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Knee Replacement Cost in Texas (2026 Price Guide)

What does a knee replacement cost in Texas?

You could pay $2,285 or $4,811 for the same knee replacement in Texas — depending entirely on which facility you choose. The median cash price across 199 reporting hospitals is $2,939. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across Texas hospitals:
  • Bottom 25% of hospitals: under $2,177
  • Median: $2,939
  • Above median (top 30%): $4,811+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Houston:
  • Patient A (high-cost facility): ~$4,811
  • Patient B (lower-cost facility): ~$2,285
Same procedure. Same week. $2,526 difference.

Cheapest Knee Replacement Providers in Texas

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
21 Columbus Community Hospital (TX) Columbus, TX $2,032 -$907
22 CHI St. Joseph Health Madison Hospital Madisonville, TX $2,045 -$894
23 CHI St. Joseph Health Burleson Hospital Caldwell, TX $2,045 -$894
24 CHI St. Joseph Health - College Station Hospital College Station, TX $2,045 -$894
25 CHI St. Joseph Health Regional Hospital Bryan, TX $2,045 -$894
26 CHI St. Joseph Health Grimes Hospital Navasota, TX $2,045 -$894
27 Mother Frances Hospital - Winnsboro Winnsboro, TX $2,050 -$889
28 Mother Frances Hospital - Jacksonville Jacksonville, TX $2,050 -$889

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Knee Replacement costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $13,600, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $3,326. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$2,939
Deductible met — 20% coinsurance ~$588
Out-of-network provider $6,466+

Based on the state median of $2,939. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should shop prices directly — the same way you'd compare any major purchase
  • Insurance may not get you a better deal than the cash price
  • The cheapest facility can save you $2,743+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Texas start around $2,177 or below. Most hospitals cluster between $2,177 and $6,746. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: USMD Hospital at Arlington in Arlington (cash price from $2,029); Columbus Community Hospital (TX) in Columbus (cash price from $2,032); CHI St. Joseph Health Madison Hospital in Madisonville (cash price from $2,045). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where knee replacement costs vary in Texas

Each pin represents a hospital that filed price transparency data. Green pins are below the state cash-price average; red are above. Click any pin for facility name and price details.

Below state avg Above state avg Click a pin for facility details.

Estimate YOUR exact out-of-pocket cost →

Quick decision guide:
  • Best value hospitals (lowest prices): AHS SHERMAN MEDICAL CENTER: $196; The Hospitals of Providence Spine & Pain Management Center: $504; St. Michael Rehabilitation Hospital: $553
  • Most expensive: Navarro Regional Hospital: ~$28,399; Baytown Medical Center LP dba Independence Heights Hospital: ~$23,544

→ Choosing the right facility can save $2,743+ vs. the state median.

