Oscar Health Knee Replacement Rates in Houston
Published Oscar Health negotiated rates for Knee Replacement at 11 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$18,425
HCA Houston Healthcare Clear Lake
all plan types
Highest Rate
$18,425
HCA Houston Healthcare West
all plan types
Rate Spread
1x
across all plan types
Hospitals
11
with Oscar Health data
Oscar Health's negotiated rates for knee replacement surgery are identical across all 11 Houston hospitals at $18,425, showing no price variation. This uniform pricing eliminates the typical cost differences patients face when choosing between facilities, though rates may vary by specific plan type within Oscar's network.
Oscar Health Knee Replacement Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| HCA Houston Healthcare Clear Lake | $18,425 |
| HCA Houston Healthcare Conroe | $18,425 |
| HCA Houston Healthcare Kingwood | $18,425 |
| HCA Houston Healthcare Mainland | $18,425 |
| HCA Houston Healthcare Medical Center | $18,425 |
| HCA Houston Healthcare North Cypress | $18,425 |
| HCA Houston Healthcare Northwest | $18,425 |
| HCA Houston Healthcare Pearland | $18,425 |
| HCA Houston Healthcare Southeast | $18,425 |
| HCA Houston Healthcare Tomball | $18,425 |
| HCA Houston Healthcare West | $18,425 |
Rates shown are Oscar Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Oscar Health 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 Oscar Health Negotiated Rates
A negotiated rate is the price Oscar Health 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 Oscar Health 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 Oscar Health Knee Replacement in Houston?
The lowest Oscar Health negotiated rate for Knee Replacement in Houston is $18,425 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $18,425 at HCA Houston Healthcare West. Commercial plan rates typically fall between these extremes.
Is the Oscar Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Oscar Health 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 Oscar Health for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Oscar Health rates?
11 hospitals in the Houston area have published Oscar Health 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 Oscar Health directly.
Does Oscar Health require prior authorization for knee replacement?
Almost all Oscar Health plans require prior authorization for knee replacement surgery. Without authorization, Oscar Health 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 Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com