Hip Replacement Cost in Hagerstown, MD (2026): Average Prices & What You'll Pay
What does a hip replacement cost in Hagerstown, MD?
You could pay $13,630 or $14,644 for the same hip replacement in Hagerstown, MD - depending entirely on which facility you choose. The median cash price across 2 reporting hospitals is $14,137. This data comes directly from hospital price transparency files published under federal law. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, hip replacement in Hagerstown, MD typically runs $13,630–$14,644, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. After the Part B deductible you generally pay 20% of the approved amount.
Read the full Medicare coverage guide →
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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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
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.
We'll send a sign-in link to your email — click it to get your guide. No account required, no spam.
No insurance
The lowest posted price we found is City Hospital, Inc. in Martinsburg, MD at $15,405. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
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.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Hip Replacement Providers in Hagerstown, MD
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | City Hospital, Inc. | Martinsburg, MD | $15,405 | +$1,268 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
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?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Ask for the cash price if your deductible isn't met - the median cash price here is $14,137, 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.
Maryland operates the nation's only all-payer hospital rate-setting system through the Health Services Cost Review Commission (HSCRC) - all payers, including Medicare, Medicaid, commercial, and self-pay, pay the same regulated rates at each facility. This makes Maryland's cash prices more meaningful than in other states, because the discounting common elsewhere is largely prohibited. Johns Hopkins Medicine and University of Maryland Medical System anchor the academic tier. 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 | ~$14,137 |
| Deductible met - 20% coinsurance | ~$2,827 |
| Out-of-network provider | $31,101+ |
Frequently asked questions: hip replacement costs in Hagerstown, MD
How much does a hip replacement cost in Hagerstown, MD?
The typical price is $14,137, with most facilities between $13,630 and $14,644. Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $12,869 to $15,405 across all 2 Hagerstown, MD 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 Hagerstown, MD?
Based on declared prices, the lowest-cost facility in our Hagerstown, MD data is WAR MEMORIAL HOSPITAL, INC in Berkeley Springs at about $12,869.
Why is a hip replacement so much cheaper at some Hagerstown, MD hospitals?
Prices vary up to 1.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hagerstown, MD, the median cash (self-pay) price is $14,137 versus a median negotiated rate of $12,612 - about 1.1× 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 Hagerstown, MD?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
Other procedures in Hagerstown, MD
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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