How Much Does Total Hip Replacement Cost?
Without Insurance
$30,000 - $65,000
With Insurance
$3,000 - $8,000
Medicare Covered
Cost Overview
Total hip replacement (hip arthroplasty) is a major orthopaedic procedure that replaces a damaged hip joint with an artificial implant. Over 450,000 hip replacements are performed annually in the U.S. Costs vary widely depending on the surgical approach, implant materials, facility type, and geographic location.
Cost Breakdown
| Item | Estimated Range |
|---|---|
| Surgeon fee | $5,000 - $12,000 |
| Hospital/facility fee | $15,000 - $40,000 |
| Anesthesia | $2,000 - $4,000 |
| Implant (prosthesis) | $6,000 - $15,000 |
| Physical therapy (6-12 weeks) | $2,000 - $5,000 |
| Pre-op imaging and labs | $500 - $1,500 |
| Total (estimated) | $30,000 - $65,000 |
Insurance Coverage
Medicare and most private insurers cover total hip replacement when conservative treatments have failed. The anterior approach and robotic-assisted surgery may cost more but are typically covered if the surgeon deems them appropriate. Pre-authorization is standard.
Financing Options
- Medicare covers inpatient and outpatient hip replacement
- Hospital payment plans (12-24 months, often interest-free)
- HSA/FSA funds can cover out-of-pocket costs
- Ambulatory surgery centers offer lower facility fees
- Medical credit options available for remaining balance
Frequently Asked Questions
How much does hip replacement cost with insurance?
With insurance, patients typically pay $3,000-$8,000 out of pocket after meeting their deductible. Medicare patients pay the Part A deductible plus 20% of the Part B approved amount for the surgeon fee.
Is hip replacement covered by Medicare?
Yes. Medicare covers hip replacement surgery when medically necessary. Part A covers the hospital stay, Part B covers the surgeon and anesthesia fees. You are responsible for deductibles and coinsurance unless you have supplemental Medigap coverage.
Does the surgical approach affect cost?
Yes. Anterior approach and robotic-assisted hip replacement may have higher surgeon and facility fees ($2,000-$5,000 more) due to specialized equipment and training. However, both approaches are covered by insurance when deemed medically appropriate.
How can I reduce my hip replacement costs?
Consider an ambulatory surgery center (lower facility fees), ask about bundled pricing, compare costs between providers, use HSA/FSA funds, and verify that all providers (surgeon, anesthesiologist, facility) are in-network.
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Insurance Plans
Cost estimates are based on national averages and may vary by location, provider, and insurance plan. Contact your provider and insurer for personalized estimates.