Oscar Health Knee Replacement Rates in San Antonio
Published Oscar Health negotiated rates for Knee Replacement at 9 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$26,187
Methodist Hospital
all plan types
Highest Rate
$26,187
Northeast Methodist Hospital
all plan types
Rate Spread
1x
across all plan types
Hospitals
9
with Oscar Health data
Oscar Health's negotiated rates for knee replacement show no price variation across San Antonio's 9 hospitals, with all facilities charging exactly $26,187. The lowest rate of $26,187 is available at Methodist Hospital through their BroadNetworkHIX plan, though rates can vary significantly by specific plan type and coverage level.
Oscar Health Knee Replacement Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Methodist Hospital | $26,187 |
| Methodist Hospital Atascosa | $26,187 |
| Methodist Hospital Landmark | $26,187 |
| Methodist Hospital Westover Hills | $26,187 |
| Methodist Specialty and Transplant | $26,187 |
| Methodist Stone Oak Hospital | $26,187 |
| Methodist Texsan Hospital | $26,187 |
| Metropolitan Methodist Hospital | $26,187 |
| Northeast Methodist Hospital | $26,187 |
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 San Antonio
Frequently Asked Questions
Where is the lowest-cost Oscar Health Knee Replacement in San Antonio?
The lowest Oscar Health negotiated rate for Knee Replacement in San Antonio is $26,187 at Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $26,187 at Northeast Methodist Hospital. 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 San Antonio hospitals have published Oscar Health rates?
9 hospitals in the San Antonio 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