CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Methodist Hospital Stone Oak

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,070
about 1.1× the $14,044 Medicare rate · typically $11,156–$22,410
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,924
Above the fair price
about $2,854 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $16,070 This hospital $18,924

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 $18,924

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 $16,070 (about 1.1× the $14,044 Medicare rate). Methodist Hospital Stone Oak charges insurers about $18,924 — above the fair price. Located in San Antonio, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,070. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $14,586 - $50,280 104%
Aetnamajor $2,775 - $18,311 20%
Cignamajor $4,062 - $38,382 29%
Amerigroup $14,586 - $18,552 104%
Clover Health $14,878 - $18,924 106%
Devoted Health $14,878 - $18,924 106%
Fidelis Care $16,483 - $21,150 117%
Healthcare Highways $25,461 181%
Independent Health $16,337 - $18,924 116%
Molina $23,192 - $29,498 165%
Oscar Health $19,231 137%
WellCare $16,337 - $18,924 116%
WellMed $14,061 - $17,885 100%
+ 14 smaller / regional plans $1,600 - $29,907
Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals