CostKits Your Healthcare Budget

Hip Replacement Cost in Maine (2026): Average Prices & What You'll Pay

What does a hip replacement cost in Maine?

For a commercially insured patient, a hip replacement in Maine typically runs $4,519$9,940 once facility and physician fees are combined. The median reported facility price across 24 hospitals is $2,416. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

MaineHealth is the dominant system and covers most of Maine's hospital capacity, creating a largely non-competitive market outside Portland. Maine's extensive rural hospital network includes many critical access facilities where cost-based Medicare reimbursement applies. Northern Maine is one of the most medically isolated regions in the Eastern US.

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.

Location within the state matters too: Portland has the lowest metro median ($2,447) while Belfast runs highest ($32,656) — a 13.3× difference inside Maine alone. Across 24 Maine hospitals that publish prices, a hip replacement runs from as little as $500 (Charles A. Dean Memorial Hospital) to $76,956 (Charles A. Dean Memorial Hospital) — a 153.9× spread for the same procedure. A typical Maine facility lands around $2,416 — most sit in the $2,054–$3,400 band. Self-pay patients are quoted more than insurers actually pay: the median cash price is $2,447 versus a median negotiated rate of $1,220 — about 2× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.

Forecast your out-of-pocket cost

How prices are distributed across Maine hospitals:
  • Lower-cost hospitals (bottom 25%): under $2,054
  • Median hospital: $2,416
  • Higher-cost hospitals (top 30%): $3,400+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Portland:
  • Patient A (higher-rate plan or out-of-network): ~$3,400
  • Patient B (lower-rate in-network plan): ~$2,067
Same procedure. Same week. $1,333 difference.

Where hip replacement costs vary in Maine

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every Maine hospital's price

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Cheapest Hip Replacement Providers in Maine

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Charles A. Dean Memorial Hospital ME $2,028 -$388
2 Mayo Regional Hospital Dover Foxcroft, ME $2,028 -$388
3 Sebasticook Valley Health Pittsfield, ME $2,028 -$388
4 Blue Hill Memorial Hospital ME $2,028 -$388
5 The Aroostook Medical Center ME $2,040 -$376
6 Eastern Maine Medical Center ME $2,040 -$376
7 Mercy Hospital Portland, ME $2,049 -$367
8 MaineHealth Brunswick, ME $2,054 -$362

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Hip Replacement costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $6,519, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $2,447. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$6,504
Deductible met — 20% coinsurance ~$1,301
Out-of-network provider $14,309+

Based on a typical episode cost of $6,504 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $2,078+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Maine start around $2,054 or below. Most hospitals cluster between $2,054 and $3,840. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Acadia Hospital in Bangor (cash price from $2,024); MaineHealth in Brunswick (cash price from $2,054); MaineHealth in Rockport (cash price from $2,067). These are declared cash prices — contact each facility for a formal quote before scheduling.

How where you go changes what you pay for hip replacement

The same hip replacement bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$3,937–$84,472
  • Facility fee $2,024–$76,956
  • Professional fee $1,913–$7,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$2,251–$15,835
  • Facility fee $338–$8,319
  • Professional fee $1,913–$7,516

Estimated from CMS fee schedules + commercial rate multipliers

Quick decision guide:
  • Best value hospitals (lowest prices): Sebasticook Valley Health: $338; Mayo Regional Hospital: $621; Acadia Hospital: $2,024
  • Most expensive (outpatient): Cary Medical Center: ~$8,319; Mount Desert Island Hospital: ~$3,840

→ Choosing the right facility can save $2,078+ vs. the state median.