Texas Knee Replacement prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 AHS SHERMAN MEDICAL CENTER TX $196 -$2,743 $655
#2 The Hospitals of Providence Spine & Pain Management Center El Paso, TX $504 -$2,435 $504–$1,019
#3 St. Michael Rehabilitation Hospital Texarkana, TX $553 -$2,386 $553
#4 CHRISTUS Health - Pine Street Texarkana, TX $582 -$2,357 $582
#5 St. Michael Health System - Texarkana Texarkana, TX $582 -$2,357 $582
#6 St. Michael Hospital - Atlanta Atlanta, TX $582 -$2,357 $582
#7 Resolute Health Hospital New Braunfels, TX $703 -$2,236 $703–$811
#8 PAM Squared at Texarkana LLC TX $737 -$2,202 $737–$1,613
#9 PAM Specialty Hospital of San Antonio LLC San Antonio, TX $749 -$2,190 $749–$1,633
#10 Pampa Regional Medical Center One Medical Plaza Pampa, TX $845 -$2,094 $5,633–$21,462
#11 Valley Baptist Micro-Hospital Weslaco Pharr, TX $935 -$2,004 $935–$1,631
#12 Valley Baptist Medical Center Harlingen Harlingen, TX $935 -$2,004 $935–$1,631
#13 Valley Baptist Medical Center Brownsville Brownsville, TX $972 -$1,967 $972–$1,552
#14 St. Luke's Health Patients Medical Center Pasadena, TX $1,095 -$1,844 $1,095–$1,997
#15 St. Luke's The Woodlands Hospital The Woodlands, TX $1,095 -$1,844 $1,095–$1,997
▼ Show 184 more Texas hospitals
#16 CHI St. Luke's Health Springwood Village Spring, TX $1,095 -$1,844 $1,095–$1,997
#17 St. Luke's Hospital at The Vintage Houston, TX $1,095 -$1,844 $1,095–$1,997
#18 St. Luke's Lakeside Hospital The Woodlands, TX $1,095 -$1,844 $1,095–$1,997
#19 St. Luke's Sugar Land Hospital Sugar Land, TX $1,095 -$1,844 $1,095–$1,997
#20 USMD Hospital at Arlington Arlington, TX $2,029 -$910 $1,542–$28,537
#21 Columbus Community Hospital (TX) Columbus, TX $2,032 -$907 $1,779–$27,300
#22 CHI St. Joseph Health Madison Hospital Madisonville, TX $2,045 -$894 $2,045–$7,783
#23 CHI St. Joseph Health Burleson Hospital Caldwell, TX $2,045 -$894 $2,045–$7,783
#24 CHI St. Joseph Health - College Station Hospital College Station, TX $2,045 -$894 $2,045–$7,783
#25 CHI St. Joseph Health Regional Hospital Bryan, TX $2,045 -$894 $2,045–$7,783
#26 CHI St. Joseph Health Grimes Hospital Navasota, TX $2,045 -$894 $2,045–$7,783
#27 Mother Frances Hospital - Winnsboro Winnsboro, TX $2,050 -$889 $2,050–$3,027
#28 Mother Frances Hospital - Jacksonville Jacksonville, TX $2,050 -$889 $2,050–$3,027
#29 Mother Frances Hospital - South Tyler Tyler, TX $2,050 -$889 $2,050–$3,027
#30 Mother Frances Hospital - Tyler Tyler, TX $2,050 -$889 $2,050–$3,027
#31 Christus Trinity Mother Frances Louis and Peaches Owen Heart Hospital Tyler, TX $2,050 -$889 $2,050–$3,027
#32 CHRISTUS Good Shepherd Hospital - Northpark Longview, TX $2,052 -$887 $597–$2,052
#33 Good Shepherd Medical Center - Longview Longview, TX $2,052 -$887 $597–$2,052
#34 Good Shepherd Medical Center - Marshall Marshall, TX $2,052 -$887 $597–$2,052
#35 Doctors Hospital of Laredo Laredo, TX $2,053 -$886 $630–$97,591
#36 Laredo Regional Medical Center, LP Laredo, TX $2,053 -$886 $630–$97,591
#37 The University of Texas Medical Branch Galveston, TX $2,058 -$881 $4,844–$134,683
#38 Santa Rosa Hospital - Alamo Heights San Antonio, TX $2,085 -$854 $1,310–$4,020
#39 TOPS Surgical Specialty Hospital Houston, TX $2,122 -$817 $3,260–$8,957
#40 South Texas Spine & Surgical Hospital San Antonio, TX $2,136 -$803 $625–$24,408
#41 Ascension Seton TX $2,139 -$800 $788–$14,153
#42 Ascension Seton TX $2,139 -$800 $788–$14,153
#43 Ascension Cedar Park TX $2,139 -$800 $788–$14,153
