Knee Replacement Cost in San Antonio, TX – 2025 Complete Guide
Facing a knee replacement can be overwhelming—especially when you’re unsure about the costs involved. The cost of knee replacement in San Antonio, TX, can vary widely, leaving many patients uncertain about what to expect. That’s why we’ve created this 2025 guide using data from trusted sources like the American Academy of Orthopaedic Surgeons, CMS.gov, and Healthcare Bluebook. Whether you’re planning ahead or exploring options now, this guide will help you make informed decisions in the San Antonio area.
What is the average cost of knee replacement in San Antonio, TX?
The average cost of a total knee replacement in San Antonio, TX, ranges from $25,000 to $55,000, depending on the facility, surgeon, and insurance coverage. According to Healthcare Bluebook, the fair price for a total knee replacement in the San Antonio area is approximately $36,000. However, this estimate can vary significantly based on whether the procedure is performed in a hospital or an outpatient surgical center.
CMS.gov data from 2024 shows that Medicare reimburses hospitals in Texas an average of $13,000–$17,000 for the procedure, which may be lower than what private insurers or uninsured patients pay. The American Academy of Orthopaedic Surgeons (AAOS) notes that costs can also differ based on the complexity of the surgery and the type of implant used.
Patients should request itemized estimates from local providers to understand their total financial responsibility, especially if they are uninsured or have high-deductible plans.
What factors affect the cost of knee replacement?
Several key factors influence the cost of a knee replacement in San Antonio. First, the type of procedure—partial vs. total knee replacement—can significantly impact pricing. Total replacements generally cost more due to longer surgical time and more extensive implants. According to the AAOS, implant materials (ceramic, metal, or plastic) and the use of robotic-assisted technology can also raise costs.
The facility type matters as well. Procedures performed in outpatient surgical centers may be less expensive than those in hospitals. The American Hospital Association notes that hospital-based procedures often include higher facility fees and longer stays, which add to the total cost.
Other variables include the surgeon’s experience, preoperative imaging, anesthesia, physical therapy, and any complications that may arise. According to FairHealth.org, geographic location and insurance contracts also play a significant role in determining final costs.
Does insurance cover knee replacement?
Yes, most insurance plans—including Medicare, Medicaid, and private insurance—typically cover knee replacement surgery when it is deemed medically necessary. According to CMS.gov, Medicare Part B covers 80% of the cost after the deductible is met, while the patient is responsible for the remaining 20%, unless they have supplemental insurance.
Private insurers such as Blue Cross Blue Shield and UnitedHealthcare usually require prior authorization but generally cover the procedure if conservative treatments have failed. The Texas Department of Insurance advises patients to confirm network status and pre-authorization requirements to avoid unexpected bills.
Medicaid coverage in Texas may vary depending on eligibility and managed care plan specifics. Patients should consult their insurance provider directly to understand their out-of-pocket costs, including deductibles, copays, and coinsurance.
Are there payment plans or financing options available in San Antonio?
Yes, many orthopedic clinics and hospitals in San Antonio offer payment plans or financing options for knee replacement surgery. According to the American Hospital Association, more than 60% of hospitals provide some form of financial assistance or structured payment plan for uninsured or underinsured patients.
Local providers may partner with third-party medical financing companies such as CareCredit or AccessOne, allowing patients to pay in monthly installments. Some practices also offer sliding scale fees based on income or discounted cash-pay rates for those without insurance.
It’s important to ask about all available options during your consultation. Be sure to request a written estimate and clarify the terms of any financing agreement, including interest rates and penalties for late payments.
How does the cost in San Antonio compare to other Texas cities?
Compared to other major Texas cities, the cost of knee replacement in San Antonio is generally moderate. According to Healthcare Bluebook, the fair price in San Antonio is around $36,000, while in Austin and Dallas, it can range from $38,000 to $60,000. Houston tends to be on the higher end, with some facilities charging over $65,000 for the same procedure.
