Price AtlasInteractive atlas · All states · techysurgeon.comMethodist Hospital Stone Oak: what a joint replacement costs
San Antonio, TX 78258 · CMS Certification Number 670055. 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 Methodist Hospital Stone Oak
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,913 | $163,145 | 12.6× | $11,406 |
| Shoulder replacement | $19,621 | $208,462 | 10.6× | $16,137 |
| Hip replacement after a fracture (DRG 522) | $14,070 | $167,207 | 11.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,679 | 2.0× | $14,076–$35,777 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $35,777 | 2.8× | 1 |
| Cigna | $30,383 | 2.4× | 1 |
| UnitedHealthcare | $28,583 | 2.2× | 1 |
| Valenz | $27,460 | 2.1× | 1 |
| Focus Health Solutions | $26,401 | 2.0× | 1 |
| Curative Administrators | $26,326 | 2.0× | 1 |
| Evry Health | $25,679 | 2.0× | 1 |
| Healthcare Highways (rental network) | $25,461 | 2.0× | 1 |
| Oscar | $19,231 | 1.5× | 1 |
| Texas Independent Health Plan | $16,337 | 1.3× | 1 |
| American Health Plan of Texas | $15,680 | 1.2× | 1 |
| Devoted Health | $14,878 | 1.2× | 1 |
| Gonzaba Medical Group | $14,586 | 1.1× | 1 |
| Humana | $14,076 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 287 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Methodist Hospital Stone Oak for a knee or hip replacement?
In 2024 the average total payment to Methodist Hospital Stone Oak for an inpatient hip or knee replacement stay was $12,913 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,406 per outpatient case (APC 5115, 122 cases).
What is Methodist Hospital Stone Oak's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $163,145, 12.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Methodist Hospital Stone Oak?
Yes for Medicare facility payments. Christus Santa Rosa Physicians ASC Stone Oak, an orthopedic surgery center same ZIP away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $4,476 less than an inpatient stay at Methodist Hospital Stone Oak. Not every patient is a surgery-center candidate.
How does Methodist Hospital Stone Oak compare with other Texas hospitals?
Methodist Hospital Stone Oak's average total payment per Medicare stay is lower than 87% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Methodist Hospital Stone Oak 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 $25,679 across 13 insurers, ranging from $14,076 to $35,777.