#44 Ascension Seton TX $2,139 -$800 $788–$14,153
#45 Ascension Seton TX $2,139 -$800 $788–$14,153
#46 Ascension Seton TX $2,139 -$800 $788–$14,153
#47 Ascension Seton TX $2,139 -$800 $788–$14,153
#48 Methodist Children's Hospital Lubbock, TX $2,146 -$793 $1,655–$7,948
#49 McAllen Hospitals, LP Edinburg, TX $2,162 -$777 $2,162–$22,351
#50 McAllen Hospitals, LP Mcallen, TX $2,162 -$777 $2,162–$22,351
#51 Lubbock Heritage Hospital LLC Lubbock, TX $2,182 -$757 $1,683–$8,054
#52 Somervell County Hospital District dba Glen Rose Medical Center Glen Rose, TX $2,195 -$744 $2,195–$43,573
#53 Cook Children's Medical Center Prosper, TX $2,201 -$738 $708–$12,379
#54 Cook Children's Health Care System Fort Worth, TX $2,201 -$738 $708–$10,610
#55 Harris Health TX $2,205 -$734 $930–$15,575
#56 Harris Health TX $2,205 -$734 $930–$15,575
#57 CHI St. Luke's Health - Baylor St. Luke's Medical Center Houston, TX $2,222 -$717 $978–$2,222
#58 Fort Duncan Regional Medical Center Eagle Pass, TX $2,244 -$695 $630–$8,540
#59 Jps Health Network Fort Worth, TX $2,272 -$667 $2,272–$26,420
#60 Adventhealth Rollins Brook Lampasas, TX $2,285 -$654 $1,826–$8,715
#61 Adventhealth Central Texas Killeen, TX $2,285 -$654 $1,826–$8,715
#62 Baylor Medical Center at Uptown Dallas, TX $2,290 -$649 $2,884–$5,544
#63 HCA HOUSTON HEALTHCARE PEARLAND Pearland, TX $2,370 -$569 $948–$44,693
#64 Spohn Hospital Kleberg Kingsville, TX $2,380 -$559 $592–$2,380
#65 Spohn Hospital Alice Alice, TX $2,380 -$559 $592–$2,380
#66 Spohn Hospital Beeville Beeville, TX $2,380 -$559 $592–$2,380
#67 Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX $2,380 -$559 $611–$2,380
#68 Spohn Hospital Corpus Christi - South Corpus Christi, TX $2,380 -$559 $611–$2,380
#69 Christus Surgical Hospital Corpus Christi, TX $2,380 -$559 $611–$2,380
#70 Dallam Hartley Counties Hospital District Dalhart, TX $2,457 -$482 $576–$19,500
#71 METHODIST HOSPITAL WESTOVER HILLS San Antonio, TX $2,462 -$477 $2,462–$19,889
#72 Ascension Providence TX $2,483 -$456 $1,168–$22,492
#73 MEDICAL CITY MH FRISCO Frisco, TX $2,513 -$426 $2,513–$12,000
#74 MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER ALLIANCE Fort Worth, TX $2,513 -$426 $2,513–$3,646
#75 Methodist Hospital Plainview Plainview, TX $2,522 -$417 $2,750–$7,948
#76 Methodist Hospital Levelland Levelland, TX $2,522 -$417 $1,470–$7,948
#77 CHI St. Luke's Health Memorial Lufkin Lufkin, TX $2,561 -$378 $501–$3,326
#78 Graham Regional Medical Center Graham, TX $2,566 -$373 $2,566–$52,892
#79 Hamilton General Hospital Hamilton, TX $2,613 -$326 $4,356–$58,671
#80 Covenant Long-Term Care LLC Lubbock, TX $2,661 -$278 $6,337–$7,238
#81 The Physicians Centre Hospital Bryan, TX $2,699 -$240 $1,200–$13,500
#82 Scottish Rite Hospital for Children - Frisco TX $2,722 -$217 $2,722–$5,900
#83 Scottish Rite Hospital for Children TX $2,722 -$217 $2,722–$5,900
#84 Brushy Creek Family Hospital Round Rock, TX $2,773 -$166 $3,081–$7,022
#85 Bandera Family Hospital San Antonio, TX $2,773 -$166 $3,081–$7,022
#86 Hendrick Medical Center Abilene, TX $2,775 -$164 $2,775–$28,323
#87 Doctors Hospital at Renaissance, LTD Edinburg, TX $2,835 -$104 $2,835–$65,432
#88 Doctors Hospital at Renaissance, LTD Edinburg, TX $2,835 -$104 $2,835–$65,432
#89 Behavioral Medicine at Renaissance Edinburg, TX $2,835 -$104 $2,835–$65,432
#90 Doctors Hospital at Renaissance, LTD Edinburg, TX $2,835 -$104 $2,835–$65,432
#91 Austin Center for Outpatient Surgery LP Suite 100 Austin, TX $2,850 -$89 $2,850–$37,388
