Hip or knee replacement (inpatient stay)
Facility: Santa Rosa Medical Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 FL hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $17,405 (about 1.2× the $14,044 Medicare rate). Santa Rosa Medical Center charges insurers about $27,308 — above the fair price. Located in Milton, FL.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,405. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $15,748 - $37,120 | 112% |
| Blue Cross Blue Shieldmajor | $15,748 - $46,250 | 112% |
| Aetnamajor | $15,748 - $46,739 | 112% |
| Cignamajor | $15,748 | 112% |
| Humanamajor | $15,433 - $15,748 | 110% |
| Ambetter (Centene) | $38,321 | 273% |
| Oscar Health | $38,014 | 271% |
| WellCare | $15,748 | 112% |
| + 4 smaller / regional plans | $16,034 - $32,067 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Santa Rosa Medical Center
Compare: Hip or knee replacement (inpatient stay) at other FL hospitals
- Palm Beach Gardens Medical Center · Palm Beach Gardens $9,376
- Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,614
- Ascension Sacred Heart Gulf · Port Saint Joe $11,774
- Sacred Heart Hospital · Pensacola $12,400
- Jay Hospital · Jay $14,553
- Gulf Breeze Hospital · Gulf Breeze $14,745
- Villages Regional Hospital, The · The Villages $15,040
- HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $15,054
Insurance negotiated median for the same procedure, sorted lowest first.