Superior Health Plan Knee Replacement Rates in Houston
Published Superior Health Plan negotiated rates for Knee Replacement at 19 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$948
HCA Houston Healthcare Clear Lake
all plan types
Highest Rate
$19,331.49
St Luke's The Woodlands
all plan types
Rate Spread
20x
across all plan types
Hospitals
19
with Superior Health Plan data
Superior Health Plan knee replacement rates in Houston vary dramatically, with a 20x spread between the lowest rate of $948 at HCA Clear Lake and highest of $19,331 at St. Luke's The Woodlands. The lowest rates often reflect CHIP or Medicaid pricing rather than commercial plans. Across 19 hospitals, the median negotiated rate sits at $948.
Superior Health Plan Knee Replacement Rates by Hospital
| Hospital | Lowest Superior Health Plan Rate |
|---|---|
| HCA Houston Healthcare Clear Lake | $948 |
| HCA Houston Healthcare Conroe | $948 |
| HCA Houston Healthcare Kingwood | $948 |
| HCA Houston Healthcare Mainland | $948 |
| HCA Houston Healthcare Medical Center | $948 |
| HCA Houston Healthcare North Cypress | $948 |
| HCA Houston Healthcare Northwest | $948 |
| HCA Houston Healthcare Pearland | $948 |
| HCA Houston Healthcare Southeast | $948 |
| HCA Houston Healthcare Tomball | $948 |
| HCA Houston Healthcare West | $948 |
| St Luke's Brazosport | $18,687.11 |
| Baylor St Luke's Medical Center | $19,331.49 |
| St Luke's Patients Medical Center | $19,331.49 |
| St Luke's Lakeside | $19,331.49 |
| St Luke's Springwoods Village | $19,331.49 |
| St Luke's Sugar Land | $19,331.49 |
| St Luke's The Vintage | $19,331.49 |
| St Luke's The Woodlands | $19,331.49 |
Rates shown are Superior Health Plan's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Superior Health Plan 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 Superior Health Plan Negotiated Rates
A negotiated rate is the price Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan Knee Replacement in Houston?
The lowest Superior Health Plan negotiated rate for Knee Replacement in Houston is $948 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $19,331.49 at St Luke's The Woodlands, a 20x difference. Commercial plan rates typically fall between these extremes.
Is the Superior Health Plan negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Superior Health Plan 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 Superior Health Plan for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Superior Health Plan rates?
19 hospitals in the Houston area have published Superior Health Plan 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 Superior Health Plan directly.
Does Superior Health Plan require prior authorization for knee replacement?
Almost all Superior Health Plan plans require prior authorization for knee replacement surgery. Without authorization, Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan website: www.superiorhealthplan.com