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Total Hip Replacement: What It Costs and What's Fair

CPT 27130  · Medicare rate: $1,162  · National avg charge: $21,188  · BillKarma data from 202 providers

Reviewed 2026-04-04  · Pricing data year: 2026

Total Hip Replacement (CPT 27130) is a surgical procedure typically performed in a hospital or accredited outpatient surgical center. It is usually recommended after more conservative treatments—such as medication or physical therapy—have not resolved the underlying problem. Recovery time ranges from a few days to several weeks depending on patient health and procedure complexity.

Cost by Billing Grade

Grade Avg Hospital Charge Medicare Rate Est. Patient Cost* Hospitals
C $4,089 $1,162 $818 27
D $3,370 $1,162 $674 3
F $17,874 $1,162 $3,575 65
N/A $28,015 $1,162 $5,603 107

*Estimated patient cost assumes 20% coinsurance after deductible is met. Actual cost depends on your specific plan, deductible status, and network.

Cost Range Across Hospitals

Min: $947 Max: $99,095
Medicare: $1,162 Avg: $21,188
Grade A (≤2x Medicare) Grade B (2–3x) Grade C (3–5x) Grade D/F (5x+)

What This Procedure Typically Costs by Facility Type

Hospital
202 providers
$947 — $99,095 | Avg: $21,188 (18.2x Medicare)

Find Providers Near You for This Procedure

Showing 10 lowest-markup providers nationally across hospitals, surgery centers, and imaging centers. Enter ZIP code to compare local providers side by side.

Provider Type Location Grade Charge Benchmark Markup
ASCENSION MEDICAL GROUP ST. VINCENT Hospital NORTH VERNON, IN C $947 $1,162
Medicare OPPS
 0.8x
ST. JOHN OWASSO Hospital OWASSO, OK C $1,260 $1,162
Medicare OPPS
 1.1x
ST. JOHN MEDICAL CENTER Hospital TULSA, OK C $1,303 $1,162
Medicare OPPS
 1.1x
AdventHealth East Orlando Hospital Orlando, FL D $1,435 $1,162
Medicare OPPS
 1.2x
ASCENSION PROVIDENCE Hospital WACO, TX F $2,305 $1,162
Medicare OPPS
 2.0x
ASCENSION PROVIDENCE Hospital WACO, TX N/A $2,305 $1,162
Medicare OPPS
 2.0x
SANFORD THIEF RIVER FALLS MEDICAL CENTER Hospital THIEF RIVER FALLS, MN F $2,928 $1,162
Medicare OPPS
 2.5x
Atrium Health Stanly Hospital Albemarle, NC N/A $2,945 $1,162
Medicare OPPS
 2.5x
Atrium Health Behavioral Health Hospital Charlotte, NC N/A $2,945 $1,162
Medicare OPPS
 2.5x
Atrium Health University Hospital Charlotte, NC N/A $2,945 $1,162
Medicare OPPS
 2.5x

What Is a Fair Price for This Procedure?

Medicare pays $1,162 for Total Hip Replacement (CPT 27130). This rate is set by CMS based on the actual cost of delivering the procedure, including physician time, overhead, and equipment. It's the most reliable national benchmark for what the procedure is worth.

A hospital charging $2,324 (2x Medicare) or less earns an A billing grade — these are the most fairly priced facilities for this procedure. The national average charge is $21,188 (18.2x Medicare).

If your bill shows more than $3,486 (3x Medicare) for this procedure, it may be worth reviewing the charges carefully. Upload your bill to check →

Frequently Asked Questions

How much does Total Hip Replacement cost with insurance?
With insurance, your out-of-pocket cost for Total Hip Replacement (CPT 27130) depends on your deductible, coinsurance rate, and in-network status. Medicare pays $1,162 for this procedure; the national average hospital charge is $21,188. Under standard 20% coinsurance after deductible, a patient at an average-charging hospital would owe approximately $4,238. Always verify your benefits before scheduling.
Does where I have Total Hip Replacement done affect my recovery?
Hospital quality and surgical volume can influence outcomes for procedures like Total Hip Replacement. High-volume centers tend to have lower complication rates for complex surgeries. However, billing grade is separate from quality ratings—some highly graded billing hospitals also have strong clinical outcomes. Review both the BillKarma billing grade and CMS quality stars when choosing a facility.
How do I negotiate the cost of Total Hip Replacement if I'm on a high-deductible plan?
If you're paying a significant portion out-of-pocket, ask the hospital for their cash price before scheduling. Many hospitals offer 10–40% discounts for self-pay patients. Medicare pays $1,162 for this procedure—use that as your negotiating anchor. Also ask the billing department about payment plans or charity care if the cost poses a financial hardship.

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