Healthcare Highways Knee Replacement Rates in San Antonio
Published Healthcare Highways negotiated rates for Knee Replacement at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$6,552
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$39,387
Northeast Methodist Hospital
all plan types
Rate Spread
6x
across all plan types
Hospitals
15
with Healthcare Highways data
Knee replacement rates across San Antonio's 15 hospitals vary dramatically, with a 6x spread from $6,552 to $39,387. The lowest rate of $6,552 is available at CHRISTUS Santa Rosa Medical Center through a PPO plan, though lowest rates often reflect Medicaid or Medicare pricing rather than commercial rates. The median rate stands at $39,387.
Healthcare Highways Knee Replacement Rates by Hospital
| Hospital | Lowest Healthcare Highways Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $6,552 |
| CHRISTUS Santa Rosa Alamo Heights | $6,782 |
| CHRISTUS Santa Rosa New Braunfels | $6,782 |
| CHRISTUS Santa Rosa Westover Hills | $6,782 |
| CHRISTUS Santa Rosa San Marcos | $31,547.18 |
| Methodist Hospital | $39,387 |
| Methodist Hospital Atascosa | $39,387 |
| Methodist Hospital Hill Country | $39,387 |
| Methodist Hospital Landmark | $39,387 |
| Methodist Hospital Westover Hills | $39,387 |
| Methodist Specialty and Transplant | $39,387 |
| Methodist Stone Oak Hospital | $39,387 |
| Methodist Texsan Hospital | $39,387 |
| Metropolitan Methodist Hospital | $39,387 |
| Northeast Methodist Hospital | $39,387 |
Rates shown are Healthcare Highways's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Healthcare Highways 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 Healthcare Highways Negotiated Rates
A negotiated rate is the price Healthcare Highways 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 Healthcare Highways 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 Healthcare Highways Knee Replacement in San Antonio?
The lowest Healthcare Highways negotiated rate for Knee Replacement in San Antonio is $6,552 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $39,387 at Northeast Methodist Hospital, a 6x difference. Commercial plan rates typically fall between these extremes.
Is the Healthcare Highways negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Healthcare Highways 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 Healthcare Highways for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Healthcare Highways rates?
15 hospitals in the San Antonio area have published Healthcare Highways 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 Healthcare Highways directly.
Does Healthcare Highways require prior authorization for knee replacement?
Almost all Healthcare Highways plans require prior authorization for knee replacement surgery. Without authorization, Healthcare Highways 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 Healthcare Highways 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 Healthcare Highways 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 Healthcare Highways website: www.healthcarehighways.com