#92 Doctors Hospital at Renaissance, LTD Brownsville, TX $2,857 -$82 $2,857–$35,855
#93 United Regional Health Care System TX $2,869 -$70 $1,067–$24,828
#94 Texas Spine & Joint Hospital Tyler, TX $2,884 -$55 $2,884–$8,871
#95 Baylor Scott & White Medical Center - Frisco Frisco, TX $2,884 -$55 $2,884–$8,871
#96 Southeast Texas - Jasper Memorial Jasper, TX $2,885 -$54 $615–$3,719
#97 CHRISTUS West Beaumont Beaumont, TX $2,885 -$54 $641–$3,719
#98 CHRISTUS Hospital - Orange Orange, TX $2,885 -$54 $641–$3,719
#99 Southeast Texas St. Elizabeth Beaumont, TX $2,885 -$54 $641–$3,719
#100 Northwest Texas Healthcare System, Inc. Amarillo, TX $2,939 +$0 $1,044–$16,881
#101 Northwest Texas Healthcare System, Inc. Amarillo, TX $2,939 +$0 $1,044–$16,881
#102 Northwest Texas Healthcare System Amarillo, TX $2,939 +$0 $1,044–$16,881
#103 University Medical Center El Paso TX $2,959 +$20 $995–$13,395
#104 Hendrick Medical Center Brownwood, TX $3,037 +$98 $1,338–$27,425
#105 White Rock Medical Center Dallas, TX $3,053 +$114 $3,053–$17,613
#106 SID Peterson Memorial Hospital Kerrville, TX $3,141 +$202 $598–$14,498
#107 Palo Pinto General Hospital Mineral Wells, TX $3,153 +$214 $6,306
#108 Hunt Regional Healthcare Greenville, TX $3,324 +$385 $1,860–$3,324
#109 CHI St. Luke's Health Memorial Livingston Livingston, TX $3,326 +$387 $501–$4,751
#110 CHI St. Luke's Health Memorial San Augustine San Augustine, TX $3,326 +$387 $501–$4,751
#111 Uvalde Memorial Hospital TX $3,345 +$406 $3,345–$57,687
#112 Children's Hospital San Antonio, TX $3,381 +$442 $585–$4,020
#113 Midland County Hospital District TX $3,414 +$475 $13,657–$34,765
#114 Houston Methodist The Woodlands Hospital The Woodlands, TX $3,491 +$552 $3,491–$7,316
#115 Methodist West Houston Hospital Houston, TX $3,491 +$552 $3,491–$7,316
#116 Methodist Willowbrook Hospital Houston, TX $3,491 +$552 $3,491–$7,316
#117 Methodist Sugar Land Hospital Sugar Land, TX $3,491 +$552 $3,491–$7,316
#118 The Methodist Hospital Houston, TX $3,491 +$552 $3,491–$7,316
#119 Houston Methodist Cypress Hospital Cypress, TX $3,491 +$552 $3,491–$7,316
#120 Houston Methodist Clear Lake Hospital Nassau Bay, TX $3,532 +$593 $847–$6,902
#121 Nacogdoches Memorial Hospital Nacogdoches, TX $3,677 +$738 $2,362–$22,115
#122 Cecil R Bomar Rehabilitation Center Nacogdoches, TX $3,677 +$738 $12,258–$22,115
#123 CHI St. Luke's Health Brazosport Lake Jackson, TX $3,723 +$784 $652–$3,723
#124 Spohn Hospital Corpus Christi - Memorial Corpus Christi, TX $3,829 +$890 $3,829
#125 COMANCHE COUNTY MEDICAL CENTER TX $4,012 +$1,073 $6,173–$28,071
#126 Santa Rosa Emergency Center - Alon San Antonio, TX $4,020 +$1,081 $585–$4,020
#127 Santa Rosa Hospital - Westover Hills San Antonio, TX $4,020 +$1,081 $585–$4,020
#128 Santa Rosa Hospital - New Braunfels New Braunfels, TX $4,020 +$1,081 $604–$4,020
#129 Santa Rosa Emergency Center - Creekside New Braunfels, TX $4,020 +$1,081 $604–$4,020
#130 Santa Rosa Hospital - San Marcos San Marcos, TX $4,020 +$1,081 $604–$4,020
#131 Andrews County Hospital District Andrews, TX $4,391 +$1,452 $804–$21,142
#132 NORTH TEXAS MEDICAL CENTER Gainsville, TX $4,525 +$1,586 $18,100
#133 Star Medical Center Plano, TX $4,660 +$1,721 $594–$50,159
#134 Post Acute Medical at Luling LLC Luling, TX $4,811 +$1,872 $4,811–$7,073
#135 Clear Lake Institute for Rehabilitation LLC Webster, TX $4,811 +$1,872 $4,811–$7,427
#136 Post Acute Medical Rehabilitation Hospital of Corpus Christi LLC Corpus Christi, TX $4,811 +$1,872 $4,811–$7,073
