BCBS Texas Knee Replacement Rates in San Antonio
Published Blue Cross Blue Shield of Texas negotiated rates for Knee Replacement at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$10,591.63
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$46,888.8
Northeast Methodist Hospital
all plan types
Rate Spread
4x
across all plan types
Hospitals
15
with Blue Cross Blue Shield of Texas data
Blue Cross Blue Shield of Texas knee replacement rates in San Antonio vary dramatically, with a 4x spread from $10,592 at CHRISTUS Santa Rosa Medical to $46,889 at Northeast Methodist Hospital. The lowest rate comes from a BlueAdvantage HMO plan, while the median sits at $39,510 across 15 hospitals.
Blue Cross Blue Shield of Texas Knee Replacement Rates by Hospital
| Hospital | Lowest Blue Cross Blue Shield of Texas Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $10,591.63 |
| CHRISTUS Santa Rosa New Braunfels | $10,591.63 |
| CHRISTUS Santa Rosa Alamo Heights | $10,829.65 |
| CHRISTUS Santa Rosa Westover Hills | $10,829.65 |
| CHRISTUS Santa Rosa San Marcos | $14,280.85 |
| Methodist Hospital | $25,467.52 |
| Methodist Hospital Atascosa | $25,467.52 |
| Methodist Hospital Hill Country | $25,467.52 |
| Methodist Hospital Landmark | $25,467.52 |
| Methodist Hospital Westover Hills | $25,467.52 |
| Methodist Specialty and Transplant | $25,467.52 |
| Methodist Stone Oak Hospital | $25,467.52 |
| Methodist Texsan Hospital | $25,467.52 |
| Metropolitan Methodist Hospital | $25,467.52 |
| Northeast Methodist Hospital | $25,467.52 |
Rates shown are Blue Cross Blue Shield of Texas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas Negotiated Rates
A negotiated rate is the price Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas Knee Replacement in San Antonio?
The lowest Blue Cross Blue Shield of Texas negotiated rate for Knee Replacement in San Antonio is $10,591.63 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $46,888.8 at Northeast Methodist Hospital, a 4x difference. Commercial plan rates typically fall between these extremes.
Is the Blue Cross Blue Shield of Texas negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Blue Cross Blue Shield of Texas rates?
15 hospitals in the San Antonio area have published Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas directly.
Does Blue Cross Blue Shield of Texas require prior authorization for knee replacement?
Almost all Blue Cross Blue Shield of Texas plans require prior authorization for knee replacement surgery. Without authorization, Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas website: www.bcbstx.com