How Much Does Hip Replacement Surgery Cost?

Updated on July 26, 2026 | Written by Alec Pow
This article was researched using 13 sources. See our methodology and corrections policy.

Hip replacement surgery without insurance commonly costs $20,000 to $50,000+ in the United States. A bundled cash price at an ambulatory surgery center may fall near $18,000 to $30,000, while a hospital-based procedure involving an overnight stay, complex medical needs, or added rehabilitation can reach $40,000 to $70,000+.

Patients with commercial health insurance often pay their deductible, copays, and coinsurance until reaching the plan’s annual out-of-pocket maximum. That can mean spending $2,000 to $9,000+, even when the surgery is medically necessary and covered.

Under Original Medicare, the amount depends on whether the procedure is performed at an ambulatory surgical center, hospital outpatient department, or during an inpatient admission. Surgeon, anesthesia, physical therapy, equipment, and rehabilitation charges may be processed separately.

Article Highlights

• Hip replacement without insurance commonly costs $20,000 to $50,000+ (at $30 per hour, earning that amount would take about 3.8 to 9.6 months of full-time work, before taxes).
• Ambulatory surgery centers may offer lower cash prices than hospitals.
• Commercially insured patients may owe $2,000 to $9,000+.
• Medicare’s current outpatient lookup shows an average patient payment of about $2,154 at an ambulatory surgical center.
• Hospital, surgeon, anesthesia, implant, rehabilitation, and equipment bills may be separate.
• Many suitable patients go home the same day or after one night.
• A walker, medications, therapy, transportation, and home preparation can add $500 to $5,000+.
• Revision hip replacement generally costs more than a first replacement.

Hip Replacement Cost by Coverage

Payment situation	Estimated patient cost	What affects the amount
Uninsured cash-pay surgery	$20,000 to $50,000+ (about 3.8 to 9.6 months of full-time work at $30 per hour)	Facility, surgeon, implant, anesthesia, location, and length of stay
Bundled outpatient cash package	$18,000 to $30,000+	Eligibility, included services, and ambulatory surgery center pricing
Commercial insurance	$2,000 to $9,000+	Deductible, coinsurance, copays, network, and out-of-pocket limit
Original Medicare outpatient surgery	About $2,154 average at an ASC	Facility type, deductible, physicians, therapy, and supplemental coverage
Original Medicare inpatient admission	$1,736+ in 2026	Part A deductible plus Part B physician costs and post-acute care
Medicare Advantage	Varies by plan	Copays, network, prior authorization, and annual out-of-pocket maximum

GoodRx places the uninsured price of hip replacement surgery around $31,000 to $45,000 for many procedures, while outpatient surgery may cost less than traditional hospital care.

These figures are not universal package prices. A hospital’s billed charge may be substantially higher than its negotiated insurance rate or discounted self-pay price.

What the Surgery Bill Includes

Total hip replacement removes damaged bone and cartilage and replaces the joint surfaces with prosthetic components. A standard implant generally includes a stem placed in the femur, a ball, a socket or cup, and a liner.

The American Association of Hip and Knee Surgeons explains the implant components through its current hip replacement materials guide.

A complete financial estimate may include:

• Orthopedic surgeon
• Hospital or surgery center
• Hip implant and disposable supplies
• Anesthesiologist or anesthesia group
• Assistant surgeon when used
• Preoperative laboratory tests
• X-rays or other imaging
• Medications
• Recovery-room care
• Hospital room when admitted
• Postoperative visits
• Physical or occupational therapy

One provider may not control every bill. An anesthesiology group, laboratory, therapist, imaging provider, or rehabilitation facility can bill separately.

Facility Cost

The facility fee is often the largest part of the total. It pays for the operating room, nursing, surgical supplies, recovery area, equipment, and hospital or surgery-center overhead.

An ambulatory surgical center can be less expensive because it is designed for patients expected to leave within 24 hours. A hospital may cost more but can provide a broader level of medical support for patients with complex conditions or a higher risk of complications.

