How Much Is Hip Replacement Surgery? Average Cost, Insurance, and More
A hip replacement may cost more than $8,000 less if you go home the next morning instead of staying in the hospital. One Blue Cross Blue Shield report found that the average price was about $30,700 for inpatient surgery compared with $22,078 for outpatient surgery. This difference highlights how much the surgical setting can influence the total cost. But how much is hip replacement surgery in the US? Published prices range from around $20,000 to more than $70,000, depending on several factors. This guide explains the average cost, what the bill includes, how insurance and Medicare may help, and how to get a written estimate before surgery.
How Much Is Hip Replacement Surgery in the US?
If you’re paying out of pocket for a total hip replacement, the reported cost may range from $31,000-$45,000. That’s the number you will see most often in cost guides. It isn’t the only one, though. Some sources put the range at $23,200-$74,000, and a figure tied to the American Association of Hip and Knee Surgeons goes all the way up to $112,000.
However, most of these figures reflect hospital charges rather than the amounts insurers actually pay. So your own hip replacement cost could end up a good deal lower or higher than what’s listed in the table below.
| Cost measure | Reported figure | What it means |
|---|---|---|
| Typical self-pay range | $31,000-$45,000 | The surgery alone, paid without insurance |
| Wider consumer-guide range | $23,200-$74,000 | Shifts with the city, the hospital, and the procedure |
| Highest published estimate | Up to $112,000 | The top figure tied to the American Association of Hip and Knee Surgeons |
| Average inpatient price | About $30,700 | You spend at least one night in the hospital |
| Average outpatient price | About $22,078 | You head home the same day or the next morning |
How Much Does Hip Replacement Cost by Procedure Type?
Hip operations come in a few different forms, and the one your surgeon picks plays a major role in the final bill. Prices also vary across hospitals and published reports. So it’s best to use the table below as a rough guide and not an exact quote.
| Procedure | What it involves | Estimated cost |
|---|---|---|
| Total hip replacement | Both the ball and the socket are replaced | $18,175-$74,000 |
| Outpatient total hip replacement | The same surgery, but you go home quickly | About $27,220 |
| Inpatient total hip replacement | The same surgery, followed by a hospital stay | About $43,370 |
| Partial hip replacement (hemiarthroplasty) | Only the ball is replaced | $22,000-$68,000 |
| Hip resurfacing | The damaged bone is trimmed and covered with a cap | About $26,077 |
| Revision surgery | An older implant is taken out and replaced | About $21,224 |
Revision surgery is often more complicated, so quotes can vary a lot from one facility to another. Technology can add to the bill as well. Some cost guides say robotic assistance adds $2,000-$5,000. If you’re trying to find out how much is hip replacement surgery for one particular procedure, ask for the exact procedure code. That way, every quote you collect covers the same service.
Does the Surgical Setting Affect Hip Replacement Costs?
Yes, it often does. The cost of hip replacement surgery varies partly because the procedure can be performed in different settings.
Inpatient hospital stay: A 2019 Blue Cross Blue Shield report put the average price at about $30,700.
Hospital outpatient surgery: The same report listed around $22,078, and patients usually went home 12-23 hours after surgery.
Ambulatory surgery center: Medicare’s national averages show a total cost of about $10,708 at a surgery center and $14,125 at a hospital outpatient department.
Cost guides say inpatient and outpatient prices can differ by 30-40%. One randomized study found similar outcomes for both options. Still, it is your surgeon who decides whether you are a good fit for going home quickly.
Keep in mind that a lower total price doesn’t always mean a lower bill for you. The Procedure Price Lookup on Medicare.gov shows average out-of-pocket costs of $2,154 at surgery centers and $1,968 at hospital outpatient departments. These numbers shift with region and year, so it is worth checking the current figures for your area.
What Is Included in the Total Hip Replacement Cost?
A hip replacement bill rarely shows up as one simple number. Several charges are usually billed on their own:
Surgeon’s fee
Anesthesia
Operating room and facility charges
The implant itself
Hospital stay and nursing care
Tests and checkups before surgery
Physical therapy and rehabilitation
Medications and wound-care supplies
These services may be billed by different providers, so a single quote may cover only part of the total cost. It helps to ask whether the number you were given is a bundled price or just one line of the bill.