#137 PAM Squared at Beaumont LLC Beaumont, TX $4,811 +$1,872 $4,811–$7,073
#138 Medina County Hospital District Hondo, TX $4,811 +$1,872 $599–$51,323
#139 McCamey County Hospital District Mccamey, TX $4,811 +$1,872 $1,051–$19,300
#140 PAM Health Rehabilitation Hospital of Sugar Land LLC Sugar Land, TX $4,811 +$1,872 $4,811–$7,073
#141 Post Acute Medical at Allen LLC TX $4,811 +$1,872 $4,811–$7,073
#142 Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX $4,811 +$1,872 $4,811–$27,328
#143 UHS of Texoma, Inc. Denison, TX $4,907 +$1,968 $1,012–$11,376
#144 UHS of Texoma, Inc. Denison, TX $4,907 +$1,968 $1,012–$11,376
#145 UHS of Texoma, Inc. Sherman, TX $4,907 +$1,968 $1,012–$11,376
#146 Houston Methodist Continuing Care Hospital Katy, TX $4,934 +$1,995 $4,934–$7,542
#147 Altus Houston Hospital LP dba West Chase Houston Hospital Houston, TX $5,260 +$2,321 $5,260–$61,878
#148 MEDICAL CITY GREEN OAKS HOSPITAL Dallas, TX $5,652 +$2,713 $5,652–$101,900
#149 Carrollton Regional Medical Center TX $5,900 +$2,961 $1,120–$15,800
#150 Cornerstone Regional Hospital Edinburg, TX $6,663 +$3,724 $3,777–$9,617
#151 Texas Surgical Hospital TX $6,993 +$4,054 $17,484–$103,765
#152 Webster Surgical Specialty Hospital Suite 1000, TX $7,097 +$4,158 $21,835–$89,088
#153 Hill Regional Hospital Hillsboro, TX $7,116 +$4,177 $1,233–$55,000
#154 Coryell Health Gatesville, TX $7,135 +$4,196 $17,838
#155 Citizens Medical Center, County Of Victoria TX $7,501 +$4,562 $15,002–$33,265
#156 Baylor Scott & White Medical Center - Sunnyvale Sunnyvale, TX $7,788 +$4,849 $12,981–$44,801
#157 McAllen Hospitals, LP Mcallen, TX $8,940 +$6,001 $22,351
#158 Cobalt Rehabilitation Hospital El Paso LLC El Paso, TX $10,932 +$7,993 $1,573–$10,932
#159 Texas Institute for Surgery at Texas Health Dallas Dallas, TX $11,097 +$8,158 $15,853–$37,132
#160 Baylor Scott & White Surgical Hospital at Sherman Sherman, TX $11,681 +$8,742 $19,469–$59,400
#161 PARIS REGIONAL MEDICAL CENTER TX $12,239 +$9,300 $34,971
#162 Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX $12,361 +$9,422 $12,361
#163 Texas Health Hospital Mansfield Mansfield, TX $12,567 +$9,628 $1,542–$12,567
#164 Texas Health Huguley Hospital Fort Worth South Burleson, TX $12,567 +$9,628 $1,542–$12,567
#165 Knapp Medical Center TX $12,833 +$9,894 $12,359–$62,966
#166 Harlingen Medical Center TX $12,833 +$9,894 $18,334–$21,848
#167 Dallas Medical Center TX $12,833 +$9,894 $19,164–$110,981
#168 Mission Regional Medical Center TX $12,833 +$9,894 $44,604
#169 Dallas Regional Medical Center TX $12,833 +$9,894 $58,330–$60,443
#170 Memorial Hermann Sugar Land Hospital Sugar Land, TX $12,897 +$9,958 $12,897–$33,466
#171 Memorial Hermann Greater Heights Hospital Houston, TX $12,897 +$9,958 $12,897–$33,466
#172 Memorial Hermann The Woodlands Medical Center The Woodlands, TX $12,897 +$9,958 $12,897–$33,466
#173 Memorial Hermann Southwest Hospital Houston, TX $12,897 +$9,958 $12,897–$33,466
#174 Memorial Hermann Cypress Hospital Cypress, TX $12,897 +$9,958 $12,897–$33,466
#175 Memorial Hermann Southeast Hospital Houston, TX $12,897 +$9,958 $12,897–$33,466
#176 Children's Memorial Hermann Hospital Houston, TX $12,897 +$9,958 $12,897–$33,466
#177 Memorial Hermann Pearland Hospital Pearland, TX $12,897 +$9,958 $12,897–$33,466
#178 Memorial Hermann Katy Hospital Katy, TX $12,897 +$9,958 $12,897–$33,466
#179 Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX $12,897 +$9,958 $12,897–$33,466