The lowest-priced facility is not appropriate for every patient. Age alone does not determine outpatient eligibility. Heart, lung, kidney, bleeding, mobility, and home-support factors all matter.

Surgeon and Implant Costs

Patients often assume that the surgeon receives most of the surgery payment. In reality, the facility and implant account for substantial portions of the bill.

The American Association of Hip and Knee Surgeons reports that average Medicare reimbursement to a surgeon for a primary hip replacement has been around $1,375 (about 1.1 full-time workweeks at $30 per hour), covering the operation and related care during the postoperative global period. Its cost breakdown explains how the total payment is divided.

Hip implant prices vary according to the manufacturer, hospital contract, components, fixation method, and order volume. The amount billed to the patient may not equal the price the hospital paid for the implant.

A more expensive implant is not automatically better for a particular patient. Implant selection should be based on clinical needs, surgeon experience, bone quality, and long-term performance rather than retail-style upgrading.

Anesthesia and Medical Testing

Total hip replacement is commonly performed under general anesthesia or spinal anesthesia with sedation. Local and regional pain-control techniques may also be used as part of the anesthesia plan.

Anesthesia can add $1,000 to $4,000+ to a self-pay bill, depending on surgery time, facility, provider, and medical complexity.

Preoperative testing may include blood work, an electrocardiogram, X-rays, medical clearance, and other testing based on health history. These services can add $300 to $2,000+ when not included in a bundled package.

Medicare Outpatient Cost

Medicare’s current Procedure Price Lookup for total hip arthroplasty, CPT code 27130, shows an average patient payment of approximately $2,154 when the procedure is performed at an ambulatory surgical center.

The current amount can be checked through the official Medicare hip replacement price lookup.

This estimate does not necessarily represent the patient’s entire episode of care. It may not include every physician, therapy appointment, prescription, assistive device, or rehabilitation service.

A Medigap policy, Medicaid, employer retiree coverage, or another secondary payer may cover some Medicare deductibles and coinsurance.

Medicare Inpatient Cost

A patient formally admitted to the hospital generally uses Medicare Part A for the hospital stay. The 2026 Part A inpatient deductible is $1,736 per benefit period.

Medicare Part B generally covers the surgeon, anesthesiologist, and other physician services. In 2026, the Part B deductible is $283, followed by the usual 20% coinsurance for covered services.

Medicare lists current deductibles and coinsurance on its official 2026 costs page.

Staying overnight does not automatically mean that the patient was admitted as an inpatient. Observation status is considered outpatient care and can affect both cost sharing and eligibility for later skilled nursing facility coverage.

Medicare Advantage Costs

Medicare Advantage plans replace Original Medicare’s cost-sharing structure with plan-specific copays, coinsurance, provider networks, prior authorization rules, and annual out-of-pocket limits.

One plan may charge a fixed hospital copay for each day, while another uses coinsurance or separate payments for the facility and surgeon.

Confirm that the surgeon, hospital, anesthesiology group, and rehabilitation providers participate in the plan. Prior authorization should be completed before the surgery date.

Commercial Insurance Costs

Commercial insurance commonly covers medically necessary hip replacement after conservative treatment has failed, but the patient’s responsibility can still be substantial.

A patient may owe:

• Remaining annual deductible
• Hospital copay
• Surgery coinsurance
• Physician copays or coinsurance
• Physical therapy copays
• Prescription costs
• Out-of-network charges that are legally permitted

Suppose a plan has a $3,000 deductible, 20% coinsurance, and a $7,500 annual out-of-pocket maximum. If no deductible has been paid and the in-network allowed amount is high enough, the patient could reach the full $7,500 limit.

An employer plan’s out-of-pocket maximum generally applies only to covered, in-network services. Premiums, noncovered care, and some out-of-network amounts may not count.

