OBJECTIVE: To evaluate cost-effectiveness of celecoxib for osteoarthritis (OA) in China. METHODS: OA cost-effectiveness analysis model developed by National Institute for Health and Clinical Excellence (NICE) was adopted using celecoxib, diclofenac+PPIs as control. Related risk of adverse event was from CONDOR trials.The effectiveness was measured by QALY. Costs and QALYs were discounted annually at 4.76%. RESULTS: Celecoxib had a cost of $3 591 and 8.826 QALYs while diclofenac+PPIs had a cost of $3 674 and 8.830 QALYs. The incremental costs and QALYs of celecoxib to diclofenac+PPIs were -$83 and -0.004 QALYs, respectively. The incremental cost-effectiveness ratio (ICER) for diclofenac+PPIs to celecoxib was $23 258/QALY. The results of single factor sensitivity analysis and probability sensitivity analysis showed that drug cost was driving factor of ICER, and the results of two therapy plans were similar. CONCLUSIONS: Celecoxib is a less costly alternative than diclofenac+PPIs. The difference in QALYs between celecoxib and diclofenac+PPIs is extremely small, so celecoxib is likely to be cost-effective for OA patients.