What Florida insurers pay for orthopedic and spine procedures

Written by Eric Oliver | November 08, 2019 | Print  |

The Florida Agency for Health Care Administration on Nov. 4 revamped its price transparency tool to provide citizens access to facility-specific cost information.

The agency has pricing information for 44 of the most common nonemergency hospital and ASC-based procedures. It also has cost averages for more than 200 office- or clinic-based services. The agency determined its pricing information by averaging 67.6 million insurance claims. The estimates presented below were based on paid claims data from Jan. 1, 2016, to Dec. 31, 2017.

Here is the average pricing information for six orthopedic and spine procedures:

Knee replacement:
National average: $36,206
Florida state average: $36,917

Knee arthroscopy with ACL surgery:
National average: $14,035
Florida state average: $19,228

Knee arthroscopy with meniscus surgery:
National average: $7,931
Florida state average: $6,483

Lumbar fusion:
National average: $69,333
Florida state average: $73,960

Lumbar laminectomy:
National average: $67,861
Florida state average: $72,779

Lumbar discectomy:
National average: $25,121
Florida state average: $28,652

More articles on orthopedics: 
Dr. Sergiy Nesterenko opens spine clinic in Texas
California hospital adds 7 neurosurgeons to curb patient leakage
Drs. Nic Gay, Kerisimasi Reynolds team to form Silicon Valley Orthopaedics 

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies here.

Top 40 Articles from the Past 6 Months