Hip Replacement Cost in Worcester, MA (2026): Average Prices & What You'll Pay
What does a hip replacement cost in Worcester, MA?
The same hip replacement in Worcester, MA might cost you $8,214 at one facility and $58,628 at another - the building you walk into drives the difference. The median cash price across 6 reporting hospitals is $35,449. These figures come straight from hospital price transparency files published under federal law.
Three low-priced facilities in Worcester, MA, from hospital price files
- ATHOL MEMORIAL HOSPITAL INCORPORATED · Athol, MA $2,670
- UMass Memorial Health - Harrington Hospital, Inc. $57,140
- HealthAlliance - Clinton Hospital $60,115
Free: the typical range and the facilities above. Add your email and we send the full ranked list of all 6 facilities (PDF) plus a checklist of what to ask before you book. We don't sell your information (privacy policy).
Where hip replacement costs vary in Worcester, MA
Pins show hospitals with price-transparency data (colored by vs. state average). Click any pin for facility name and estimated cost range.
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A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.
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Cheapest Hip Replacement Providers in Worcester, MA
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | ATHOL MEMORIAL HOSPITAL INCORPORATED | Athol, MA | $2,670 | -$32,779 |
| 2 | Hospital name hidden | Your City, MA | $669 | -$000 |
| 3 | UMass Memorial Health - Harrington Hospital, Inc. | MA | $57,140 | +$21,691 |
| 4 | HealthAlliance - Clinton Hospital | MA | $60,115 | +$24,666 |
| 5 | Hospital name hidden | Your City, MA | $666 | -$000 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 6 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
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Quick take
- ATHOL MEMORIAL HOSPITAL INCORPORATED is the lowest-cost option at $2,670 - $32,779 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $35,449, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask the hospital for a written estimate of the facility fee, and confirm that the surgeon, anesthesia and any other providers are in your network before you schedule.
Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost states. Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Setting drives much of the spread here: whether the hospital bills the stay as outpatient or inpatient changes the facility fee, which is why two similar hospitals can bill very differently for the same procedure.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$35,449 |
| Deductible met - 20% coinsurance | ~$7,090 |
| Out-of-network provider | $77,988+ |
Frequently asked questions: hip replacement costs in Worcester, MA
How much does a hip replacement cost in Worcester, MA?
The typical price is $35,449, with most facilities between $8,214 and $58,628. Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $2,191 to $66,600 across all 6 Worcester, MA hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hip replacement in Worcester, MA?
Based on declared prices, the lowest-cost facility in our Worcester, MA data is HENRY HEYWOOD MEMORIAL HOSPITAL in Gardner at about $2,191.
Why is a hip replacement so much cheaper at some Worcester, MA hospitals?
Prices vary up to 30.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Worcester, MA, the median cash (self-pay) price is $35,449 versus a median negotiated rate of $1,334 - about 26.6× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hip replacement in Worcester, MA?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Worcester, MA
Hip Replacement, elsewhere
What matters before you schedule
What's on your bill
A hip replacement involves multiple providers who bill separately - typically Drg Facility Stay, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hip replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Hip Replacement is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hip replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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