Superior Health Plan Knee Replacement Rates in San Antonio
Published Superior Health Plan negotiated rates for Knee Replacement at 11 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$948
Methodist Hospital
all plan types
Highest Rate
$12,081.69
CHRISTUS Santa Rosa Westover Hills
all plan types
Rate Spread
13x
across all plan types
Hospitals
11
with Superior Health Plan data
Superior Health Plan knee replacement rates in San Antonio vary dramatically, with a 13x spread between the lowest rate of $948 at Methodist Hospital and highest of $12,081 at CHRISTUS Santa Rosa Westover. The lowest rates typically apply to CHIP plans rather than commercial coverage. Across 11 hospitals, the median negotiated rate is $948.
Superior Health Plan Knee Replacement Rates by Hospital
| Hospital | Lowest Superior Health Plan Rate |
|---|---|
| Methodist Hospital | $948 |
| Methodist Hospital Atascosa | $948 |
| Methodist Hospital Hill Country | $948 |
| Methodist Specialty and Transplant | $948 |
| Methodist Stone Oak Hospital | $948 |
| Methodist Texsan Hospital | $948 |
| Metropolitan Methodist Hospital | $948 |
| Northeast Methodist Hospital | $948 |
| CHRISTUS Santa Rosa Medical Center | $11,605.35 |
| CHRISTUS Santa Rosa Alamo Heights | $12,081.69 |
| CHRISTUS Santa Rosa Westover Hills | $12,081.69 |
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 San Antonio
Frequently Asked Questions
Where is the lowest-cost Superior Health Plan Knee Replacement in San Antonio?
The lowest Superior Health Plan negotiated rate for Knee Replacement in San Antonio is $948 at Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,081.69 at CHRISTUS Santa Rosa Westover Hills, a 13x 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 San Antonio hospitals have published Superior Health Plan rates?
11 hospitals in the San Antonio 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