cleartau

Procedure cost guide

How much does a hip replacement cost?

Nationally, hospitals in the cleartau dataset publish an average cash price of $11,991 for Hip replacement across 1,221 hospitals with cash prices. Published cash prices range from $16 to $156,989, with a median around $7,291.

Hip replacement prices can include different bundles depending on setting, implant hardware, anesthesia, inpatient stay, rehab, and professional fees.

Data last refreshed:

A total hip replacement (total hip arthroplasty, CPT 27130) carries a cost profile very similar to knee replacement: in hospital price-transparency files the all-in cash price commonly lands in the $30,000–$50,000 range for an inpatient case, with outpatient and ambulatory-surgery-center bundles often lower and large academic medical centers sometimes posting more. As with the knee, a single quoted average hides a wide spread driven by setting, implant, and complications.

"Hip replacement cost" is a bundle, not one price. The facility charge, the prosthetic implant, the surgeon's fee, anesthesia, and post-surgical rehabilitation are separate line items that each hospital assembles differently. Inpatient stays are grouped under Medicare severity DRG 469 (with major complications) or DRG 470 (without) — the same major-joint-replacement groups used for the knee — while a planned outpatient case is billed under the CPT code. cleartau keeps those billing structures separate rather than averaging them together.

This guide explains what drives the bill and how insurance changes what you pay. It aggregates what hospitals publish under the federal Hospital Price Transparency rule and is reference data, not a personal quote. If surgery is already scheduled, confirm the specific price for your insurance with each hospital's billing office and ask whether the quote is bundled or itemized.

What affects the price

Setting: inpatient vs. outpatient vs. ASC
Like the knee, total hip replacement has shifted toward outpatient and ambulatory-surgery-center settings for appropriate candidates. An ASC or hospital outpatient department usually publishes a lower all-in price than a traditional inpatient admission because there is no overnight facility charge. Eligibility for outpatient surgery is a clinical judgment your surgeon makes.
Implant hardware
The hip prosthesis (femoral stem, ball, and acetabular cup) is a major line item that varies by manufacturer, material (e.g., ceramic vs. metal heads), and design. Hospitals negotiate implant pricing separately and embed it in the facility charge, so two hospitals doing the identical surgery can post very different prices.
Complications and length of stay (DRG 469 vs. 470)
Inpatient hip replacements are grouped by whether the patient has a major complication or comorbidity. DRG 469 (with MCC) reflects a sicker patient, a longer stay, and a higher payment; DRG 470 (without MCC) is the straightforward case in an otherwise healthy patient.
Professional fees
The surgeon's and anesthesiologist's fees are often billed separately from the hospital's facility charge — sometimes by a different practice. A facility quote may not include them, so always confirm whether a number is the full bundle or facility-only.
Rehabilitation
Physical therapy after a hip replacement is a real, recurring cost that price files rarely capture. Outpatient PT over several weeks, or a short rehab-facility stay for less mobile patients, adds to the total episode of care beyond the surgical price.

Compare matching hospital price pages

Cost without insurance

Self-pay patients face the hospital's cash price, commonly in the tens of thousands of dollars for an inpatient hip replacement. The published figure is a starting point: most hospitals have a self-pay discount, a financial-assistance policy, or a flat bundled cash rate that is not always shown on the price file.

Some orthopedic centers and ASCs publish an explicit bundled cash price covering facility, implant, surgeon, and anesthesia in one number. These bundles are frequently far lower than the sum of itemized charges at a full-service hospital, so comparing a few facilities is worth the effort.

If you are uninsured, ask each hospital for the all-in self-pay price, exactly what it includes, and the prompt-pay or financial-assistance discount — in writing — before scheduling.

Cost with insurance

With commercial insurance, your cost is set by your deductible, coinsurance, and out-of-pocket maximum rather than the chargemaster price. For a procedure this expensive, most insured patients reach their out-of-pocket maximum, so the real cost is usually whatever remains of that maximum plus any out-of-network charges.

Negotiated rates run well below cash prices but vary by plan and hospital. Staying in-network for the facility, surgeon, and anesthesiologist is the most important cost decision; an out-of-network anesthesiologist is a common surprise-bill source on an otherwise in-network surgery.

Medicare pays a fixed DRG 469/470 amount per inpatient admission regardless of listed charges, with the patient's share set by Part A and Part B rules. Confirm prior-authorization requirements with Medicare Advantage or commercial plans before the date of service.

How to pay less

Compare facilities — prices for the identical surgery vary widely within the same metro area, and an ASC or outpatient department is often the lower-cost option for a healthy candidate.

Ask for the bundled self-pay price even with insurance; it occasionally beats your in-network cost-sharing under a high-deductible plan.

Confirm the facility, surgeon, anesthesiologist, and any assistant are all in-network, and request the specific CPT/DRG the hospital will bill for an apples-to-apples quote.

Use the live price comparisons below to see what hospitals in the cleartau dataset have published, then call to confirm the figure for your insurance and clinical situation.

Frequently asked questions

How much does a hip replacement cost on average?
All-in cash prices for an inpatient total hip replacement commonly fall in the $30,000–$50,000 range in U.S. hospital price-transparency data, with outpatient and ASC bundles often lower and large academic centers sometimes higher. What you actually pay depends on setting, insurance, and whether the quote is bundled or itemized.
Is hip replacement more expensive than knee replacement?
They are priced very similarly. Both are grouped under the same Medicare major-joint-replacement DRGs (469/470) for inpatient cases and follow the same cost structure — facility, implant, surgeon, anesthesia, and rehab. Differences in any given quote come from the specific hospital, setting, and implant rather than the joint itself.
Is an outpatient or ASC hip replacement cheaper?
Often, yes. For appropriate candidates, ambulatory surgery centers and hospital outpatient departments typically publish lower all-in prices than a traditional inpatient admission because there is no overnight facility charge.
Does the price include the surgeon and anesthesia?
Not always. The hospital facility charge and the professional fees (surgeon, anesthesiologist) are frequently billed separately, sometimes by different entities. Ask whether a quoted price is the full bundle or facility-only.
How can I lower the cost of a hip replacement?
Compare facilities, consider an outpatient or ASC setting if you are a candidate, ask for the bundled self-pay price, and confirm every provider is in-network. Getting the specific CPT/DRG and an itemized vs. bundled quote in writing helps prevent surprise bills.

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