Aetna Knee Replacement Rates in San Antonio
Published Aetna negotiated rates for Knee Replacement at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$3,092
Methodist Hospital
all plan types
Highest Rate
$12,718.62
CHRISTUS Santa Rosa San Marcos
all plan types
Rate Spread
4x
across all plan types
Hospitals
15
with Aetna data
Aetna knee replacement rates in San Antonio vary dramatically, with a 4x spread between Methodist Hospital's $3,092 and CHRISTUS Santa Rosa San M's $12,719. The median rate across 15 hospitals is $4,894, though lowest rates often reflect Medicaid or Medicare plans rather than commercial coverage.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Methodist Hospital | $3,092 |
| Methodist Hospital Atascosa | $3,092 |
| Methodist Hospital Hill Country | $3,092 |
| Methodist Hospital Landmark | $3,092 |
| Methodist Hospital Westover Hills | $3,092 |
| Methodist Specialty and Transplant | $3,092 |
| Methodist Stone Oak Hospital | $3,092 |
| Methodist Texsan Hospital | $3,092 |
| Metropolitan Methodist Hospital | $3,092 |
| Northeast Methodist Hospital | $3,092 |
| CHRISTUS Santa Rosa Medical Center | $4,208 |
| CHRISTUS Santa Rosa New Braunfels | $4,376 |
| CHRISTUS Santa Rosa Alamo Heights | $4,797 |
| CHRISTUS Santa Rosa Westover Hills | $4,797 |
| CHRISTUS Santa Rosa San Marcos | $12,718.62 |
Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Understanding Aetna Negotiated Rates
A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for Knee Replacement in San Antonio
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in San Antonio?
The lowest Aetna negotiated rate for Knee Replacement in San Antonio is $3,092 at Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,718.62 at CHRISTUS Santa Rosa San Marcos, a 4x difference. Commercial plan rates typically fall between these extremes.
Is the Aetna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Aetna rates?
15 hospitals in the San Antonio area have published Aetna negotiated rates for Knee Replacement in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.
Does Aetna require prior authorization for knee replacement?
Almost all Aetna plans require prior authorization for knee replacement surgery. Without authorization, Aetna can deny the claim entirely. Start the approval process well before your planned surgery date and confirm what documentation your plan requires.
We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Aetna website: www.aetna.com