Maine Hip Replacement prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Sebasticook Valley Health Pittsfield, ME $338 -$2,078 $521
#2 Mayo Regional Hospital Dover Foxcroft, ME $621 -$1,795 $956–$2,778
#3 Acadia Hospital Bangor, ME $2,024 -$392 $517–$13,339
#4 Charles A. Dean Memorial Hospital ME $2,028 -$388 $501–$69,695
#5 Blue Hill Memorial Hospital ME $2,109 -$307 $2,538–$3,920
#6 The Aroostook Medical Center ME $2,973 +$557 $941–$3,764
#7 Eastern Maine Medical Center ME $2,930 +$514 $659–$23,168
#8 Mercy Hospital Portland, ME $2,447 +$31 $604–$3,308
#9 MaineHealth Brunswick, ME $2,054 -$362 $1,220–$3,894
#10 MaineHealth Portland, ME $3,400 +$984 $1,126–$7,427
#11 MaineHealth Rockport, ME $2,067 -$349 $1,230–$3,894
#12 MaineHealth Damariscotta, ME $2,068 -$348 $1,230–$3,956
#13 MaineHealth Belfast, ME $2,094 -$322 $1,230–$3,956
#14 MaineHealth Norway, ME $2,094 -$322 $1,230–$3,956
#15 MaineHealth Farmington, ME $2,094 -$322 $1,230–$3,894
#16 MaineHealth Westbrook, ME $2,158 -$258 $1,220–$3,866
#17 Calais Community Hospital Calais, ME $2,273 -$143 $529–$3,743
#18 York Hospital ME $2,416 +$0 $4,028
#19 Millinocket Regional Hospital Millinocket, ME $3,104 +$688 $1,055–$8,325
#20 Penobscot Valley Hospital Po Box 368, ME $3,124 +$708 $1,283–$4,183
#21 Down East Community Hospital Machias, ME $3,131 +$715 $932–$5,182
#22 Redington-Fairview General Hospital ME $3,220 +$804 $4,294–$6,408
#23 Mount Desert Island Hospital Po Box 8, ME $3,840 +$1,424 $5,120–$5,358
#24 Cary Medical Center Caribou, ME $8,319 +$5,903 $11,093–$27,038

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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Maine:

Where you can save the most on hip replacement in Maine

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Sebasticook Valley Health Pittsfield, ME $338 -$2,078
Mayo Regional Hospital Dover Foxcroft, ME $621 -$1,795
Acadia Hospital Bangor, ME $2,024 -$392
Charles A. Dean Memorial Hospital ME $2,028 -$388
Blue Hill Memorial Hospital ME $2,109 -$307

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive hip replacement providers in Maine

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Cary Medical Center Caribou, ME $8,319 +$5,903
Mount Desert Island Hospital Po Box 8, ME $3,840 +$1,424
MaineHealth Portland, ME $3,400 +$984
Redington-Fairview General Hospital ME $3,220 +$804
Down East Community Hospital Machias, ME $3,131 +$715

Why prices vary this much

A small number of hospitals (9) report very high prices above $6,519, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Maine: the median outpatient price is $2,344 versus $2,158 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Maine facilities reporting prices, 11 fall in a low-cost tier (up to $2,054) while 11 sit in a high-cost tier ($3,840 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Hip Replacement Costs by Metro Area in Maine

Prices vary across Maine metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:

Compare hip replacement costs in nearby states

Frequently asked questions: hip replacement costs in Maine

How much does a hip replacement cost in Maine?

Across 24 Maine hospitals that publish prices, a hip replacement ranges from $500 to $76,956, with a median of $2,416. Most facilities fall between $2,054 and $3,400. 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 Maine?

Based on declared prices, the lowest-cost facility in our Maine data is Sebasticook Valley Health in Pittsfield at about $338. By metro, Portland has the lowest median ($2,447). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.

Why is a hip replacement so much cheaper at some Maine hospitals?

Prices vary up to 153.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Maine, the median cash (self-pay) price is $2,447 versus a median negotiated rate of $1,220 — about 2× higher. Asking for the cash price or 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 Maine?

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.

