Hip Replacement Cost in Vermont (2026): Average Prices & What You'll Pay
What does a hip replacement cost in Vermont?
A typical hip replacement in Vermont costs $3,647–$10,256 for a commercially insured patient, including facility and physician fees. The median reported facility price across 9 hospitals is $2,383. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
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Where hip replacement costs vary in Vermont
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.
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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 Vermont
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Porter Hospital | Middlebury, VT | $10 | -$2,373 |
| 2 | Southwestern Vermont Medical Center | Bennington, VT | $548 | -$1,835 |
| 3 | Brattleboro Memorial Hospital | Brattleboro, VT | $2,166 | -$217 |
| 4 | Northeastern Vermont Regional Hospital, Inc. | St. Johnsbury, VT | $2,383 | +$0 |
| 5 | Copley Hospital | VT | $3,681 | +$1,298 |
| 6 | Central Vermont Medical Center | Berlin, VT | $3,740 | +$1,357 |
| 7 | University of Vermont Medical Center | Burlington, VT | $5,184 | +$2,801 |
| 8 | Northwestern Medical Center | VT | $28,615 | +$26,232 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Porter Hospital is the lowest-cost option at $10 - $2,373 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 $3,710, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
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.
- Facility fee $1–$20,660
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $10–$28,615
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
The University of Vermont Health Network effectively dominates Vermont's hospital market, with limited competitive alternatives statewide. Vermont's all-payer ACO model and its history of near-single-payer reform have created a more price-regulated environment than most states. Prices here are relatively compressed compared to New England neighbors, but not dramatically below the regional average. 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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $8,528, including Northwestern Medical Center at $28,615, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $2,274 versus $2,383 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$6,471 |
| Deductible met - 20% coinsurance | ~$1,294 |
| Out-of-network provider | $14,236+ |
Frequently asked questions: hip replacement costs in Vermont
How much does a hip replacement cost in Vermont?
The typical insurer-negotiated rate is $904, with most facilities between $414 and $1,045 (based on 8 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $792 to $62,385 across all 9 Vermont 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 Vermont?
Based on declared prices, the lowest-cost facility in our Vermont data is North Country Hospital at about $1. 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 Vermont hospitals?
Prices vary up to 78.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Vermont, the median cash (self-pay) price is $3,710 versus a median negotiated rate of $904 - about 4.1× 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 Vermont?
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
- How to read an EOB line by line
Other procedures in Vermont
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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