#180 Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX $12,897 +$9,958 $12,897–$33,466
#181 Memorial Hermann Imaging Center (Upper Kirby) Houston, TX $12,897 +$9,958 $12,897–$33,466
#182 Memorial Hermann Memorial City Medical Center Houston, TX $12,897 +$9,958 $12,897–$33,466
#183 Memorial Hermann Imaging Center (Cypress) Cypress, TX $12,897 +$9,958 $12,897–$33,466
#184 Memorial Hermann-Texas Medical Center Houston, TX $12,897 +$9,958 $12,897–$33,466
#185 Memorial Hermann Northeast Hospital Humble, TX $12,897 +$9,958 $12,897–$33,466
#186 Matagorda County Hospital District TX $13,320 +$10,381 $1,127–$26,640
#187 Crescent Regional Hospital Lancaster, TX $14,950 +$12,011 $924–$77,500
#188 Lubbock Heart & Surgical Hospital Lubbock, TX $15,020 +$12,081 $657–$30,785
#189 Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX $16,091 +$13,152 $16,091
#190 Guadalupe Regional Medical Center Seguin, TX $16,100 +$13,161 $32,200
#191 Ethicus Hospital DFW Carrollton, TX $16,148 +$13,209 $37,619–$50,159
#192 Legent North Houston Surgical Hospital Tomball, TX $19,345 +$16,406 $537–$51,589
#193 Foundation Surgical Hospital of San Antonio San Antonio, TX $20,136 +$17,197 $750–$70,071
#194 DeTar Healthcare System Victoria, TX $23,189 +$20,250 $110,425
#195 Detar Healthcare System Victoria, TX $23,189 +$20,250 $110,425
#196 Baytown Medical Center LP dba Independence Heights Hospital Houston, TX $23,544 +$20,605 $23,544
#197 Baytown Medical Center LP dba Baytown Medical Center Baytown, TX $23,544 +$20,605 $23,544
#198 Baytown Medical Center LP dba BMC North Hospital Houston, TX $23,544 +$20,605 $23,544
#199 Navarro Regional Hospital Corsicana, TX $28,399 +$25,460 $118,330

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Texas:

Where you can save the most on knee replacement in Texas

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
AHS SHERMAN MEDICAL CENTER TX $196 -$2,743
The Hospitals of Providence Spine & Pain Management Center El Paso, TX $504 -$2,435
St. Michael Rehabilitation Hospital Texarkana, TX $553 -$2,386
CHRISTUS Health - Pine Street Texarkana, TX $582 -$2,357
St. Michael Health System - Texarkana Texarkana, TX $582 -$2,357

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive knee replacement providers in Texas

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Navarro Regional Hospital Corsicana, TX $28,399 +$25,460
Baytown Medical Center LP dba Independence Heights Hospital Houston, TX $23,544 +$20,605
Baytown Medical Center LP dba Baytown Medical Center Baytown, TX $23,544 +$20,605
Baytown Medical Center LP dba BMC North Hospital Houston, TX $23,544 +$20,605
DeTar Healthcare System Victoria, TX $23,189 +$20,250

Why prices vary this much

A small number of hospitals (14) report very high prices above $13,600, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Among the cities with the most reporting hospitals, Houston has a median reported price of $12,897 across 17 facilities, while facilities in The Woodlands tend to report lower prices (median: $2,293). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

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CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
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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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Published May 10, 2026 · Updated May 10, 2026

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