Explore all hip replacement cost data

See hip replacement costs across all states

Other Maine Hospitals and ambulatory surgery centers for Hip Replacement

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Maine. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE
2079900928
BANGOR, ME Ambulatory Surgical Center
BANGOR EYE SURGERY, PA
2079476743
BANGOR, ME Ambulatory Surgical Center
BIRTH AND FAMILY CENTER FOR COMMUNITY WELLNESS
2077733938
PORTLAND, ME Women's Hospital $3,937–$84,472 bundled est.
BRIDGTON HOSPITAL
2077955709
BRIDGTON, ME Critical Access Hospital $3,937–$84,472 bundled est.
CASCO BAY ENDOSCOPY
2078790094
SOUTH PORTLAND, ME Ambulatory Surgical Center
CENTRAL MAINE ENDOSCOPY CENTER, LLC
2076802070
WATERVILLE, ME Ambulatory Surgical Center
CENTRAL MAINE EYE SURGERY CENTER LLC
2077839653
LEWISTON, ME Ambulatory Surgical Center
CENTRAL MAINE MEDICAL CENTER
2077955646
LEWISTON, ME General Acute Care Hospital $3,937–$84,472 bundled est.
CENTRAL MAINE MEDICAL CENTER
2075441078
AUBURN, ME Ambulatory Surgical Center
CESC, LLC
2076676300
ELLSWORTH, ME Ambulatory Surgical Center
DEPT. OF VETERANS AFFAIRS
2076238411
AUGUSTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
DOWN EAST COMMUNITY HOSPITAL
2072553356
MACHIAS, ME General Acute Care Hospital $3,937–$84,472 bundled est.
▼ Show 97 more Maine hospitals and ambulatory surgery centers
DOWN EAST COMMUNITY HOSPITAL
2072553356
MACHIAS, ME Critical Access Hospital $3,937–$84,472 bundled est.
EASTERN MAINE EMERGENCY VETERINARY CLINIC
2079896267
BREWER, ME General Acute Care Hospital $3,937–$84,472 bundled est.
EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL
2078613152
WATERVILLE, ME General Acute Care Hospital $3,937–$84,472 bundled est.
EASTERN MAINE MEDICAL CENTER
2079737000
BANGOR, ME General Acute Care Hospital $3,937–$84,472 bundled est.
EASTERN MAINE MEDICAL CENTER
2079737000
BANGOR, ME General Acute Care Hospital $3,937–$84,472 bundled est.
EASTERN MAINE MEDICAL CENTER
2079737000
BANGOR, ME General Acute Care Hospital $3,937–$84,472 bundled est.
EYECARE MEDICAL GROUP
2078282020
PORTLAND, ME Ambulatory Surgical Center
FRANKLIN MEMORIAL HOSPITAL
2077786579
FARMINGTON, ME Rural Acute Care Hospital $3,937–$84,472 bundled est.
HENRIETTA D. GOODALL HOSPITAL INC.
2073244310
SANFORD, ME General Acute Care Hospital $3,937–$84,472 bundled est.
HOULTON REGIONAL HOSPITAL
2075322900
HOULTON, ME Critical Access Hospital $3,937–$84,472 bundled est.
HOULTON REGIONAL HOSPITAL
2075322900
HOULTON, ME Critical Access Hospital $3,937–$84,472 bundled est.
INTERMED, PA
2073472898
PORTLAND, ME Ambulatory Surgical Center
MAINE COAST REGIONAL HEALTH FACILITIES
2076645311
ELLSWORTH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINE DENTAL SURGERY CENTER PC
2077408105
YARMOUTH, ME Ambulatory Surgical Center
MAINE EYE CARE ASSOCIATES
2078732731
WATERVILLE, ME Ambulatory Surgical Center
MAINE EYE CENTER, PA
2077748277
PORTLAND, ME Ambulatory Surgical Center
MAINE HEART CENTER
2077566025
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINE MEDICAL CENTER
2077742381
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEGENERAL MEDICAL CENTER
2078739841
AUGUSTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077715549
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077290181
BRUNSWICK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077672174
CAPE ELIZABETH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077435933
NORWAY, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077610650
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2075968000
ROCKPORT, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078426531
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077811551
FALMOUTH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077715549
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077811775
FALMOUTH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077746368
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2075968000
ROCKPORT, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077435933
NORWAY, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076620111
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2075631234
DAMARISCOTTA, ME Critical Access Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078833491
SCARBOROUGH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077792356
FARMINGTON, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077792356
FARMINGTON, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078857683
SCARBOROUGH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2075631234
DAMARISCOTTA, ME Critical Access Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078857565
SCARBOROUGH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076624618
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077746368
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077792784
FARMINGTON, ME Critical Access Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2072948632
SACO, ME Critical Access Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078830069
SCARBOROUGH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076628600
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076625555
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077715549
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077751255
