by general orthopedic surgeons.

Facility Type and Overhead Costs

Florida's leadership in ambulatory surgery centers provides patients with cost-effective alternatives to traditional hospital-based joint replacement surgery, with many ASCs specializing exclusively in orthopedic procedures. Major health systems like AdventHealth, Baptist Health, and HCA Florida operate extensive networks of hospital-owned orthopedic clinics that typically carry higher facility fees than independent practices. The state's competitive ASC market drives innovation in bundled payment models and transparent pricing for elective procedures like knee replacement.

Insurance Market Competition in Florida

The presence of major insurers UHC, BCBS FL, and Aetna creates moderate competition in Florida's insurance marketplace, though market concentration varies significantly by region with some rural counties having limited insurer options. BCBS FL's historically strong provider networks compete with UHC's aggressive pricing strategies and Aetna's focus on Medicare Advantage plans popular among the state's large retiree population. This competitive landscape produces varied negotiated rates for orthopedic services, with some insurers securing better deals at specific health systems or surgery centers.

Physician Supply and Demand in Florida

Florida's 4,375 active Knee Replacement Surgery providers represent robust physician supply relative to most states, driven by the combination of medical tourism, an aging population, and favorable practice conditions for specialists. This substantial provider network suggests adequate capacity to meet demand without the supply-driven pricing pressures seen in physician-shortage states. However, the concentration of high-volume joint replacement surgeons in major metropolitan areas can create wait time disparities and premium pricing for the most sought-after specialists, particularly during peak winter months when seasonal residents seek elective procedures.

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Prescriptions, lab orders, and referrals — instantly

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Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Knee Replacement Surgery Costs in Florida

What is the average cost of a Knee Replacement Surgery visit in Florida without insurance?

Uninsured patients in Florida can expect Knee Replacement Surgery consultation costs ranging from $35 to $2,438 based on negotiated rate data, with a median cost of $55 across providers statewide. Self-pay patients often receive discounts from these published rates, particularly at independent practices and ambulatory surgery centers. Many orthopedic practices in Florida offer payment plans or bundled pricing for uninsured patients planning joint replacement surgery. The wide cost variation reflects differences between simple consultations and complex evaluations requiring imaging or injection procedures.

Does Florida Medicaid cover Knee Replacement Surgery visits?

Florida Medicaid covers medically necessary orthopedic consultations and joint replacement surgery for eligible beneficiaries, though the state's decision not to expand Medicaid leaves coverage gaps for many low-income adults. Traditional Medicaid in Florida covers pregnant women, children, elderly, and disabled individuals who meet strict income requirements. Medicaid patients may face longer wait times for elective procedures due to lower reimbursement rates, but emergency orthopedic care remains accessible. Prior authorization requirements apply to most non-urgent orthopedic procedures under Florida Medicaid.

How do I find an affordable Knee Replacement Surgery near me in Florida?

Compare costs across Florida's extensive network of ambulatory surgery centers, which often provide more affordable options than hospital-based clinics for orthopedic consultations. Many practices offer self-pay discounts ranging from 20-40% off standard rates, particularly beneficial for patients with high-deductible insurance plans. Community health centers in underserved areas of Florida provide sliding-scale fees based on income, though specialized orthopedic services may require referrals to partner facilities. Consider practices that participate in direct-pay programs or offer transparent pricing for both consultations and potential surgical procedures.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Knee Replacement Surgery consultations typically cost more than follow-up visits due to comprehensive evaluations, detailed histories, and often include review of imaging studies or diagnostic tests. Based on the available data showing consultation costs ranging from $35 to $2,438, initial visits generally fall toward the higher end of this spectrum. Follow-up visits for established patients usually involve shorter appointments focused on treatment progress, surgical planning, or post-operative care, resulting in lower fees. The cost differential can be substantial, making it important to understand your insurance coverage for both new and established patient visit codes.

Can I use an HSA or FSA to pay for a Knee Replacement Surgery visit in Florida?

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary orthopedic consultations and related expenses like imaging studies or injection procedures. Qualified medical expenses include consultation fees, diagnostic tests, and travel costs for medical care if you need to visit specialists in other Florida cities. Keep detailed records of all orthopedic-related expenses, including parking fees and mileage, as these may also qualify for HSA/FSA reimbursement. Consult your plan administrator about specific coverage rules, as some cosmetic or elective procedures may not qualify for tax-advantaged account payments.

