Self Pay Surgery Price List | Orthopedic Procedure Costs in Austin, TX
ATX Orthopedics publishes transparent, all-inclusive pricing for office visits, diagnostic imaging, injections, and surgical procedures. Whether you are uninsured, underinsured, or choosing to pay out-of-pocket to avoid high deductibles, our self-pay pricing is straightforward — no surprise bills, no facility markups, no hidden fees.
Every price listed below is the all-in surgeon fee for care delivered at our office or at Pinnacle Surgery Center of Austin, the city’s only independent, physician-owned ambulatory surgery center. Surgical procedures performed at Pinnacle cost 40–60% less than the equivalent hospital-based procedure.
Why Self-Pay Orthopedic Surgery Makes Financial Sense
Many patients with high-deductible health plans (HDHPs) find that self-pay pricing at an outpatient surgery center is less expensive than their in-network deductible at a hospital. A total knee replacement at a major Austin hospital can exceed $40,000 — compared to ATX Orthopedics’ bundled price of $21,500 at Pinnacle Surgery Center. For patients who have not yet met their deductible, paying the bundled cash price often results in significant savings.
Office Visit & In-Office Procedure Pricing
NEW PATIENT VISIT $329
ESTABLISHED PATIENT VISIT $190
INJECTION (Steroid) $200
XRAYS (per body part) $50
For Out of Network patients who wish to use their insurance for the Anesthesia fee and Facility Fees, we use claims data from FairHealthConsumer.org to quote the Surgeon Fee.
REIMBURSEMENT LINKS:
TO BE REIMBURSED FROM MEDICARE, complete CMS FORM 1490S: PATIENT’S REQUEST FOR MEDICAL PAYMENT (English/Spanish)
FROM BCBS: CLAIM FORM.
FROM UNITED HEALTHCARE: DIRECT MEDICAL REIMBURSEMENT FORM.
FROM CIGNA: DIRECT MEMBER REIMBURSEMENT FORM.
FROM AETNA: MEDICAL BENEFITS CLAIM REQUEST FORM.
All-Inclusive Surgical Bundles — Pinnacle Surgery Center of Austin
Our surgical bundle prices include the surgeon fee, anesthesia, facility fee, and all standard implants or equipment. There are no separate billing surprises after surgery. View the complete surgical bundle pricing on our Surgical Bundles page, including:
- Total Knee Replacement — $21,500 all-inclusive
- Total Hip Replacement — $21,500 all-inclusive
- Rotator Cuff Repair — $11,000 all-inclusive
- Shoulder Replacement — $24,500 all-inclusive
- Carpal Tunnel Release — $3,300 all-inclusive
- ACL Reconstruction — $13,500 all-inclusive
All procedures are performed by Dr. Sean Gallagher or Dr. Benjamin Amis — never by a mid-level provider. Contact us to get a personalized Good Faith Estimate for any procedure.
How Self-Pay Works at ATX Orthopedics
The process is simple: schedule a consultation, receive a Good Faith Estimate before any procedure is scheduled, pay the bundled price in advance (payment plans available), have your surgery at Pinnacle Surgery Center, and go home the same day. We accept all major credit cards, health savings account (HSA) and flexible spending account (FSA) funds, and CareCredit financing. We also provide itemized superbills for patients who wish to submit claims to their insurance for out-of-network reimbursement.
Out-of-Network Insurance Reimbursement
Many insurance plans — including PPO plans and plans subject to the Texas No Surprises Act (HB 3359) — allow you to seek out-of-network care and submit for reimbursement. ATX Orthopedics will provide you with a detailed superbill and procedure codes to facilitate your insurance claim. Use the links below to access reimbursement forms from major carriers.
Why an Ambulatory Surgery Center?
ATX Orthopedics performs all surgical procedures at Pinnacle Surgery Center of Austin, a Medicare-certified ambulatory surgery center (ASC). For most elective orthopedic procedures, an ASC setting offers equivalent or superior clinical outcomes at significantly lower cost than a hospital operating room — and our IDR billing approach means most insured patients pay only their in-network cost-sharing amounts. Learn more about hospital vs. ASC surgery and how our insurance billing strategy works →
Service Area
ATX Orthopedics serves self-pay patients from across Central Texas including Austin, Cedar Park, Round Rock, Georgetown, Pflugerville, Buda, Kyle, Lakeway, Westlake, and Dripping Springs. Our office is located at 3901 Medical Parkway, Suite 301, Austin, TX 78756 — near the University of Texas Medical District off 38th Street.