These differences are often due to regional variations in facility fees, surgeon charges, and insurance reimbursement rates. The Texas Health and Human Services Commission notes that urban centers with larger hospital systems may have higher costs, while smaller cities or outpatient centers may offer more competitive pricing.
Patients willing to travel within the state may find cost savings, but they should also consider travel logistics, follow-up care, and surgeon experience when making their decision.
What’s included in the knee replacement cost?
The total cost of knee replacement surgery typically includes several components: surgeon fees, anesthesia, hospital or surgical facility fees, preoperative tests, the implant itself, and postoperative care such as physical therapy. According to the American Academy of Orthopaedic Surgeons, implant costs alone can range from $4,000 to $10,000 depending on the material and manufacturer.
Healthcare Bluebook reports that facility fees often account for the largest portion of the total cost, especially in hospital settings. Anesthesia and imaging (like X-rays or MRIs) may be billed separately. Postoperative physical therapy—essential for recovery—is sometimes included in bundled pricing but often billed separately if done at an outside facility.
Always ask your provider for a detailed, itemized estimate so you can understand what is and isn’t included. This is especially important if you are paying out-of-pocket or using a high-deductible health plan.
Do I need a partial or total knee replacement, and how much does it cost?
Whether you need a partial or total knee replacement depends on the extent of joint damage. A partial knee replacement, also called unicompartmental knee arthroplasty, is suitable when only one part of the knee is affected. According to the AAOS, partial replacements are less invasive, have shorter recovery times, and cost less—typically between $20,000 and $35,000 in San Antonio.
Total knee replacement is recommended when arthritis or injury affects the entire joint. This procedure is more complex and typically costs between $25,000 and $55,000 in the San Antonio area, according to Healthcare Bluebook.
Your orthopedic surgeon will determine the appropriate procedure based on imaging, physical examination, and your symptoms. Always ask about both options and their associated costs during your consultation.
How long does the knee replacement process take?
The entire knee replacement process—from initial consultation to full recovery—can take several months. The surgery itself typically lasts 1 to 2 hours. According to the American Association of Hip and Knee Surgeons (AAHKS), most patients stay in the hospital for 1 to 3 days, though outpatient procedures are increasingly common.
Recovery time varies. Most patients begin walking with assistance within a day or two and can resume normal activities within 6 to 12 weeks. Full recovery, including strength and mobility restoration, may take up to 6 months.
Preoperative preparation, such as physical therapy and medical clearance, may add several weeks to the timeline. It’s important to plan for time off work, transportation, and home support during the initial recovery phase.
What is the success rate of knee replacement?
Knee replacement surgery is highly successful for most patients. According to the American Academy of Orthopaedic Surgeons, more than 90% of total knee replacements still function well 15 years after surgery. Success is measured by pain relief, improved mobility, and patient satisfaction.
Factors that influence outcomes include the patient’s age, activity level, weight, and adherence to rehabilitation protocols. The AAHKS reports that complications such as infection, blood clots, or implant loosening occur in less than 2% of cases.
Choosing an experienced, board-certified orthopedic surgeon and following a structured rehabilitation plan are key to achieving the best possible outcome.
Are there affordable alternatives to knee replacement?
Yes, there are several non-surgical and minimally invasive alternatives to knee replacement, especially for early to moderate arthritis. These include physical therapy, corticosteroid or hyaluronic acid injections, weight loss, and medications like NSAIDs. According to the AAOS, these treatments can relieve symptoms and delay surgery for some patients.
Platelet-rich plasma (PRP) therapy and stem cell injections are emerging options, though they are often not covered by insurance and can cost $1,000–$5,000 per session. Bracing and assistive devices may also provide temporary relief.
While these alternatives can reduce pain and improve function, they do not reverse joint damage. Discuss all options with your orthopedic specialist to determine what’s best for your condition and budget.
How can I find a qualified orthopedic surgeon in San Antonio?