SOUTH PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076621360
WESTBROOK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2076623400
WESTBROOK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2078833491
SCARBOROUGH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MAINEHEALTH
2077731728
SOUTH PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2075536105
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2078793601
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2078930290
WINDHAM, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2078578174
WESTBROOK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2078793000
PORTLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MERCY HOSPITAL
2075351200
YARMOUTH, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MID COAST HOSPITAL
2075632311
DAMARISCOTTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MILES MEMORIAL HOSPITAL INCORPORATED
2075631234
DAMARISCOTTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
MILLINOCKET REGIONAL HOSPITAL
2077235161
MILLINOCKET, ME Critical Access Hospital $3,937–$84,472 bundled est.
MRH CORP.
2075648401
DOVER FOXCROFT, ME Critical Access Hospital $3,937–$84,472 bundled est.
NORTHERN MAINE AMBULATORY ENDOSCOPY CENTER
2077640679
PRESQUE ISLE, ME Ambulatory Surgical Center
NORTHERN MAINE MEDICAL CENTER
2078343155
FORT KENT, ME General Acute Care Hospital $3,937–$84,472 bundled est.
OA ASC LLC
2078282101
PORTLAND, ME Ambulatory Surgical Center
ORTHOPAEDIC SURGERY CENTER
2078282100
PORTLAND, ME Ambulatory Surgical Center
PARKVIEW ADVENTIST MEDICAL CENTER
2073732000
BRUNSWICK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
PENOBSCOT BAY MEDICAL CENTER
2075968000
ROCKPORT, ME General Acute Care Hospital $3,937–$84,472 bundled est.
PENOBSCOT BAY MEDICAL CENTER
2077014400
ROCKLAND, ME General Acute Care Hospital $3,937–$84,472 bundled est.
PLASTIC & HAND SURGICAL ASSOCIATES
2077753446
WESTBROOK, ME Ambulatory Surgical Center
PORTLAND ENDOSCOPY CENTER
2077737964
PORTLAND, ME Ambulatory Surgical Center
RADIANCE FACIAL COSMETIC SURGERY & LASER CENTER
2077646337
PRESQUE ISLE, ME Ambulatory Surgical Center
RIVERSIDE EYE CENTER PA
2077862500
LEWISTON, ME Ambulatory Surgical Center
RIVERSIDE ISURGERY
2077862500
LEWISTON, ME Ambulatory Surgical Center
RUMFORD HOSPITAL
2073691000
RUMFORD, ME Critical Access Hospital $3,937–$84,472 bundled est.
SEBASTICOOK VALLEY HEALTH
2074875141
PITTSFIELD, ME Critical Access Hospital $3,937–$84,472 bundled est.
SEBASTICOOK VALLEY HEALTH
2078485846
PITTSFIELD, ME Critical Access Hospital $3,937–$84,472 bundled est.
SEBASTICOOK VALLEY HOSPITAL ASSOCIATES
2074875141
PITTSFIELD, ME Critical Access Hospital $3,937–$84,472 bundled est.
SOUTHERN MAINE HEALTH CARE-WORKWELL
2074907099
SANFORD, ME General Acute Care Hospital $3,937–$84,472 bundled est.
SPECTRUM HEALTHCARE PARTNERS, P.A
2078282100
PORTLAND, ME Ambulatory Surgical Center
ST. JOSEPH HOSPITAL
2079071000
BANGOR, ME General Acute Care Hospital $3,937–$84,472 bundled est.
ST.PETERS HOSPITAL
2072405667
LEEDS, ME Rural Acute Care Hospital $3,937–$84,472 bundled est.
STEPHENS MEMORIAL HOSPITAL ASSOCIATION
2077438031
NORWAY, ME Critical Access Hospital $3,937–$84,472 bundled est.
SUNBURY PRIMARY CARE
2072621825
BANGOR, ME General Acute Care Hospital $3,937–$84,472 bundled est.
THE AROOSTOOK MEDICAL CENTER
2077684000
PRESQUE ISLE, ME General Acute Care Hospital $3,937–$84,472 bundled est.
THE BLUE HILL MEMORIAL HOSPITAL
2073743400
BLUE HILL, ME Critical Access Hospital $3,937–$84,472 bundled est.
TOGUS VAMC
7172776565
AUGUSTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
VA MAINE HEALTH
2076238411
AUGUSTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
VA MAINE HEALTHCARE SYSTEM
2076238411
AUGUSTA, ME General Acute Care Hospital $3,937–$84,472 bundled est.
VISION CARE OF MAINE LLC
2079456200
BANGOR, ME Ambulatory Surgical Center
VISION CARE OF MAINE-AROOSTOOK LLC
2077640376
PRESQUE ISLE, ME Ambulatory Surgical Center
WALDO COUNTY GENERAL HOSPITAL
2073382500
BELFAST, ME General Acute Care Hospital $3,937–$84,472 bundled est.
WESTERN MOUNTAIN SURGICAL CARE, P.A.
2077786579
FARMINGTON, ME Rural Acute Care Hospital $3,937–$84,472 bundled est.
WOLF EYE ASSOCIATES, P.A.
2077839653
LEWISTON, ME Ambulatory Surgical Center
YORK HOSPITAL
2073847260
SOUTH BERWICK, ME General Acute Care Hospital $3,937–$84,472 bundled est.
YORK HOSPITAL
2073513455
YORK, ME General Acute Care Hospital $3,937–$84,472 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What's Actually on Your Hip Replacement Bill

A hip replacement involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.

Hospital Inpatient

  • Drg Facility Stay — DRG 470 (major joint replacement without MCC) is most common.
  • Orthopedic Surgeon Professional Fee
  • Anesthesia
  • Implant Device Cost — Hip implant adds $5,000–$15,000+ depending on manufacturer and implant type. Often the largest single cost variable.
  • Physical Therapy Inpatient — Embedded in DRG — not a separate charge during the hospital stay.

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.

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.


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
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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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