ThePricer Insured Example

Consider a patient whose plan has:

• Annual deductible: $2,500
• Coinsurance after deductible: 20%
• Annual out-of-pocket maximum: $7,000
• Amount already spent this year: $1,200

The patient has $5,800 remaining before reaching the out-of-pocket maximum. If the surgery and related covered services produce enough cost sharing, the patient’s additional responsibility would be capped near $5,800 for in-network covered care.

ThePricer calculation: scheduling the operation after the patient has already spent $1,200 on covered care reduces the maximum remaining exposure by 17.1% compared with starting the year at zero.

Uninsured Cash-Pay Example

A bundled self-pay hip replacement might include:

• Surgery-center facility fee: $15,500
• Orthopedic surgeon: $4,500
• Implant and supplies: $5,000
• Anesthesia: $1,800
• Laboratory tests and imaging: $850
• Initial postoperative visits: $750

The surgery package totals $28,400. Adding $1,200 for therapy, equipment, medications, and transportation creates a first-stage recovery cost of $29,600.

If the hospital’s original billed charges were $48,000, the bundled cash arrangement would represent a savings of $18,400, or about 38.3%.

Getting a Written Estimate

Hospitals must make standard charges and discounted cash prices available through federal hospital price-transparency rules. Consumers can use hospital estimator tools to compare facilities, although the displayed estimate may not include every independent clinician.

CMS explains the requirements through its current hospital price-transparency guidance.

Patients who are uninsured or choosing not to use insurance can request a written good faith estimate. CMS states that the estimate should include expected charges for scheduled services from the provider or facility supplying it.

The federal good faith estimate rules may also allow a patient to dispute a provider’s bill when it is at least $400 higher than that provider’s estimate.

Same-Day vs Inpatient Surgery

Many healthy, medically suitable patients now leave the surgical facility on the same day. Others remain in the hospital for one or two nights.

AAOS states that a typical hospital stay lasts one to two days, while outpatient patients may go home on the day of surgery. Its hip replacement recovery guidance replaces the outdated assumption of an average seven-day stay.

Same-day discharge requires stable vital signs, manageable pain, safe walking, the ability to use stairs when necessary, and reliable support at home.

A longer stay may be appropriate after complex surgery, significant blood loss, unstable medical conditions, mobility problems, or complications.

Physical Therapy Costs

Some patients need only a home exercise plan and several outpatient therapy visits. Others require home health, frequent outpatient treatment, skilled nursing, or inpatient rehabilitation.

Private-pay physical therapy commonly costs $100 to $250 per session. Insurance copays may range from $20 to $75+ per visit.

Medicare Part B covers medically necessary outpatient physical therapy. After the Part B deductible, patients generally pay 20% of the Medicare-approved amount, according to the official Medicare therapy coverage page.

Walking is important, but it does not replace exercises prescribed by the surgeon or therapist.

Rehabilitation Facility Costs

Most uncomplicated patients recover at home. Inpatient rehabilitation is reserved for patients who need intensive therapy, physician supervision, and coordinated medical care.

Medicare covers qualifying inpatient rehabilitation when it is medically necessary. Its rehabilitation coverage guide explains that Part A covers the facility and Part B covers physicians providing care there.

A skilled nursing facility uses different eligibility rules. Under Original Medicare, a qualifying inpatient hospital stay may be necessary before covered skilled nursing care.

Private-pay rehabilitation can cost hundreds of dollars per day, making it one of the largest possible expenses after the surgery itself.

Home Recovery Costs

Home preparation and assistive products commonly add $200 to $1,500. Possible purchases include:

• Walker or cane
• Raised toilet seat
• Shower chair
• Grab bars
• Long-handled reacher
• Sock aid
• Ice packs
• Temporary medication organizer
• Loose-rug removal or nonslip surfaces

Some durable medical equipment is covered by insurance when ordered by an eligible provider and obtained from a participating supplier.

Home modifications such as permanent railings, bathroom remodeling, or a stair lift are separate from the surgery and may cost thousands.

Medication Costs

Postoperative medication may include pain relievers, anti-inflammatory drugs, stool softeners, and blood-clot prevention medication.

