Hip Replacement Cost in San Antonio, TX (2026): Average Prices & What You'll Pay
What does a hip replacement cost in San Antonio, TX?
Where you have a hip replacement done in San Antonio, TX swings the bill from $3,381 to $7,125 for identical care. The median cash price across 11 reporting hospitals is $4,020. The numbers are pulled directly from federally mandated hospital price transparency files.
Where hip replacement costs vary in San Antonio, TX
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.
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Cheapest Hip Replacement Providers in San Antonio, TX
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | PAM Specialty Hospital of San Antonio LLC | San Antonio, TX | $1,198 | -$2,822 |
| 2 | METHODIST HOSPITAL WESTOVER HILLS | San Antonio, TX | $3,092 | -$928 |
| 3 | Children's Hospital | San Antonio, TX | $3,381 | -$639 |
| 4 | Santa Rosa Hospital - Alamo Heights | San Antonio, TX | $4,020 | +$0 |
| 5 | Santa Rosa Hospital - New Braunfels | New Braunfels, TX | $4,020 | +$0 |
| 6 | Santa Rosa Emergency Center - Creekside | New Braunfels, TX | $4,020 | +$0 |
| 7 | Medina County Hospital District | Hondo, TX | $7,125 | +$3,105 |
| 8 | Bandera Family Hospital | San Antonio, TX | $8,430 | +$4,410 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- PAM Specialty Hospital of San Antonio LLC is the lowest-cost option at $1,198 - $2,822 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $4,020, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.
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Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $14,591, including Foundation Surgical Hospital of San Antonio at $34,325, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $4,020 versus $8,430 inpatient (about 2.1× more), so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$4,020 |
| Deductible met - 20% coinsurance | ~$804 |
| Out-of-network provider | $8,844+ |
Frequently asked questions: hip replacement costs in San Antonio, TX
How much does a hip replacement cost in San Antonio, TX?
Across 11 San Antonio, TX hospitals that publish prices, a hip replacement ranges from $811 to $34,325, with a median of $4,020. Most facilities fall between $3,236 and $7,125. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hip replacement in San Antonio, TX?
Based on declared prices, the lowest-cost facility in our San Antonio, TX data is Resolute Health Hospital in New Braunfels at about $811. By metro, San Antonio has the lowest median ($3,700). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a hip replacement so much cheaper at some San Antonio, TX hospitals?
Prices vary up to 42.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In San Antonio, TX, the median cash (self-pay) price is $4,020 versus a median negotiated rate of $1,198 - about 3.4× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hip replacement in San Antonio, TX?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- Understanding your UnitedHealthcare EOB
Other procedures in San Antonio, TX
Hip Replacement, elsewhere
What matters before you schedule
What's on your bill
A hip replacement involves multiple providers who bill separately - typically Drg Facility Stay, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hip replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Hip Replacement is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hip replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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