Knee Replacement Cost in San Antonio, TX
Total knee replacement (arthroplasty) is a surgical procedure that removes damaged portions of the knee joint and replaces them with artificial implants made of metal and plastic components. The surgeon removes the damaged cartilage and bone from the thighbone, shinbone, and kneecap, then positions new metal and plastic joint surfaces to restore knee function and alignment. The facility fee covers the hospital room, operating suite, surgical equipment, implants, nursing staff, and post-operative recovery services. These prices come from CMS-mandated hospital transparency files that hospitals must publish annually. The procedure is billed under HCPCS code 27447 for Total Knee Replacement (Arthroplasty).
Data last updated: 2026-01-12
Total Knee Replacement (Arthroplasty) (HCPCS 27447)
What These Prices Mean
Most hospitals in this analysis show incomplete pricing data with $0 gross charges and cash prices, making meaningful comparisons difficult. However, CHRISTUS Santa Rosa Medical Center provides a cash price of $4,736.55. The insured rate ranges vary significantly, from as low as $948 to as high as $46,888.8 depending on the hospital and insurance plan. Patients on high-deductible health plans who have not met their annual deductible will owe the negotiated insurance rate, not the gross charge. Single billing code coverage
Code 27447 encompasses the complete total knee replacement procedure, including the surgical removal of damaged joint surfaces, placement of prosthetic components, and immediate post-operative care. This comprehensive code covers all aspects of the arthroplasty procedure performed during the surgical session, from initial joint preparation through final implant positioning and surgical closure.
Why Knee Replacement Prices Vary
The available cash price data is limited, with only CHRISTUS Santa Rosa Medical Center providing a transparent cash price of $4,736.55. Insured rate ranges show dramatic variation, with some hospitals negotiating rates as low as $948 while others reach $46,888.8 with certain insurers. This 128-fold difference between the lowest and highest payer rates demonstrates the significant impact of insurance contract negotiations on final costs. Facility type and alternatives
The hospitals in this dataset include various facility types within major health systems, including specialty orthopedic centers and general acute care hospitals. Academic medical centers and specialty surgical facilities may have different pricing structures based on their patient mix, teaching responsibilities, and specialized equipment. Outpatient surgery centers and ambulatory surgical facilities, which are not included in this hospital pricing dataset, may offer different cost structures for appropriate candidates.
Paying cash? Health insurance could lower your Knee Replacement cost.
Published cash prices on this page range from $4,736.55 to $4,736.55. Insurers on this page have negotiated rates starting from $365, 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.
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.
What Insurers Actually Pay
Published negotiated rates for Total Knee Replacement (Arthroplasty) (HCPCS 27447) at Methodist Hospital, outpatient facility fee:
Total Knee Replacement (Arthroplasty) (27447), Methodist Hospital Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Community First Health Plans | CHIP | $365 |
| Community First Health Plans | CHIPPerinate | $365 |
| Community First Health Plans | MCDSTAR | $365 |
| Superior Health | CHIP | $948 |
| Superior Health | CHPFC | $948 |
| Superior Health | STAR | $948 |
| Superior Health | STARKids | $948 |
| Superior Health | STARPLUS | $948 |
| Superior Health | CHIP | $948 |
| Superior Health | CHPFC | $948 |
| Superior Health | STAR | $948 |
| Superior Health | STARKids | $948 |
| Superior Health | STARPLUS | $948 |
| Superior Health | CHIP | $948 |
| Superior Health | CHPFC | $948 |
| Superior Health | STAR | $948 |
| Superior Health | STARKids | $948 |
| Superior Health | STARPLUS | $948 |
| Superior Health | CHIP | $948 |
| Superior Health | CHPFC | $948 |
| Superior Health | STAR | $948 |
| Superior Health | STARKids | $948 |
| Superior Health | STARPLUS | $948 |
| Fidelis SecureCare | MGMCR | $2,115 |
| Fidelis SecureCare | MGMCR | $2,115 |
| Fidelis SecureCare | MGMCR | $2,115 |
| Fidelis SecureCare | MGMCR | $2,115 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | QHPHIX | $3,092 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NarrowNetwork | $4,312 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | NewBusinessRates | $4,894 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | CommercialBaseNetwork | $4,986 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Aetna | OON | $5,868 |
| Clover Insurance | MCR | $10,600 |
| American Health Plan of Texas | MGMCRHMO | $12,000 |
| WellCare | MCRHMO | $13,284.11 |
| WellCare | MCRPOS | $13,284.11 |
| WellCare | MCRPPO | $13,284.11 |
| WellCare | MCRSNP | $13,284.11 |
| WellCare | PFFS | $13,284.11 |
| Imperial Insurance | DualEligible | $14,186.91 |
| Imperial Insurance | MCRHMO | $14,186.91 |
| Imperial Insurance | MCRPFFS | $14,186.91 |
| Imperial Insurance | MCRPOS | $14,186.91 |
| Imperial Insurance | MCRPPO | $14,186.91 |
| Imperial Insurance | MCRSNP | $14,186.91 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Molina Healthcare | MCR | $15,476.63 |
| Molina Healthcare | MME-MMP | $15,476.63 |
| Devoted Health | DualEligible | $16,121.49 |
| Devoted Health | MCRHMO | $16,121.49 |
| Devoted Health | MCRPFFS | $16,121.49 |
| Devoted Health | MCRPOS | $16,121.49 |
| Devoted Health | MCRPPO | $16,121.49 |
| Devoted Health | MCRSNP | $16,121.49 |
| Cigna | NewBusinessNetwork | $19,889 |
| Cigna | HMO | $21,798 |
| Cigna | OpenAccessPlus | $21,798 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| United | Charter | $23,175 |
| United | NexusACO | $23,175 |
| Curative Administrators | COMM | $23,981 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| United | SmallGroup | $25,407 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| BCBS | MyBlueHealth | $25,467.52 |
| Oscar | BroadNetworkHIX | $26,187 |
| Oscar | EPO | $26,187 |
| Oscar | POS | $26,187 |
| Oscar | PPO | $26,187 |
| Cigna | PPO | $26,331 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| United | AllPayerAppendix | $27,388 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| BCBS | BlueAdvantage | $29,394.75 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Focus Health Solutions | COMM | $32,600 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Valenz | NXNetwork | $33,902 |
| Evry Health | Broad | $34,729 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| Healthcare Highways | NarrowNetwork | $39,387 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | BlueEssentials | $39,510.36 |
| BCBS | BlueEssentialsAccess | $39,510.36 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $43,199.58 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
| BCBS | PPO | $46,888.8 |
Key finding: Payer rates vary by 128 times, from $365 with Community First Health Plans to $46,888.8 with BCBS 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.
