Knee Replacement Cost in Houston, TX

This page displays published hospital pricing data for total knee replacement procedures in this metro area, sourced from CMS-mandated hospital transparency files that hospitals must publish annually. The facility fee covers operating room time, surgical equipment, implant devices, hospital staff, and post-operative recovery room care. This procedure is billed under HCPCS code 27447 for Total Knee Replacement (Arthroplasty), which represents the primary surgical billing code for this service.

Data last updated: 2026-02-28

Total Knee Replacement (Arthroplasty) (HCPCS 27447)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Baylor St Luke's Medical	$0	$0	$2,222	$41,884.89	Schedule →
HCA Clear Lake	$0	$0	$2,428	$42,583	Schedule →
HCA Conroe	$0	$0	$948	$46,412.77	Schedule →
HCA Kingwood	$0	$0	$4,255	$4,255	Schedule →
HCA Mainland	$0	$0	$2,428	$42,583	Schedule →
HCA Medical Center	$0	$0	$2,428	$45,698.73	Schedule →
HCA North Cypress	$0	$0	$2,428	$42,583	Schedule →
HCA Northwest	$0	$0	$948	$42,583	Schedule →
HCA Pearland	$0	$0	$12,000	$60,464	Schedule →
HCA Southeast	$0	$0	$2,428	$48,316.88	Schedule →
HCA Tomball	$0	$0	$2,428	$46,412.77	Schedule →
HCA West	$0	$0	$2,428	$42,583	Schedule →
Houston Methodist	$0	$0	$7,316	$51,588.74	Schedule →
St Luke's Brazosport	$0	$0	$3,723	$32,493.06	Schedule →
St Luke's Lakeside	$0	$0	$1,997	$41,884.89	Schedule →
St Luke's Patients Medica	$0	$0	$1,997	$22,849.36	Schedule →
St Luke's Springwoods Vil	$0	$0	$1,997	$41,884.89	Schedule →
St Luke's Sugar Land	$0	$0	$1,997	$41,884.89	Schedule →
St Luke's The Vintage	$0	$0	$1,997	$41,884.89	Schedule →
St Luke's The Woodlands	$0	$0	$1,997	$41,884.89	Schedule →

What These Prices Mean

Understanding the price columns: The gross charge represents the hospital's list price before any discounts. Cash prices and insured ranges for this procedure show $0 across all Houston hospitals, indicating incomplete pricing data in the transparency files. The insured ranges show the actual negotiated rates that insurance companies pay, which vary significantly. For example, Houston Methodist shows insured rates from $7,316 to $51,588.74, while HCA Kingwood shows a narrow range of $4,255 to $4,255. Patients on high-deductible health plans who have not met their deductible typically owe the negotiated insurance rate, not the gross charge. Code coverage details: HCPCS code 27447 encompasses the complete total knee replacement procedure, including removal of damaged joint surfaces, insertion of prosthetic components, and immediate post-operative care. This single code covers the entire surgical episode but does not include pre-operative consultations, physical therapy, or follow-up visits, which are billed separately under different codes.

Why Knee Replacement Prices Vary

Hospital pricing structures: Since gross charges and cash prices show $0 across facilities, the insured rate ranges reveal the actual pricing variations. The negotiated rates span dramatically, with some hospitals showing ranges as narrow as $4,255 to $4,255 at HCA Kingwood, while others like HCA Pearland range from $12,000 to $60,464. This 66-fold difference between the lowest and highest payer rates demonstrates how significantly insurance negotiations affect final costs. The variation reflects different hospital cost structures, market positioning, and negotiating power with insurers. Facility type and alternatives: The dataset includes major academic medical centers like Houston Methodist and Baylor St Luke's Medical Center, alongside community hospitals in the HCA network. Academic centers often command higher rates due to specialized services and teaching responsibilities. Outpatient surgery centers and specialty orthopedic hospitals, which are not included in this hospital transparency data, may offer different pricing structures for knee replacement procedures performed in those settings.

Paying cash? Health insurance could lower your Knee Replacement cost.

Published cash prices on this page range from $0 to $0. Insurers on this page have negotiated rates starting from $948, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Knee Replacement in Houston

How much does each insurance company pay for knee replacement at Houston hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Superior Health Plan	$948	HCA Houston Healthcare Clear Lake	$19,331.49	19
Aetna	$1,997	St Luke's Patients Medical Center	$19,990.64	31
Cigna	$3,309	Baylor St Luke's Medical Center	$62,486	20
Humana	$4,000	St Luke's Patients Medical Center	$26,130	19
UnitedHealthcare	$4,175	Baylor St Luke's Medical Center	$30,000	20
Blue Cross Blue Shield of Texas	$5,418.56	Baylor St Luke's Medical Center	$45,698.73	20
ProCare Advantage	$12,000	HCA Houston Healthcare Clear Lake	$14,831.76	22
Community Health Choice	$13,532.04	St Luke's Brazosport	$19,331.49	20

Rates shown are the lowest and highest negotiated rates each insurer has published across Houston hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Total Knee Replacement (Arthroplasty) (HCPCS 27447) at HCA Clear Lake, outpatient facility fee:

