Community First Health Plans Knee Replacement Rates in San Antonio
Published Community First Health Plans negotiated rates for Knee Replacement at 10 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$365
Methodist Hospital
all plan types
Highest Rate
$365
Northeast Methodist Hospital
all plan types
Rate Spread
1x
across all plan types
Hospitals
10
with Community First Health Plans data
Community First Health Plans shows remarkably consistent knee replacement rates across San Antonio hospitals, with all 10 facilities charging exactly $365. This creates a 1x price spread with no variation between the lowest rate at Methodist Hospital and highest at Northeast Methodist Hospital, though these rates reflect CHIP coverage rather than standard commercial plans.
Community First Health Plans Knee Replacement Rates by Hospital
| Hospital | Lowest Community First Health Plans Rate |
|---|---|
| Methodist Hospital | $365 |
| Methodist Hospital Atascosa | $365 |
| Methodist Hospital Hill Country | $365 |
| Methodist Hospital Landmark | $365 |
| Methodist Hospital Westover Hills | $365 |
| Methodist Specialty and Transplant | $365 |
| Methodist Stone Oak Hospital | $365 |
| Methodist Texsan Hospital | $365 |
| Metropolitan Methodist Hospital | $365 |
| Northeast Methodist Hospital | $365 |
Rates shown are Community First Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Community First Health Plans 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 Community First Health Plans Negotiated Rates
A negotiated rate is the price Community First Health Plans 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 Community First Health Plans 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 Community First Health Plans Knee Replacement in San Antonio?
The lowest Community First Health Plans negotiated rate for Knee Replacement in San Antonio is $365 at Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $365 at Northeast Methodist Hospital. Commercial plan rates typically fall between these extremes.
Is the Community First Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Community First Health Plans 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 Community First Health Plans for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Community First Health Plans rates?
10 hospitals in the San Antonio area have published Community First Health Plans 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 Community First Health Plans directly.
Does Community First Health Plans require prior authorization for knee replacement?
Almost all Community First Health Plans plans require prior authorization for knee replacement surgery. Without authorization, Community First Health Plans 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 Community First Health Plans 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 Community First Health Plans 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 Community First Health Plans website: www.cfhp.com