Humana Knee Replacement Rates in Houston
Published Humana negotiated rates for Knee Replacement at 19 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$4,000
St Luke's Patients Medical Center
all plan types
Highest Rate
$26,130
HCA Houston Healthcare West
all plan types
Rate Spread
7x
across all plan types
Hospitals
19
with Humana data
Humana knee replacement rates in Houston vary dramatically across 19 hospitals, with a 7x spread from $4,000 to $26,130. The lowest rate appears at St Luke's Patients Medical under a Commercial HMO plan, while HCA West shows the highest negotiated rate. The median rate across all facilities is $14,000.
Humana Knee Replacement Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| St Luke's Patients Medical Center | $4,000 |
| St Luke's Lakeside | $4,000 |
| St Luke's Springwoods Village | $4,000 |
| St Luke's Sugar Land | $4,000 |
| St Luke's The Vintage | $4,000 |
| St Luke's The Woodlands | $4,000 |
| Baylor St Luke's Medical Center | $4,300 |
| St Luke's Brazosport | $12,887.66 |
| HCA Houston Healthcare Clear Lake | $14,000 |
| HCA Houston Healthcare Conroe | $14,000 |
| HCA Houston Healthcare Kingwood | $14,000 |
| HCA Houston Healthcare Mainland | $14,000 |
| HCA Houston Healthcare Medical Center | $14,000 |
| HCA Houston Healthcare North Cypress | $14,000 |
| HCA Houston Healthcare Northwest | $14,000 |
| HCA Houston Healthcare Pearland | $14,000 |
| HCA Houston Healthcare Southeast | $14,000 |
| HCA Houston Healthcare Tomball | $14,000 |
| HCA Houston Healthcare West | $14,000 |
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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 Humana Knee Replacement in Houston?
The lowest Humana negotiated rate for Knee Replacement in Houston is $4,000 at St Luke's Patients Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $26,130 at HCA Houston Healthcare West, a 7x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Humana rates?
19 hospitals in the Houston area have published Humana 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 Humana directly.
Does Humana require prior authorization for knee replacement?
Almost all Humana plans require prior authorization for knee replacement surgery. Without authorization, Humana 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 Humana 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 Humana 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 Humana website: www.humana.com