Hip Replacement Cost by State and Facility Type (2026)

Creator: John Caruso, FSA, MAAA
Published: 2026-05-15T19:10:53.349Z
Keywords: hip replacement cost, hip replacement price, hospital price transparency, healthcare costs by state

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.

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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.

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

3,116

Facilities in our database

93% have observed negotiated rates

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

3,116 facilities in dataset

50 states + 209 metros

Most insured patients do not pay the full facility price. See your likely out-of-pocket cost →

Check your surprise-bill risk

Quick navigation: · National Hip Replacement Cost Guide · How deductibles affect your cost · Already have a bill? Get it professionally reviewed →

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.

A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.

Your personalized cost report includes:

✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
✓ How physical therapy is billed - per visit, for weeks - and the plan limits to confirm first
✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

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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.

Data note

This page shows facility and allowed-amount price data - not your personal cost after insurance. What you'll actually pay depends on your deductible, coinsurance rate, and plan type.

Estimate what YOU’ll pay →

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

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Hip Replacement Cost by Metro

New York, NY Los Angeles, CA Chicago, IL Dallas, TX Houston, TX Washington, DC Miami, FL Philadelphia, PA Atlanta, GA Phoenix, AZ Boston, MA San Francisco, CA Riverside, CA Detroit, MI Seattle, WA Minneapolis, MN San Diego, CA Tampa, FL Denver, CO St Louis, MO

Hip Replacement by State - Lowest Cost

Utah West Virginia Maine Pennsylvania Vermont Maryland Tennessee Nevada Washington Connecticut Iowa Texas

Hip Replacement by State - Most Searched

California Texas Florida New York Illinois Pennsylvania Ohio Georgia North Carolina Michigan

CostKits Tools

Cost Estimator Cost Forecasting Bill Checker

Learn More

Healthcare Cost Guide EOB Explained How Healthcare Costs Are Mapped

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. Utah $2,129–$2,129
2. West Virginia $2,108–$2,582
3. Maine $2,067–$3,400
4. Pennsylvania $2,088–$3,682
5. Vermont $2,260–$3,884
6. Maryland $2,025–$5,049
7. Tennessee $2,074–$5,009
8. Nevada $2,571–$4,917
9. Washington $2,876–$4,804
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. Alaska $3,009–$19,952
2. North Dakota $3,383–$17,555
3. Mississippi $2,744–$16,205
4. North Carolina $5,878–$12,476
5. New Hampshire $2,430–$14,000
6. Massachusetts $2,875–$13,541
7. Alabama $3,341–$12,996
8. Delaware $1,234–$14,928
9. Minnesota $3,061–$12,795
10. Florida $2,973–$12,736