Imperial Insurance Knee Replacement Rates in San Antonio
Published Imperial Insurance negotiated rates for Knee Replacement at 10 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$12,765.89
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$14,186.91
Northeast Methodist Hospital
all plan types
Rate Spread
1x
across all plan types
Hospitals
10
with Imperial Insurance data
Imperial Insurance knee replacement rates in San Antonio range from $12,766 at CHRISTUS Santa Rosa Medical Center to $14,187 at Northeast Methodist Hospital. The relatively tight 1.1x spread between lowest and highest rates suggests consistent pricing across the metro area. Note that lowest negotiated rates often reflect government insurance rather than commercial plans.
Imperial Insurance Knee Replacement Rates by Hospital
| Hospital | Lowest Imperial Insurance Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $12,765.89 |
| CHRISTUS Santa Rosa Alamo Heights | $13,289.86 |
| CHRISTUS Santa Rosa Westover Hills | $13,289.86 |
| Methodist Hospital | $14,186.91 |
| Methodist Hospital Atascosa | $14,186.91 |
| Methodist Specialty and Transplant | $14,186.91 |
| Methodist Stone Oak Hospital | $14,186.91 |
| Methodist Texsan Hospital | $14,186.91 |
| Metropolitan Methodist Hospital | $14,186.91 |
| Northeast Methodist Hospital | $14,186.91 |
Rates shown are Imperial Insurance's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Imperial Insurance 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 Imperial Insurance Negotiated Rates
A negotiated rate is the price Imperial Insurance 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 Imperial Insurance 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 Imperial Insurance Knee Replacement in San Antonio?
The lowest Imperial Insurance negotiated rate for Knee Replacement in San Antonio is $12,765.89 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $14,186.91 at Northeast Methodist Hospital. Commercial plan rates typically fall between these extremes.
Is the Imperial Insurance negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Imperial Insurance 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 Imperial Insurance for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Imperial Insurance rates?
10 hospitals in the San Antonio area have published Imperial Insurance 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 Imperial Insurance directly.
Does Imperial Insurance require prior authorization for knee replacement?
Almost all Imperial Insurance plans require prior authorization for knee replacement surgery. Without authorization, Imperial Insurance 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 Imperial Insurance 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 Imperial Insurance 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 Imperial Insurance website: www.imperialinsurance.com