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Hip Replacement Cost (2026): Average Prices, Typical Range & What You'll Pay

Typical cost

$4,957–$15,446

Sticker price is almost never what patients actually pay.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Hip Replacement could cost you $0 or $15,446.

Find out what YOU will pay ↓

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CostKits Data — Hip Replacement

$2,500–$8,910
National typical range
Median across all 50 states
21×
National price spread
Cheapest vs. most expensive market
3,198
Facilities in our database
93% have observed negotiated rates
50
States with cost data
Updated 2026

CostKits Market Intelligence — Hip Replacement

Confidence: High
Sources Used
  • CMS Medicare fee schedules (MPFS, OPPS, ASC)
  • Hospital price transparency files
  • Commercial rate relativity model
Estimate Composition
Observed negotiated rates
95%
Medicare baseline
5%
Estimated relativity
0%
259 geographic markets analyzed
3,198 facilities in dataset
50 states + 209 metros

Hip Replacement Cost by Type

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

Total Hip Replacement

A recognized variation that can change the billing code and what you owe. Most common. Replaces both ball and socket.

Partial Hip Replacement (Hemiarthroplasty)

A recognized variation that can change the billing code and what you owe. Used primarily for femoral neck fractures. Replaces only the ball.

Hip Revision Surgery

A recognized variation that can change the billing code and what you owe. Replacement of a failed implant. Significantly more complex and expensive.

What's Actually on a Hip Replacement Bill?

A single hip replacement can generate multiple separate bills. Each provider bills independently and they often arrive weeks apart. Here's what to expect at a Hospital Inpatient:

Billing Component Always? Typical Amount Separate Bill? Notes
Drg Facility Stay Always — Sometimes DRG 470 (major joint replacement without MCC) is most common.
Orthopedic Surgeon Professional Fee Always — Usually
Anesthesia Always $540–$1,440 Usually
Implant Device Cost Always Varies Sometimes Hip implant adds $5,000–$15,000+ depending on manufacturer and implant type. Often the largest single cost variable.
Physical Therapy Inpatient Always — Sometimes Embedded in DRG — not a separate charge during the hospital stay.

Your Out-of-Pocket by Insurance Scenario

The allowed amount is not what you pay. Your real cost depends on where you are in your plan year. Here are the five most common scenarios for hip replacement:

Scenario Est. Out-of-Pocket Key Factor
HDHP, deductible not yet met $2,500–$8,910 You pay the full negotiated rate until your deductible is satisfied
20% coinsurance (deductible met) $500–$1,780 Plan pays 80%, you pay 20% of the allowed amount
OOP maximum already met $0 Plan covers 100% of in-network costs for the remainder of the plan year
Medicare (Part B) ~$500 20% coinsurance after Part B deductible; Advantage plans may use a flat copay
Medicaid $0–$5 Nominal copay only; varies by state Medicaid program

These are illustrations based on the national median range. Your actual cost depends on your specific plan. Forecast your exact number below ↓

How CostKits Helps With Hip Replacement Costs

Most price websites stop at a national average. CostKits helps you estimate what you will actually pay for a hip replacement:

  • Your deductible exposure — how much of the hip replacement you'll owe before insurance starts paying
  • Your coinsurance — the percentage you keep paying after the deductible is met
  • Your likely out-of-pocket cost — a personalized estimate based on your plan, not a national average
  • Your future healthcare spending — so you can plan for the rest of the plan year, not just this one bill

That's the difference between knowing a hip replacement "costs a few hundred to a few thousand dollars" and knowing what it costs you.

Forecast your out-of-pocket cost

Quick navigation: · Healthcare Cost Guides · How deductibles affect your cost · Hip Replacement costs by state →

Total hip replacement (THR) is a major orthopedic surgery that replaces the damaged hip joint with an artificial implant. It is one of the highest-cost elective surgeries in the U.S.

How to Use This Data

These prices come from hospital price transparency files that hospitals are required by law to publish. They represent the range of what hospitals declare as their charges — actual negotiated rates with insurers are typically 40–60% lower.