What Patients Ask About Knee Replacement Costs
How much does a knee replacement cost without insurance in San Antonio?
Most San Antonio hospitals show incomplete cash pricing data with $0 amounts listed. Only CHRISTUS Santa Rosa Medical Center provides a cash price of $4,736.55 for total knee replacement. Given the limited cash price transparency, the insured rate ranges provide better context, spanning from $948 to $46,888.8 across different hospitals and insurance plans. This facility fee covers the hospital's charges for the operating room, equipment, implants, and staff, but does not include the orthopedic surgeon's professional fees, anesthesiologist charges, or other physician services, which are billed separately by those providers.
Why is the gross charge so much higher than the cash price?
The pricing data shows incomplete gross charge information, with most hospitals listing $0 amounts. Gross charges represent the hospital's published chargemaster prices, which are the undiscounted rates rarely paid by anyone. These list prices serve as the starting point for negotiations with insurance companies, which typically receive substantial discounts. Cash-paying patients and those negotiating directly with hospitals usually receive significant reductions from gross charges. The wide variation in insured rates, from $948 to $46,888.8, demonstrates how different payers negotiate vastly different discounts from the hospital's standard pricing structure.
Does insurance cover a knee replacement?
Insurance coverage for total knee replacement depends on your specific plan benefits and medical necessity as determined by your physician and insurance company. The negotiated rates between hospitals and insurers vary dramatically, with payer rates ranging from $365 to $46,888.8 in this dataset. Most insurance plans require prior authorization for non-emergency knee replacement procedures. Patients with high-deductible health plans who have not yet met their annual deductible will be responsible for paying the full negotiated rate their insurance company has with the hospital, not the higher gross charge amount.
Are there additional fees beyond the knee replacement facility charge?
The facility fees shown cover only the hospital's charges for the operating room, equipment, implants, and nursing staff. Total knee replacement involves additional professional fees that are billed separately, including the orthopedic surgeon's surgical fee and the anesthesiologist's charges for anesthesia services during the procedure. If pre-operative consultations, imaging studies, or laboratory work are performed, these generate separate charges. Physical therapy and rehabilitation services following surgery are typically billed as separate services. Any complications requiring additional procedures or extended hospital stays would result in additional facility and professional charges beyond the initial surgical fee.
Compare Other Procedures in San Antonio
Data Sources
CHRISTUS Children's
File updated: 2026-01-12 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Children's. Published prices may not reflect your actual cost. Disclaimer
CHRISTUS Santa Rosa Alamo Heights
File updated: 2026-01-13 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Santa Rosa Alamo Heights. Published prices may not reflect your actual cost. Disclaimer
CHRISTUS Santa Rosa Medical Center
File updated: 2024-11-20 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Santa Rosa Medical Center. Published prices may not reflect your actual cost. Disclaimer
CHRISTUS Santa Rosa New Braunfels
File updated: 2026-01-12 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Santa Rosa New Braunfels. Published prices may not reflect your actual cost. Disclaimer
CHRISTUS Santa Rosa San Marcos
File updated: 2026-01-13 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Santa Rosa San Marcos. Published prices may not reflect your actual cost. Disclaimer
CHRISTUS Santa Rosa Westover Hills
File updated: 2026-01-13 · Accessed by us: 2026-04-13
We are not affiliated with CHRISTUS Santa Rosa Westover Hills. Published prices may not reflect your actual cost. Disclaimer
Methodist Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Hospital. Published prices may not reflect your actual cost. Disclaimer
Methodist Hospital Atascosa
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Hospital Atascosa. Published prices may not reflect your actual cost. Disclaimer
Methodist Hospital Hill Country
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Hospital Hill Country. Published prices may not reflect your actual cost. Disclaimer
Methodist Hospital Landmark
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Hospital Landmark. Published prices may not reflect your actual cost. Disclaimer
Methodist Hospital Westover Hills
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Hospital Westover Hills. Published prices may not reflect your actual cost. Disclaimer
Methodist Specialty and Transplant
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Specialty and Transplant. Published prices may not reflect your actual cost. Disclaimer
Methodist Stone Oak Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Stone Oak Hospital. Published prices may not reflect your actual cost. Disclaimer
Methodist Texsan Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Methodist Texsan Hospital. Published prices may not reflect your actual cost. Disclaimer
Metropolitan Methodist Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Metropolitan Methodist Hospital. Published prices may not reflect your actual cost. Disclaimer
Northeast Methodist Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
We are not affiliated with Northeast Methodist Hospital. Published prices may not reflect your actual cost. Disclaimer