Price AtlasInteractive atlas · All states · techysurgeon.comUniversity Health System: what a joint replacement costs
San Antonio, TX 78229 · CMS Certification Number 450213. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at University Health System
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,406 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $33,392 | $89,208 | 2.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,372 | — | $14,745–$55,694 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Ebso | $55,694 | — | 1 |
| HPHG dba 90 Degrees | $55,694 | — | 1 |
| Universal Benefits Consortium | $55,694 | — | 1 |
| Curative | $52,511 | — | 1 |
| Elevance/Anthem/Empire | $44,555 | — | 1 |
| Entrust | $38,190 | — | 1 |
| Community First EPO Affordable Care | $30,624 | — | 1 |
| Scott and White Insurance | $25,328 | — | 1 |
| Independent Medical Systems | $21,118 | — | 1 |
| BCBS TX | $14,745 | — | 1 |
From the hospital's price-transparency file (2025-10-14); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-10-14); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Government · Acute · 1034 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay University Health System for a knee or hip replacement?
The Medicare allowed amount averaged $11,406 per outpatient hip or knee replacement case (APC 5115, 43 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near University Health System?
Yes for Medicare facility payments. Texas Spine and Joint Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay University Health System for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $41,372 across 10 insurers, ranging from $14,745 to $55,694.