Extras Insurance May Not Cover
Some recovery items may not be covered by your plan, even if your insurance is good. These expenses can add up, so it helps to plan for them in advance.
| Item | Typical price |
|---|---|
| Wound dressings | $15-$75 |
| Bedside commode | $35-$60 |
| Hip kit (reacher, sock aid, long shoehorn) | $25-$65 |
A few medications may also be left out of coverage, such as certain anti-inflammatory drugs or some blood thinners. You may also find a local loan program that lends walkers, commodes, and similar items for free.
How Much Does Insurance Cover for Hip Replacement Surgery?
So how much is hip replacement surgery once insurance steps in? Most private plans and Medicare will cover the operation if your doctor says it’s medically necessary. Still, that doesn’t mean the bill drops to zero. What you end up paying comes down to your plan and how much of your yearly deductible you have already used.
Private Insurance
Expect to pay a deductible, coinsurance, and copays on the surgeon’s fee, the facility charge, and the anesthesia.
A lot of plans come with an out-of-pocket maximum. After you hit that limit, in-network care is usually covered for the rest of the plan year.
Certain plans set limits on which implant brands they will cover. They may also cap therapy sessions or after-care supplies.
Many insurers ask for prior authorization first, so it’s wise to call them before you book the surgery.
Original Medicare
Medicare Part A generally takes care of hospital stays. Part B handles outpatient surgery and doctor services. The table below lists the 2026 costs reported by several Medicare resources. These amounts get updated every year, so double-check them on Medicare.gov before you plan around them.
| Setting | Medicare part | Your cost in 2026 (approx.) |
|---|---|---|
| Inpatient hospital stay | Part A | $1,736 deductible for each benefit period |
| Outpatient surgery | Part B | $283 yearly deductible plus 20% coinsurance |
One analysis found that people on Original Medicare usually pay around $2,100 or less out of pocket. The exact amount depends on where the surgery is done.
Medigap and Medicare Advantage
Medigap plans, like Plan G, can pick up most of what Original Medicare doesn’t pay. For some people, that means only the Part B deductible is left to cover.
Medicare Advantage plans typically cover hip replacement when it’s medically necessary. Each plan has its own copays, provider networks, and prior authorization rules, so the details can look quite different from one to the next.
Medicare drug coverage can help pay for your medications after surgery. Your plan’s deductible might still apply.
How Much Is Hip Replacement Surgery Without Insurance?
Paying for a hip replacement without insurance can be expensive. Most cost guides say the surgery alone runs about $31,000-$45,000, and that doesn’t cover rehab or equipment. It’s fair to feel worried when you see a number like that. But it’s usually the amount a hospital bills, and not every patient ends up paying it.
Self-pay patients can sometimes get the price lowered. Some surgery centers also charge less than hospitals, so it’s worth calling around.
You can ask for a good-faith estimate in writing. Under the No Surprises Act, uninsured and self-pay patients are allowed to request one. If your final bill is $400 or more over that estimate, you may be able to dispute it.
Get prices from the surgeon, the facility, and the anesthesia provider. Each one often sends its own bill, so a single quote might not show the full cost.
Ask if they give a discount when you pay directly, or if they offer a payment plan that spreads the cost out.
Look at where the surgery would take place. An outpatient department or a surgery center may cost less than a night in the hospital.
Keep some money aside for therapy, medications, and equipment once you’re back home.
What Factors Affect the Price of Hip Replacement Surgery?
If you’ve researched hip replacement costs, you have probably noticed that there is no single price for the procedure. That’s because the bill depends on a long list of things, and together they can move the price by tens of thousands of dollars.
Location: Prices change from one city to the next and even from one hospital to another in the same city.
Type of facility: A hospital, an outpatient department, and a surgery center don’t charge the same amount.
Length of stay: Every extra day in the hospital adds to the total.
Implant and surgeon preference: Some surgeons stick with certain manufacturers, which may change the price.
Surgeon status: Independent surgeons and hospital-employed surgeons may bill differently.
Your health: Infections or other complications can push costs higher.
Network status: Care from in-network providers usually costs less than out-of-network care.
Aftercare: Where you recover and what equipment you need can change the final bill.
Location Matters More Than Most People Expect
Even inside one metro area, prices can vary a lot. In Dallas, the highest price for a hip replacement is almost four times the lowest, according to Blue Cross Blue Shield data. An older University of Iowa study found hospital estimates for the same operation ranged from about $11,000 to more than $125,000. Many hospitals couldn’t even give an estimate.
| City | Average price (surgeon, facility, and anesthesia) |
|---|---|
| El Paso | $23,260 |
| Chicago | $24,302 |
| Washington, D.C. | $29,680 |
| New York City | $34,231 |
| San Francisco | $37,473 |
| Dallas | $50,580 |
How to Get an Accurate Hip Replacement Surgery Estimate
Getting written quotes is one of the best ways to estimate how much your hip replacement will cost. The steps below work best when you follow them in order:
Call your insurance company before anything else: Ask what your deductible, coinsurance, and out-of-pocket maximum are, and how much you have already spent toward them this year.
