CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Methodist Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,009
about 1.4× the $14,044 Medicare rate · typically $14,249–$21,790
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,116
About the fair price
about $1,893 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $19,009 This hospital $17,116

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $17,116

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,009 (about 1.4× the $14,044 Medicare rate). Methodist Hospital charges insurers about $17,116 — about the fair price. Located in San Antonio, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,988 - $33,779 21%
Blue Cross Blue Shieldmajor $16,148 - $50,280 115%
Aetnamajor $2,775 - $15,938 20%
Cignamajor $4,062 - $38,382 29%
Amerigroup $16,148 115%
Clover Health $16,471 - $16,794 117%
Devoted Health $16,471 117%
Fidelis Care $18,085 - $18,408 129%
Healthcare Highways $25,461 181%
Independent Health $16,471 117%
Molina $25,675 183%
Oscar Health $19,231 137%
WellCare $16,471 117%
WellMed $15,566 111%
+ 14 smaller / regional plans $1,600 - $27,460
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 7700 Floyd Curl Dr, San Antonio, TX 78229
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals