UHC Knee Replacement Rates in Austin

Published UnitedHealthcare negotiated rates for Knee Replacement at 6 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$12,234

BSW Medical Center Marble Falls

all plan types

Highest Rate

$17,086

BSW Medical Center Round Rock

all plan types

Rate Spread

across all plan types

Hospitals

with UnitedHealthcare data

UnitedHealthcare's negotiated knee replacement rates in Austin vary dramatically, with a $4,852 spread between the lowest rate of $12,234 at BSW Medical Center Marble Falls and the highest at $17,086. The lowest rates often reflect Medicaid or Medicare plans rather than commercial coverage. Across 6 Austin-area hospitals, the median rate sits at $13,538.

Why the range is so wide: UnitedHealthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

UnitedHealthcare Knee Replacement Rates by Hospital

Hospital	Lowest UnitedHealthcare Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Marble Falls	$12,234	Commercial	$13,346.15	2
BSW Medical Center Austin	$13,538.24	Medicare Advantage	$17,086	2
BSW Medical Center Buda	$13,538.24	Medicare Advantage	$17,086	2
BSW Medical Center Lakeway	$13,538.24	Medicare Advantage	$17,086	2
BSW Medical Center Pflugerville	$13,538.24	Medicare Advantage	$17,086	2
BSW Medical Center Round Rock	$13,538.24	Medicare Advantage	$17,086	2

Rates shown are UnitedHealthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all UnitedHealthcare 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 UnitedHealthcare Negotiated Rates

A negotiated rate is the price UnitedHealthcare 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 UnitedHealthcare 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 Austin

Blue Cross Blue Shield of Texas $12,185.62 - $21,421.28 6 hospitals Baylor Scott & White Health Plan $11,025.08 - $19,424.43 6 hospitals Cigna $5,388 - $6,339 6 hospitals Humana $11,605.35 - $14,887 6 hospitals

View all Knee Replacement prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Knee Replacement in Austin?

The lowest UnitedHealthcare negotiated rate for Knee Replacement in Austin is $12,234 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $17,086 at BSW Medical Center Round Rock. Commercial plan rates typically fall between these extremes.

Is the UnitedHealthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what UnitedHealthcare 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 UnitedHealthcare for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published UnitedHealthcare rates?

6 hospitals in the Austin area have published UnitedHealthcare 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 UnitedHealthcare directly.

Does UnitedHealthcare require prior authorization for knee replacement?

Almost all UnitedHealthcare plans require prior authorization for knee replacement surgery. Without authorization, UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare website: www.uhc.com