How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Florida?

Telemedicine consultations for orthopedic care typically cost 20-30% less than in-person visits, though physical examination limitations make virtual visits more suitable for follow-up appointments or initial screenings. Florida's telemedicine regulations expanded during the pandemic, allowing more orthopedic practices to offer remote consultations for routine care management and surgical planning discussions. Insurance coverage for orthopedic telemedicine varies, with some plans treating virtual visits the same as in-person consultations while others apply different copay structures. Complex cases requiring physical examination, joint manipulation, or injection procedures still necessitate in-person visits, limiting telemedicine's cost-saving potential for comprehensive orthopedic evaluations.

Click a state to compare costs

Average Visit Cost

$843
$4,785

Office visit (CPT 27447)

Compare With Other States

RankStateAverage↓
1Wisconsin
Range: $73 – $10,559
$4,785
2Rhode Island
Range: $1,136 – $6,051
$3,170
3Alaska
Range: $1,136 – $6,451
$3,152
4Massachusetts
Range: $1,061 – $6,051
$3,102
5Connecticut
Range: $909 – $6,051
$2,917
6Delaware
Range: $1,005 – $6,051
$2,914
7Montana
Range: $92 – $6,877
$2,879
8Pennsylvania
Range: $909 – $6,051
$2,837
9Wyoming
Range: $1,657 – $4,492
$2,807
10South Dakota
Range: $1,099 – $5,330
$2,798
11Georgia
Range: $1,131 – $5,082
$2,783
12New York
Range: $898 – $6,051
$2,746
13Minnesota
Range: $873 – $5,078
$2,705
14New Hampshire
Range: $1,433 – $4,078
$2,650
15Iowa
Range: $95 – $4,753
$2,594
16West Virginia
Range: $1,204 – $4,734
$2,556
17Nebraska
Range: $1,637 – $3,009
$2,527
18Washington
Range: $1,606 – $3,703
$2,474
19New Jersey
Range: $952 – $4,588
$2,321
20New Mexico
Range: $1,216 – $3,606
$2,318
21North Carolina
Range: $1,136 – $3,785
$2,311
22Maine
Range: $1,713 – $2,689
$2,297
23Oregon
Range: $1,116 – $3,635
$2,288
24District of Columbia
Range: $1,061 – $3,475
$2,286
25Colorado
Range: $1,136 – $3,475
$2,220
26North Dakota
Range: $1,198 – $3,475
$2,189
27Utah
Range: $842 – $2,906
$2,184
28Kentucky
Range: $977 – $3,564
$2,126
29Michigan
Range: $1,136 – $3,355
$2,121
30Maryland
Range: $1,204 – $3,475
$2,015
31Idaho
Range: $1,061 – $3,049
$2,001
32Indiana
Range: $90 – $4,087
$1,966
33Hawaii
Range: $1,018 – $2,946
$1,953
34Vermont
Range: $958 – $3,286
$1,900
35South Carolina
Range: $1,060 – $3,108
$1,898
36Mississippi
Range: $1,039 – $3,303
$1,895
37Illinois
Range: $85 – $3,789
$1,884
38Arkansas
Range: $1,138 – $2,603
$1,878
39Texas
Range: $1,056 – $3,006
$1,877
40California
Range: $75 – $3,286
$1,863
41Nevada
Range: $1,136 – $2,632
$1,853
42Alabama
Range: $964 – $2,946
$1,845
43Tennessee
Range: $1,147 – $2,647
$1,843
44Missouri
Range: $1,272 – $2,246
$1,811
45Virginia
Range: $976 – $2,946
$1,798
46Louisiana
Range: $989 – $2,664
$1,757
47Kansas
Range: $1,272 – $2,223
$1,698
48Ohio
Range: $848 – $2,491
$1,603
49Arizona
Range: $1,097 – $2,276
$1,503
50Oklahoma
Range: $85 – $2,533
$1,311
51Florida
Range: $35 – $2,438
$843
Knee Replacement in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming