How Much Does Hip Replacement Cost in 2026?With & Without Insurance
Hip Replacement costs between $12,000 and $45,000 without insurance. A typical all-in cash-pay visit runs about $32,000.
Hip replacement surgery costs range from $12,000-$45,000 without insurance, with a typical price around $32,000. Prices vary dramatically by facility type, location, and implant choice. Compare prices at hospitals vs ambulatory surgery centers and learn strategies to reduce your out-of-pocket costs.
Quick Price Summary
Cash-Pay Price Range
$12,000-$45,000
Typical all-in estimate: $32,000Covers the full visit. The verified benchmark below prices the primary billing code on its own.
With Insurance
$3,000-$8,000
After deductible
Based on published hospital and provider price-transparency disclosures, cash-pay benchmarks, and public fee schedules. Last updated September 2026.
Real prices from our database
Not an estimate. These figures come from actual hospital-disclosed cash prices and insurer-negotiated rates for CPT 27130 (Total hip replacement) in FairVisitHealth's price-transparency corpus.
Typical cash price
$19,000
Most fall between $14,212 and $22,997 (25th–75th percentile)
Based on 1,672 hospital-disclosed cash prices
Your negotiation target
$1,920
Median rate insurers actually pay for the same code
Across 8,214 insurer-negotiated rates — ask providers to match it
Surgeon/facility component. Anesthesia, implants, and inpatient stay may be billed separately.
Source: FairVisitHealth analysis of 1,672 hospital-disclosed cash prices and 8,214 insurer-negotiated rates for CPT 27130, from CMS hospital price-transparency machine-readable files and insurer Transparency-in-Coverage files. Data as of September 2026.
What is Hip Replacement?
Hip replacement (total hip arthroplasty) is a surgical procedure in which damaged bone and cartilage in the hip joint are removed and replaced with artificial implant components made of metal, ceramic, or plastic. It is one of the most successful and common orthopedic surgeries, performed over 450,000 times per year in the United States. The procedure is most often recommended for severe osteoarthritis, rheumatoid arthritis, avascular necrosis, or hip fractures that have not responded to conservative treatments. Recovery typically takes 3-6 months, with most patients experiencing significant pain relief and improved mobility.
What Affects Hip Replacement Cost?
- Facility type: Hospital-based surgery ($25,000-$45,000) vs. ambulatory surgery center ($12,000-$20,000) - the single biggest cost driver.
- Implant choice: Standard polyethylene implants ($2,000-$4,000) vs. ceramic or metal-on-metal implants ($6,000-$12,000). Newer implants cost more but may last longer.
- Geographic location: Hip replacement in the Northeast or West Coast usually costs more than in the South or Midwest because of higher facility and labor costs.
- Hospital stay length: Outpatient (same-day) costs significantly less than 2-3 day inpatient stays. Each additional hospital day adds $2,000-$5,000.
- Surgeon experience and specialization: Fellowship-trained joint replacement surgeons may charge higher fees ($5,000-$8,000 vs. $3,000-$5,000) but often have better outcomes and fewer complications.
- Pre-existing conditions: Patients with diabetes, obesity, or heart conditions may require additional testing, longer stays, and ICU monitoring, increasing total cost by $5,000-$15,000.
How to choose where to get Hip Replacement
The cash-pay range on this page is $12,000-$45,000. Before you book, use these steps to find out which setting a quote comes from and what it includes.
Step by step
- Ask your surgeon which facilities they operate at, and whether an ambulatory surgery center is an option for you.
- Ask each facility for a bundled self-pay price and a written list of what it covers: the facility, the surgeon, anesthesia, and any pathology, implants or follow-up visits. Anything not on the list can arrive as a separate bill.
- Check the hospital's own price list. Under the CMS Hospital Price Transparency rule, every US hospital must publish its standard charges, including its discounted cash price, and a consumer-friendly list of shoppable services. Source: CMS, hospital price transparency
- If you are uninsured or paying without insurance, ask each provider for a Good Faith Estimate. Under the No Surprises Act, providers generally must give you one when you schedule at least 3 business days ahead, or when you ask. Source: CMS, medical bill rights
- Ask about financial assistance. Tax-exempt nonprofit hospitals must have a written financial assistance policy, and you generally have at least 240 days from the first post-discharge billing statement to apply. Source: IRS, financial assistance policies
- Keep every estimate. If a provider or facility bills you at least $400 more than its Good Faith Estimate, you can start the federal patient-provider dispute process for a bill dated within the last 120 days. The fee is $25. Source: CMS, dispute a bill
Care settings compared
| Setting | How it typically bills | What to ask for | When it fits |
|---|---|---|---|
| Ambulatory surgery center | A facility fee, with the surgeon and anesthesia often billed separately unless the price is a bundle. | A bundled self-pay price and a written list of what it includes. | Scheduled outpatient procedures when your surgeon considers you a good candidate. |
| Hospital outpatient department | A hospital facility charge, plus separate bills from the surgeon, anesthesia and any pathology. | The discounted cash price from the hospital's price list, and each professional group's self-pay rate. | When your health history calls for hospital backup, or your surgeon operates only there. |
| Hospital inpatient stay | Charges for the admission and stay, plus separate professional bills. | Whether the hospital offers a self-pay package for the stay, and how extra nights are billed. | When your surgeon expects you to stay overnight or longer. |
General information, not medical advice. Your clinician decides which setting is safe for you.
How to Save on Hip Replacement
Get quotes from at least 3 facilities including both hospitals and ambulatory surgery centers. ASC prices are often lower for the same procedure.
Ask for a bundled or global price that includes surgeon fees, anesthesia, implant, facility fee, and post-op care in one quote. Bundled pricing eliminates surprise bills.
Consider traveling to a lower-cost region or a facility with a transparent pricing program. Compare the total cost, including travel and follow-up care, before choosing a facility farther away.
Ask your surgeon about outpatient hip replacement if you are healthy and under 75. Same-day surgery avoids the cost of a multi-day hospital stay.
If paying cash, negotiate directly with the hospital's financial department. Many facilities offer a discount to self-pay patients who pay upfront.
Use FairVisitHealth to compare hip replacement prices from orthopedic surgeons and surgery centers in your area before scheduling.
Hip Replacement Cost by City
Local self-pay prices for hip replacement in 32 cities, from providers in each metro area.
These are averages. Get your exact local answer.
The Self-Pay Playbook builds your plan for Hip Replacement: posted cash prices from facilities near you, lower-priced options nearby, and the exact words to say when you call.
Build My PlaybookIncluded with FairPass membership · $29/mo
Frequently Asked Questions
How much does a hip replacement cost without insurance?
A total hip replacement without insurance typically costs $12,000-$45,000, with a national average around $32,000. This includes the surgeon's fee, hospital stay (usually 1-3 days), anesthesia, the implant itself, and basic post-operative care. Outpatient hip replacement at an ambulatory surgery center can cost $12,000-$20,000, while the same procedure at a major hospital system may exceed $40,000.
What is included in the cost of hip replacement surgery?
The total cost typically includes pre-operative testing (blood work, imaging, EKG), the surgeon's fee ($3,000-$8,000), anesthesia ($2,000-$4,000), the hip implant device ($2,000-$12,000), hospital facility fees ($5,000-$20,000), and post-operative care during your stay. Physical therapy, follow-up visits, and prescription medications are usually billed separately and can add $2,000-$5,000 to your total cost.
Is hip replacement covered by Medicare?
Yes, Medicare Part A covers the hospital stay and Part B covers the surgeon and anesthesiologist fees. You are responsible for the Part A deductible ($1,632 in 2026), 20% coinsurance on Part B services, and costs for any care not covered. With Original Medicare and no supplemental insurance, expect to pay $3,000-$8,000 out of pocket. Medicare Advantage plans may have different cost-sharing structures.
How long does a hip replacement last?
Modern hip implants last 20-30 years for most patients. Studies show that over 80% of hip replacements are still functioning well after 25 years. Factors that affect implant longevity include patient age, activity level, body weight, and implant type. Ceramic-on-ceramic and ceramic-on-polyethylene implants tend to have the longest lifespan. Revision surgery, if ever needed, costs significantly more ($25,000-$60,000) than the initial procedure.
Can I get hip replacement surgery at an outpatient center?
Yes, outpatient (same-day) hip replacement is increasingly common for healthy patients under 75 with no major comorbidities. Ambulatory surgery centers usually charge less than hospital-based procedures. You go home the same day with home health support. Ask your surgeon if you are a candidate for outpatient surgery - it offers both cost savings and faster recovery for eligible patients.
What are the alternatives to hip replacement that cost less?
Before considering full hip replacement, discuss these options with your doctor: corticosteroid injections ($200-$500 per injection), physical therapy ($75-$150 per session, typically 8-12 sessions), hyaluronic acid injections ($300-$800 per injection), PRP (platelet-rich plasma) therapy ($500-$2,000), and hip resurfacing ($15,000-$30,000). However, for advanced arthritis with bone-on-bone contact, total hip replacement generally provides the most reliable long-term outcome.
Save on Hip Replacement & More
Get weekly tips on cutting medical bills, finding affordable care, and what fair prices really look like.
By subscribing you agree to receive emails. Unsubscribe anytime.
Related Procedure Costs
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Pricing information is based on publicly reported data and may not reflect your actual costs.
Always consult with a qualified healthcare provider for medical decisions. Prices shown are estimates for self-pay patients and may vary by provider, location, and individual circumstances.