Total Knee Replacement (Arthroplasty) (27447), HCA Clear Lake Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
Superior Health Plan	CHIP	$948
Superior Health Plan	CHPFC	$948
Superior Health Plan	STAR	$948
Superior Health Plan	STARKids	$948
Superior Health Plan	STARPLUS	$948
Superior Health Plan	CHIP	$948
Superior Health Plan	CHPFC	$948
Superior Health Plan	STAR	$948
Superior Health Plan	STARKids	$948
Superior Health Plan	STARPLUS	$948
Superior Health Plan	CHIP	$948
Superior Health Plan	CHPFC	$948
Superior Health Plan	STAR	$948
Superior Health Plan	STARKids	$948
Superior Health Plan	STARPLUS	$948
Superior Health Plan	CHIP	$948
Superior Health Plan	CHPFC	$948
Superior Health Plan	STAR	$948
Superior Health Plan	STARKids	$948
Superior Health Plan	STARPLUS	$948
Fidelis SecureCare of TX	MGMCR	$2,115
Fidelis SecureCare of TX	MGMCR	$2,115
Fidelis SecureCare of TX	MGMCR	$2,115
Fidelis SecureCare of TX	MGMCR	$2,115
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	QHPExchange	$2,428
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	NBHMO	$3,227
Aetna	NBPOS	$3,227
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	COMMHMO	$3,428
Aetna	COMMPOS	$3,428
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	NBPPO	$3,552
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	COMMPPO	$3,774
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Aetna	OONHMO	$4,036
Aetna	OONPOS	$4,036
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Kelsey Care (Boon-Chapman)	COMM	$4,255
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	ASAHMO	$4,360
Aetna	ASAPOS	$4,360
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	OONPPO	$4,439
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
Aetna	ASAPPO	$4,796
American Health Plan	MGMCR	$12,000
ProCare Advantage	MGMCR	$12,000
Humana	MedicareAdvantageHMO	$14,000
Humana	MedicareAdvantagePPOPFFS	$14,000
Devoted Health	MGMCR	$16,121.49
Shared Health	MGMCR	$16,766.35
Oscar	HIX	$18,425
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	NarrowNetworkIndivExchange	$20,741
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
United	SmallGroup	$21,000
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
BCBS	MyBlueHealth	$23,920.43
Curative Administrators	COMM	$23,981
Evry Health	BroadNetwork	$24,561
Humana	HMO	$26,130
Humana	PPO	$26,130
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
United	AllPayerAppendix	$30,000
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	BAV	$34,274.04
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	EPOSOA	$35,702.13
BCBS	HMO	$35,702.13
BCBS	PPO	$35,702.13
BCBS	PPO	$35,702.13
Cigna	CSN	$37,841
Cigna	OpenAccessPlus	$40,998
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Healthcare Highways	NarrowNetwork	$42,583
Cigna	PPO	$48,747

Key finding: Superior Health Plan rates vary 66-fold, from $948 at HCA facilities to $62,486 for Cigna PPO plans.

How to Use This Information

✓ These are facility fees only. The physician's fee is billed separately.
✓ Contact your insurer or the hospital billing department for your specific out-of-pocket cost.
✓ Many hospitals offer financial assistance programs for patients who qualify.

Our methodology · Medical Disclaimer

What Patients Ask About Knee Replacement Costs

How much does a knee replacement cost without insurance in Houston?

The published cash prices for knee replacement show $0 at all Houston hospitals, suggesting incomplete data reporting in their transparency files. Based on the insured rate ranges, which reflect actual negotiated prices, costs vary significantly across facilities. HCA Kingwood shows the most consistent rate at $4,255, while other facilities range from $948 to $62,486 depending on the specific insurance plan. St Luke's Patients Medical Center shows some of the lower insured ranges from $1,997 to $22,849.36. These facility fees cover only the hospital portion of care and do not include surgeon fees, anesthesiologist fees, or other professional services, which are billed separately by the individual physicians involved in the procedure.

Why is the gross charge so much higher than the cash price?

The gross charge data shows $0 for all hospitals in this dataset, indicating incomplete reporting of their standard list prices. Typically, gross charges represent the hospital's official price list before any negotiated discounts. These chargemaster prices are rarely paid by anyone, as insurance companies negotiate significantly lower rates and cash-paying patients often receive substantial discounts. The insured rate ranges shown here, spanning from $948 to $62,486, demonstrate the actual prices paid after negotiations. Even uninsured patients usually receive discounted rates well below the gross charges. The wide variation in negotiated rates reflects the complex relationship between hospitals and different insurance plans, with some insurers securing much better pricing than others for the identical procedure.

Does insurance cover a knee replacement?

Insurance coverage for knee replacement typically depends on your specific plan's coverage requirements. The insured rate data shows significant variation, with some plans paying as little as $948 while others pay up to $62,486 for the same procedure at Houston hospitals. Many insurance plans require prior authorization for elective orthopedic procedures before approving coverage. Patients enrolled in high-deductible health plans who have not yet met their annual deductible will be responsible for paying the full negotiated rate shown in the insured ranges, not the higher gross charges. Copayments and coinsurance amounts vary by individual plan design and can represent substantial out-of-pocket costs even with insurance coverage.

Are there additional fees beyond the knee replacement facility charge?

The facility charges shown cover only the hospital's fees for the operating room, equipment, implants, and nursing care during the procedure and immediate recovery. Knee replacement surgery involves several additional professional fees billed separately. The orthopedic surgeon bills separately for the surgical procedure itself, pre-operative consultations, and post-operative follow-up visits. An anesthesiologist bills separately for administering anesthesia during the surgery. If complications arise requiring emergency department evaluation, separate ER facility fees would apply. Physical therapy, occupational therapy, and rehabilitation services following discharge are also billed separately. Pre-operative testing such as blood work, X-rays, or cardiac clearance examinations generate separate charges. These additional professional and ancillary service fees can represent a significant portion of the total cost for knee replacement surgery beyond the hospital facility fee shown in the transparency data.

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Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Baylor St Luke's Medical Center

File updated: 2026-02-28 · Accessed by us: 2026-04-13

We are not affiliated with Baylor St Luke's Medical Center. Published prices may not reflect your actual cost. Disclaimer