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Two New Knees for Less Than the Price of One

A Colorado contractor was quoted $40,000 per knee. He got both replaced in Cancun for about $30,000, flights included.

5 min read
Two New Knees for Less Than the Price of One
US Knee Replacements
700K+
per year
Turkey Health Tourists
1.4M
in 2025
Avg. Savings
40–80%
vs. US pricing
Patient File
 

Bone on bone.

That’s what the scans showed when Clay Nelson finally sat down with a surgeon in Colorado. Decades of construction work had worn out his knees… with help from weightlifting, trail running, and an old meniscus injury from high school football.

By his fifties, crossing the street was a project.

Clay works for himself as a general contractor. His health plan carries a high deductible (which, if you’ve ever had one, means you cover a big chunk of the bill before insurance chips in).

And a new knee cost $40,000. He needed two.

So what do you do with an $80,000 price tag?

Oddly enough, his own doctor had an idea.

He pointed Clay to NASH, the Network for Advanced Specialty Healthcare. It’s a travel-for-treatment program, founded in 2016, that works with partner hospitals in Cancun and Monterrey.

NASH booked Clay into Galenia Hospital in Cancun.

Galenia has been open since 2006 and holds JCI accreditation. About 200 doctors work there, and it treats around 10,000 patients a year, many of them from the US and Canada.

The price for both knees, airfare included, came to about $30,000.

In other words, two new knees for less than the price of one at home.

Total knee replacement (one knee): starting prices
$35K+
 
$14.8K
 
$7.9K
 
$7K
 
$6K
 
US
no insurance
Cancun
package
Tijuana
Stryker implant
Thailand
from
Turkey
from
K = thousand US dollars. Procedure prices only; flights are extra. Sources: Medical Tourism Co. (US, Cancun, Tijuana) and Bookimed (Thailand, Turkey), October 2026.

The prep happened in Colorado. A physician assistant ran his bloodwork and pre-op checks to make sure he was fit to fly and fit for surgery. Then Clay flew south a few days before each operation, and before the second one, he spent a few days at a resort.

He was up and walking within hours both times.

What surprised him most? The hospital looked cleaner than the American ones where he’d had his meniscus surgery. And the artificial knees were the same brand he’d have gotten in Colorado.

But recovery still hurt.

Physical therapy back home took six weeks. He also had check-ins with his medical team at 30 days, 90 days, and six months.

“I’d do it all again in a heartbeat.”
— Clay Nelson, Colorado, as told to Men’s Health

Today he does everything he wants… except run.

And Cancun isn’t even the cheapest option.

A single knee replacement in Tijuana starts at $7,900 with a Stryker implant, according to Medical Tourism Co. Spread over five years, that’s about $130 a month before interest.

Even Clay’s $30,000 for two knees works out to $500 a month over the same stretch.

Men’s Health didn’t say how he paid for it. Savings, a loan, a credit card… I have no idea.

But I know which number a contractor can actually plan around.

No more bone on bone.

 
Reader Review
Clinica Biblica, San Jose, Costa Rica
Sleeve gastrectomy · Published March 2025 · clinicabiblica.com
Matthew S. had done every pre-op evaluation and had a sleeve gastrectomy on the calendar. Then, about three weeks before surgery, his insurer sent a denial letter.

Paying out of pocket at home looked like $30,000 or more. At 40, after gaining and losing 100 pounds more than once, he didn’t want to wait.

He dug through Reddit, Google, and YouTube, then chose Clinica Biblica in San Jose, a full-service hospital. That mattered to him in case something went wrong. A couple of weeks before flying, he spoke in English with his surgeon, Dr. Jacobo Zafrani, who reviewed his records and put him on a strict high-protein, low-carb pre-op diet.

In Costa Rica, he had a half-day medical exam, and surgery followed two days later. It took about 90 minutes. He spent two more days in the hospital and five in a hotel, and he still had enough energy to walk around San Jose before flying home.

Even with travel, the whole thing cost about a third of the US price. He’s down 130 pounds, his blood pressure and resting heart rate are back in healthy ranges, and he still sees a Clinica Biblica dietitian by video.

“My only regret is not doing this surgery earlier.”
— Matthew S. Published Patient Story
 
Quick Reads
Trend
Turkey Just Posted a $3 Billion Year

The official numbers are in. USHAS, Turkey’s state health tourism company, counted 1.398 million health travelers in 2025 and about $3.02 billion in revenue. And 2026 is running hotter. In the second quarter alone, 563,327 people came for treatment and spent roughly $1.58 billion. Hair and teeth grab the headlines, but knees are on the menu, too. Total knee replacement at Bookimed’s partner clinics starts at around $6,000. One more thing: by the end of this year, every Turkish hospital and clinic treating international patients must hold TUSKA accreditation, the country’s own quality stamp. Interesting…

Destination
Hyderabad Wants to Be India’s Next Medical Hub

Last Friday, the chief secretary of the Indian state of Telangana ordered officials to draw up a full action plan for medical and wellness tourism under the state’s 2025–30 tourism policy. The big idea is a single online portal where foreign patients can arrange consultations, treatment, and hospital services in one place. The raw material is already there. Hyderabad has 89 hospitals accredited by NABH, India’s national body, and eight with JCI accreditation. There are no prices or launch date yet, so this is one to watch… but a working one-stop portal could make India a lot less intimidating for first-timers.

Savings Spotlight
The $8,000 Rule

Josef Woodman runs Patients Beyond Borders, the most-cited source in this industry. His rule of thumb is simple. If your total US quote, including consultations, the procedure, and the hospital stay, comes to $8,000 or more, you’ll probably save by going abroad. Under $8,000, you’re likely better off at home once flights and hotels are added. Knees clear the bar easily. Bookimed puts a US total knee replacement at $35,000 to $55,000, while its partner clinics start at $6,000 in Turkey and $7,800 in Poland. In other words, run the $8,000 test before you price a single flight.

Safety Note
Your New Knee and the Flight Home

The surgery is only half of it. A long flight after joint replacement raises the risk of a blood clot in the leg, so stay put until your surgeon clears you to fly, which is often one to two weeks. Book an aisle seat, wear compression stockings, walk the aisle, and take any blood thinner you’re prescribed. Two more tips: finish any tooth extraction at least three weeks before surgery, as the American Academy of Orthopaedic Surgeons advises. And pay by credit card, not wire transfer, so you have a route to a refund if something goes wrong.

You’re reading Beyond Borders, published every weekday.
This newsletter is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making treatment decisions. We are not affiliated with any hospital, clinic, or practitioner mentioned.

This newsletter is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making treatment decisions.

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