Molina Healthcare Knee Replacement Rates in San Antonio
Published Molina Healthcare negotiated rates for Knee Replacement at 11 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$11,605.35
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$15,476.63
Northeast Methodist Hospital
all plan types
Rate Spread
1x
across all plan types
Hospitals
11
with Molina Healthcare data
Molina Healthcare knee replacement rates in San Antonio range from $11,605 at CHRISTUS Santa Rosa Medical Center to $15,477 at Northeast Methodist Hospital across 11 facilities. The lowest rate applies to a Medicare Advantage plan rather than commercial coverage. The median rate stands at $15,477 with a relatively narrow 1.3x spread between facilities.
Molina Healthcare Knee Replacement Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $11,605.35 |
| CHRISTUS Santa Rosa Alamo Heights | $12,081.69 |
| CHRISTUS Santa Rosa Westover Hills | $12,081.69 |
| Methodist Hospital | $15,476.63 |
| Methodist Hospital Hill Country | $15,476.63 |
| Methodist Hospital Landmark | $15,476.63 |
| Methodist Specialty and Transplant | $15,476.63 |
| Methodist Stone Oak Hospital | $15,476.63 |
| Methodist Texsan Hospital | $15,476.63 |
| Metropolitan Methodist Hospital | $15,476.63 |
| Northeast Methodist Hospital | $15,476.63 |
Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare Negotiated Rates
A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare Knee Replacement in San Antonio?
The lowest Molina Healthcare negotiated rate for Knee Replacement in San Antonio is $11,605.35 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $15,476.63 at Northeast Methodist Hospital. Commercial plan rates typically fall between these extremes.
Is the Molina Healthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Molina Healthcare rates?
11 hospitals in the San Antonio area have published Molina Healthcare 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 Molina Healthcare directly.
Does Molina Healthcare require prior authorization for knee replacement?
Almost all Molina Healthcare plans require prior authorization for knee replacement surgery. Without authorization, Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com