Blood-thinning treatment is individualized. Some patients use aspirin, while others receive an anticoagulant based on clot risk, bleeding risk, surgeon protocol, and medical history.

Not every patient requires abdominal injections for 35 days. AAHKS describes several clot-prevention strategies, including early movement, compression devices, stockings, and blood-thinning medication in its current patient guidance.

Time Away From Work

Lost income can exceed the medical copays. A person with sedentary employment may return in several weeks, while a job involving lifting, climbing, prolonged standing, or driving may require a longer absence.

Recovery speed depends on health, surgical approach, job duties, pain control, strength, transportation, and employer accommodations.

Include unpaid leave, reduced hours, caregiver time, transportation, and childcare when calculating the real economic impact.

Risks and Expected Results

Total hip replacement often reduces pain and improves movement, but no surgery guarantees complete pain relief or unrestricted activity.

AAOS lists possible complications including infection, blood clots, dislocation, leg-length difference, nerve or blood-vessel injury, fracture, implant loosening, and wear in its total hip replacement guide.

Serious complications are uncommon, but they can require hospitalization, antibiotics, additional therapy, or revision surgery.

Revision Hip Replacement Cost

A revision replaces or repairs one or more parts of an existing hip implant. It is usually more complex than the first replacement because of scar tissue, bone loss, infection, fracture, or difficult implant removal.

Revision surgery may require special implants, bone grafts, a longer operation, a longer hospital stay, and more rehabilitation. Costs can exceed $50,000 to $100,000+ before insurance adjustments.

AAOS explains the added complexity and risks through its revision hip replacement guidance.

Before Scheduling Surgery

Ask the insurer to confirm medical necessity, prior authorization, network status, deductible, coinsurance, and remaining out-of-pocket maximum.

Request estimates from the hospital or surgery center, surgeon, anesthesiology group, and therapy provider. Ask whether the quote includes the implant and postoperative visits.

For self-pay surgery, ask whether the price is bundled and what happens financially if the patient needs an unexpected hospital admission.

Readers comparing other major orthopedic procedures can review the cost of knee replacement surgery or the wider expense of physical therapy.

What We Verified

• Checked current uninsured hip replacement price ranges.
• Verified Medicare’s current outpatient procedure estimate.
• Confirmed the 2026 Part A and Part B deductibles.
• Reviewed inpatient, outpatient, and same-day discharge guidance.
• Checked Medicare physical therapy and rehabilitation coverage.
• Confirmed current good faith estimate and price-transparency rights.
• Reviewed implant components, recovery, and complication guidance.
• Removed the outdated seven-day average hospital stay and fixed anticoagulant schedule.

Answers to Common Questions

How much does hip replacement cost without insurance?

A reasonable U.S. planning range is $20,000 to $50,000+. Bundled outpatient cash packages may cost less, while complex hospital cases can cost more.

How much does hip replacement cost with insurance?

Many commercially insured patients pay $2,000 to $9,000+, depending on their deductible, coinsurance, network, and annual out-of-pocket maximum.

How much does Medicare pay for hip replacement?

Coverage depends on the setting. Medicare’s current outpatient lookup shows an average patient payment of about $2,154 at an ambulatory surgical center, before possible separate services and supplemental coverage.

Is hip replacement an outpatient surgery?

It can be. Suitable patients may leave on the same day, while others stay one or two nights or require inpatient care.

Does the surgery price include physical therapy?

Not always. Therapy, home health, skilled nursing, equipment, and rehabilitation may be billed separately.

How long does recovery take?

Many patients make substantial progress within six to eight weeks, but strength, endurance, and comfort can continue improving for several months. Follow the individual surgeon and therapy plan.

Does hip replacement eliminate all pain?

Most patients experience major pain relief and improved function, but complete pain relief and unrestricted activity cannot be guaranteed.

Disclosure: This article provides general cost and educational information. It is not medical, insurance, or billing advice. Individual treatment, coverage, and recovery vary.