If you have insurance: Your out-of-pocket cost is determined by your deductible, coinsurance, and your insurer's negotiated rate with the specific facility. Call your insurer for a pre-service cost estimate before scheduling.

If you are uninsured: Call 2–3 facilities directly and ask for their self-pay or cash-pay rate. Most facilities offer 20–50% discounts off list prices for upfront payment.

If you received a bill: Upload it to CostKits to compare what you were charged against what other facilities in your state reported.

This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands

Hip Replacement is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than alternative settings for identical clinical outcomes.

How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.

Prior Authorization Is Usually Required

Most commercial and Medicare Advantage plans require pre-approval for hip replacement before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.

Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.

The Implant Is the Largest Cost Driver

For hip replacement, the implant or device typically accounts for 40–70% of the total hospital bill. Surgeons have preferred device relationships that affect which implant is used — and different implants can vary by $5,000–$15,000 in cost.

What to ask: Request an itemized estimate that breaks out the implant separately. Ask your surgeon whether a comparable implant is available at a lower cost.

Who performs this: Hip Replacement is typically performed by a Orthopedic Surgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.

Common Hip Replacement Billing Surprises

The sticker price is rarely the whole story. These are the charges that most often surprise people after a hip replacement — knowing them in advance is how you catch errors and avoid out-of-network bills.

You May Receive Two Bills

Most hip replacement episodes produce a facility charge and a separate professional (surgeon) charge. Even when the facility is in-network, the surgeon can be out-of-network.

The Surgeon Bills Separately

The surgeon bills independently from the facility and may arrive later as its own statement.

Anesthesia May Be Billed Separately

Anesthesia is frequently provided by a separate group and may be out-of-network even when the facility is not.

Implant or Device Charges

The implant or device is often the single largest line item and varies widely by manufacturer.

Facility Fees

Hospital facility fees are typically far higher than ambulatory or independent settings for the identical service.

Out-of-Network Surgeon

Confirm the surgeon — not just the facility — is in your network before the procedure.

Explore Hip Replacement Costs

How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Hip Replacement by Type & Body Part

Costs vary significantly by which hip replacement variant you need. Select a type to see state-by-state pricing and billing details:

Cheapest States for Hip Replacement

The 10 lowest-cost states for hip replacement, by typical facility price range. Use these as a benchmark — even within a low-cost state, an independent imaging center usually beats a hospital outpatient department.

  1. 1. Utah $2,129–$2,129
  2. 2. West Virginia $2,108–$2,582
  3. 3. Maine $2,067–$3,400
  4. 4. Pennsylvania $2,088–$3,682
  5. 5. Vermont $2,260–$3,884
  6. 6. Maryland $2,025–$5,049
  7. 7. Tennessee $2,074–$5,009
  8. 8. Nevada $2,571–$4,917
  9. 9. Washington $2,876–$4,804
  10. 10. Connecticut $2,441–$5,246

Most Expensive States for Hip Replacement

The 10 highest-cost states for hip replacement. If you're in one of these, shopping facilities and asking for the cash-pay rate matters most.

  1. 1. Alaska $3,009–$19,952
  2. 2. North Dakota $3,383–$17,555
  3. 3. Mississippi $2,744–$16,205
  4. 4. North Carolina $5,878–$12,476
  5. 5. New Hampshire $2,430–$14,000
  6. 6. Massachusetts $2,875–$13,541
  7. 7. Alabama $3,341–$12,996
  8. 8. Delaware $1,234–$14,928
  9. 9. Minnesota $3,061–$12,795
  10. 10. Florida $2,973–$12,736

Hip Replacement Cost by State

Data source: CMS Hospital Price Transparency Machine-Readable Files. Prices represent hospital-declared charges and do not include physician fees, anesthesia, or other separately-billed services.

What will you pay for Hip Replacement?

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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 15, 2026 · Updated May 15, 2026

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