Cigna Knee Replacement Rates in Houston
Published Cigna negotiated rates for Knee Replacement at 20 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$3,309
Baylor St Luke's Medical Center
all plan types
Highest Rate
$62,486
HCA Houston Healthcare Southeast
all plan types
Rate Spread
19x
across all plan types
Hospitals
20
with Cigna data
Cigna knee replacement rates in Houston vary dramatically, with a 19x spread from $3,309 at Baylor St Luke's Medical to $62,486 at HCA Southeast. The lowest rate is for a Surefit commercial plan, though Medicare and Medicaid rates often differ significantly from commercial pricing. The median negotiated rate across 20 Houston hospitals is $19,331.
Cigna Knee Replacement Rates by Hospital
| Hospital | Lowest Cigna Rate |
|---|---|
| Baylor St Luke's Medical Center | $3,309 |
| St Luke's Patients Medical Center | $3,309 |
| St Luke's Lakeside | $3,309 |
| St Luke's Springwoods Village | $3,309 |
| St Luke's Sugar Land | $3,309 |
| St Luke's The Vintage | $3,309 |
| St Luke's The Woodlands | $3,309 |
| St Luke's Brazosport | $3,723 |
| Houston Methodist Hospital | $13,284.1 |
| HCA Houston Healthcare Clear Lake | $37,841 |
| HCA Houston Healthcare Mainland | $37,841 |
| HCA Houston Healthcare Conroe | $46,937 |
| HCA Houston Healthcare Medical Center | $46,937 |
| HCA Houston Healthcare Pearland | $46,937 |
| HCA Houston Healthcare Tomball | $46,937 |
| HCA Houston Healthcare West | $46,937 |
| HCA Houston Healthcare Kingwood | $48,506 |
| HCA Houston Healthcare North Cypress | $48,506 |
| HCA Houston Healthcare Northwest | $48,506 |
| HCA Houston Healthcare Southeast | $48,506 |
Rates shown are Cigna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Cigna 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 Cigna Negotiated Rates
A negotiated rate is the price Cigna 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 Cigna 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 Houston
Frequently Asked Questions
Where is the lowest-cost Cigna Knee Replacement in Houston?
The lowest Cigna negotiated rate for Knee Replacement in Houston is $3,309 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $62,486 at HCA Houston Healthcare Southeast, a 19x difference. Commercial plan rates typically fall between these extremes.
Is the Cigna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Cigna 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 Cigna for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Cigna rates?
20 hospitals in the Houston area have published Cigna 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 Cigna directly.
Does Cigna require prior authorization for knee replacement?
Almost all Cigna plans require prior authorization for knee replacement surgery. Without authorization, Cigna 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 Cigna 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 Cigna 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 Cigna website: www.cigna.com