Cigna Knee Replacement Rates in San Antonio

Published Cigna negotiated rates for Knee Replacement at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$6,421

CHRISTUS Santa Rosa Alamo Heights

all plan types

Highest Rate

$26,331

Northeast Methodist Hospital

all plan types

Rate Spread

4x

across all plan types

Hospitals

15

with Cigna data

Cigna's negotiated rates for knee replacement surgery in San Antonio vary dramatically, with a 4x spread from $6,421 to $26,331 across 15 hospitals. The lowest rate at CHRISTUS Santa Rosa Alamo reflects new business pricing, while Northeast Methodist Hospital commands the highest rate. The median rate across all facilities is $21,798.

Why the range is so wide: Cigna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Cigna Knee Replacement Rates by Hospital

Hospital Lowest Cigna Rate
CHRISTUS Santa Rosa Alamo Heights $6,421
CHRISTUS Santa Rosa Medical Center $6,421
CHRISTUS Santa Rosa Westover Hills $6,421
CHRISTUS Santa Rosa New Braunfels $7,347
CHRISTUS Santa Rosa San Marcos $7,347
Methodist Hospital $19,889
Methodist Hospital Atascosa $19,889
Methodist Hospital Hill Country $19,889
Methodist Hospital Landmark $19,889
Methodist Hospital Westover Hills $19,889
Methodist Specialty and Transplant $19,889
Methodist Stone Oak Hospital $19,889
Methodist Texsan Hospital $19,889
Metropolitan Methodist Hospital $19,889
Northeast Methodist Hospital $19,889

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 San Antonio

View all Knee Replacement prices in San Antonio (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Cigna Knee Replacement in San Antonio?

The lowest Cigna negotiated rate for Knee Replacement in San Antonio is $6,421 at CHRISTUS Santa Rosa Alamo Heights, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $26,331 at Northeast Methodist Hospital, a 4x 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 San Antonio hospitals have published Cigna rates?

15 hospitals in the San Antonio 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