Knee Replacement Cost in Miami, FL (2026): Average Prices & What You'll Pay
What does a knee replacement cost in Miami, FL?
Where you have a knee replacement done in Miami, FL swings the bill from $2,635 to $7,234 for identical care. The median cash price across 29 reporting hospitals is $5,396. The numbers are pulled directly from federally mandated hospital price transparency files. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, knee replacement in Miami, FL typically runs $2,635–$7,234, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. After the Part B deductible you generally pay 20% of the approved amount.
Read the full Medicare coverage guide →
Your personalized cost report includes:
- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
- ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
- ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
- ✓ A real patient billing breakdown, line by line
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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
Your personalized cost report includes:
- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
- ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
- ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email — click it to get your guide. No account required, no spam.
No insurance
The lowest posted price we found is HCA FLORIDA NORTHWEST HOSPITAL in Margate, FL at $2,050. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where knee replacement costs vary in Miami, FL
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.
Your personalized cost report includes:
- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
- ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
- ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Knee Replacement Providers in Miami, FL
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Hospital name hidden | Your City, FL | $845 | -$000 |
| 2 | Hospital name hidden | Your City, FL | $844 | -$000 |
| 3 | Hospital name hidden | Your City, FL | $843 | -$000 |
| 4 | Hospital name hidden | Your City, FL | $842 | -$000 |
| 5 | Oakwood Healthcare Inc | Wayne, FL | $2,201 | -$3,195 |
| 6 | University Of Miami Hosp & Clinics | Miami, FL | $2,268 | -$3,128 |
| 7 | Holy Cross Hospital-Ft. Lauderdale | Ft. Lauderdale, FL | $2,534 | -$2,862 |
| 8 | Hospital name hidden | Your City, FL | $838 | -$000 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 29 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- HCA FLORIDA NORTHWEST HOSPITAL is the lowest-cost option at $2,050 - $3,346 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $5,596, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
Florida has one of the most fragmented hospital markets in the country - HCA Healthcare (the nation's largest for-profit system, headquartered in Nashville), AdventHealth, BayCare, and dozens of independents compete aggressively in major metros. South Florida prices track higher than the rest of the state, driven by higher wage indices and a larger share of complex specialty care. Rural northern Florida has extensive critical access hospital coverage. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $15,154, including CORAL WEST COMMUNITY HOSPITAL at $22,208, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $5,396 versus $22,208 inpatient (about 4.1× more), so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$5,396 |
| Deductible met - 20% coinsurance | ~$1,079 |
| Out-of-network provider | $11,871+ |
Frequently asked questions: knee replacement costs in Miami, FL
How much does a knee replacement cost in Miami, FL?
The typical insurer-negotiated rate is $1,950, with most facilities between $717 and $3,235 (based on 29 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $129 to $22,208 across all 29 Miami, FL hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a knee replacement in Miami, FL?
Based on declared prices, the lowest-cost facility in our Miami, FL data is Mount Sinai Medical Center of Florida at about $129. By metro, Coral Gables has the lowest median ($4,897). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a knee replacement so much cheaper at some Miami, FL hospitals?
Prices vary up to 172.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Miami, FL, the median cash (self-pay) price is $5,596 versus a median negotiated rate of $1,950 - about 2.9× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a knee replacement in Miami, FL?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Miami, FL
Knee Replacement, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ambulatory surgery centers for the same knee replacement - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for knee replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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