Ask your surgeon’s office for the procedure codes: Quotes only line up when they cover the same service. Total hip replacement is commonly billed under CPT code 27130.
Get a separate estimate: Request separate estimates from the surgeon, facility, and anesthesia provider, as each may bill separately.
Confirm that every provider is in-network: Anesthesia is the one people tend to miss.
Check Prior Authorization Requirements: Ask if your plan needs prior authorization and how long approval usually takes.
Check the public tools for a rough price range: The Medicare Procedure Price Lookup, FAIR Health Consumer, and hospital price transparency files are all worth a look.
Recovery costs should also be part of your overall budget. Ask what therapy, equipment, and medications may add, so nothing comes as a shock later. And keep everything in writing. Saved copies of your estimates make it much easier to compare prices or dispute a bill.
Conclusion
The cost of hip replacement surgery can vary by tens of thousands of dollars, even when patients undergo the same procedure. In the US, published prices range from about $20,000 to more than $70,000. If you’re wondering, “How much is hip replacement surgery?” the answer depends on your insurance coverage, surgical setting, and individual needs. Before deciding where to have surgery, request itemized quotes, confirm that your providers are in-network, and account for recovery supplies and rehabilitation. Discuss your options with your surgeon and insurer to find a plan that meets your medical needs and budget.
With CureMeAbroad, you can connect with trusted hospitals abroad, compare hip replacement costs, and explore treatment options that fit your budget.
Frequently Asked Questions
1. Can I negotiate the price of a hip replacement?
Many patients can, and it works best when you are paying on your own. Before calling, compare hip replacement prices at several facilities in your area. That gives you something to compare against. When you ask how much for hip replacement surgery, get the estimate itemized and ask if there’s a self-pay discount. If one provider quotes much higher than another, tell them. It may open the door to a better rate.
2. Can I use HSA or FSA funds for hip replacement expenses?
In most cases, yes. HSA, FSA, and HRA funds may cover some out-of-pocket items, like a hip kit for use at home. The rules differ from plan to plan, so ask your account administrator what counts before you spend. Used well, these accounts may take some weight off your hip replacement cost.
3. What happens to costs if I need a revision later?
Revision surgery replaces an implant from an earlier hip replacement and can cost more or less than the initial procedure, depending on the complexity. A study published in The Lancet found that around 5% of patients needed revision surgery within 10 years and 15% within 20 years. However, the data covered procedures performed between 1991 and 2011, so these figures may not reflect outcomes with newer surgical techniques and implants.
4. Does the time of year I schedule surgery change what I pay?
It can make a difference. Deductibles usually reset when a new plan year begins. If you have surgery in January, you may start from zero. If you wait until later, you might have already paid part of your deductible. Your insurer can explain how your plan keeps track.
5. Is it worth comparing prices outside the US?
A lot of patients wonder how much is hip replacement surgery in other countries, and published prices may be lower in some of them. Price shouldn’t be the only thing you look at, though. Hospital quality, accreditation, follow-up care, travel, and rehab all affect the full picture. Your surgeon can help you think it through.
References:
- Planned Knee and Hip Replacement Surgeries Are on the Rise in the U.S.:
Blue Cross Blue Shield Association: 2019
https://www.bcbs.com/press-releases/planned-orthopedic-surgery-spending-increased-44-percent-25-billion-2010-generation - Procedure Price Lookup (CPT 27130, Total Hip Replacement): Medicare.gov: 2026
https://www.medicare.gov/procedure-price-lookup/cost/27130/ - Total Hip Replacement**:** American Academy of Orthopaedic Surgeons: 2023
https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/ - Hip Replacement Surgery**:** National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIH): 2020
https://www.niams.nih.gov/health-topics/hip-replacement-surgery - No Surprises: What’s a Good Faith Estimate?: Centers for Medicare & Medicaid Services: 2022
https://www.cms.gov/files/document/nosurpriseactfactsheet-whats-good-faith-estimate508c.pdf - The Effect of Patient Age at Intervention on Risk of Implant Revision After Total Replacement of the Hip or Knee: The Lancet: 2017 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2817%2930059-4/fulltext
