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CMS Price Transparency Data Hospital file updated: 2026-04-01

Total knee replacement

Facility: Foundation Surgical Hospital of San Antonio

Billing Code: 27447 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$12,719Fair BaseRate (0.87× Market)
Position vs. 1.00× Fair Price13% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $11,008 compared to the $12,719 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price medium confidence
A fair price for this
$12,719
about 1.0× the $13,117 Medicare rate · typically $6,556–$21,022
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,008
Below the fair price — a good deal
about $1,711 under the fair price · 0.8× Medicare
Medicare pays $13,117 Fair price $12,719 This hospital $11,008 Cash price $41,043 Hospital's list price $68,405

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 $2,219 Priciest $11,008

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

Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total knee replacement is about $12,719 (about 1.0× the $13,117 Medicare rate). Foundation Surgical Hospital of San Antonio charges insurers about $11,008, or about $41,043 in cash — below the fair price — a good deal. 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.

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

Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $10,235 - $22,849 78%
+ 1 smaller / regional plan $9,350 - $17,505

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 9522 Huebner Road, San Antonio, TX 78240
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals

Other Procedures at Foundation Surgical Hospital of San Antonio

Compare: Total knee replacement at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Foundation Surgical Hospital of San Antonio (Zero PHI Required)

CMS CCN: 670054
CPT 27447
Fair BaseRate™ $12,719
Medicare Rate $13,117
Self-Pay Cash $41,043
Insurer Median $11,008
Pre-filled with Foundation Surgical Hospital of San Antonio’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $24,831 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $24,831

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $24,831).

Step 2 · Cash vs. Insurance Arbitrage Save $27,362 Paying Cash

Self-Pay Cash Rate ($41,043) Beats Your Bill

Foundation Surgical Hospital of San Antonio's published 45 CFR § 180 self-pay cash rate is $41,043 (vs. $11,008 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$55,686 Above Fair BaseRate

Negotiate Toward $12,719 Fair BaseRate ($13,117 Medicare)

Your bill ($68,405) is $55,686 above the denoised Fair BaseRate ($12,719) and 5.2× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 670054

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670054) ↗ CMS HCRIS Cost Reports ↗
Published MRF File203793927_FoundationSurgicalHospitalofSanAntonio_standardcharges.json
Publication / Vintage2026-04-01 · 13.07 MB
Validated Rate Rows85,099 (CMS v3.0.0)
File Integrity Digest316ff98e511e6289e8ae…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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