How Much Do Hip Replacements Cost in 2024? Without Insurance & Out-of-Pocket
The cost of hip replacement vary wildly based on multiple factors; using data from Medicare, including 748,826 cases of hip replacements between 2012 and 2017, we estimate the average cost of a hip replacement in the U.S. is $12,815, including $1043 surgeon cost, and $11,772 hospital cost.
Hip replacement surgery is a common procedure that helps restore mobility and alleviate pain in patients suffering from severe hip diseases or fractures. This comprehensive guide explores five types of hip replacement surgery — total, partial, hip resurfacing, minimally invasive, and anterior— their costs, recovery times, the type of implants used, and potential risks. The prices depend on the type of surgery and other factors, and recovery time can range from a few weeks to several months. Specific risks depend on the procedure but typically include potential infection, blood clots, hip dislocation, nerve damage, and changes in leg length.
Cost Summary of Total Hip Arthroplasty (Replacement)
We estimate the cost of Hip Replacements using Medicare reimbursement rates. The reimbursement rates are different from the charge price (MSRP); despite how much the hospital bill, Medicare has a set fee schedule of how much each procedure will be reimbursed. Private insurance often uses this fee schedule as a benchmark for how much they will pay, usually 25-50% more than Medicare rates. For those without insurance, hospitals can either bill MSRP charge price or at a slight discount. It is essential to know that you can always negotiate closer to Medicare rates.
It is important to note that hospitals can charge many times over this rate, at $60,366, and surgeons at $6,370 per case; however, these charges can be negotiated most of the time. Without insurance or with a high deductible, you are often responsible for the charges at full price, if you have received a bill or anticipate one, you can use hospital negotiation service included with Mira membership to get the lower rates.
| Region/Area | Surgeon Cost for THA | Hospital Cost for THA | Total Cost for THA |
|---|---|---|---|
| Midwest | $1,035 | $12,844 | $13,879 |
| Northeast | $1,040 | $11,627 | $12,667 |
| South | $1,058 | $13,453 | $14,511 |
| West | $1,056 | $12,298 | $13,354 |
| Major MSA | $1,028 | $11,729 | $12,757 |
| Mid-sized MSA | $1,016 | $12,030 | $13,046 |
| National | $1,043 | $12,058 | $13,101 |
| Type of Procedure | When Needed | Recovery Time |
|---|---|---|
| Total Hip Replacement | Required when painful hip joint arthritis significantly affects quality of life, and non-surgical treatments no longer provide relief. | 3-6 months |
| Partial Hip Replacement | Recommended when only one part of the hip joint is damaged, often due to fractures or localized arthritis. | 2-3 months |
| Hip Resurfacing | An option for patients under 60 with advanced hip disease who lead active lifestyles. | 3-6 months |
| Minimally Invasive Hip Replacement | An option for young, slim, and healthy patients motivated for a quick recovery and rehabilitation. | 3-6 weeks |
| Anterior Hip Replacement | Often considered for patients with osteoarthritis, rheumatoid arthritis, or hip fractures. | 2-4 weeks |
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Khang T. Vuong received his Master of Healthcare Administration from the Milken Institute School of Public Health at the George Washington University. He was named Forbes Healthcare 2021 30 under 30. Vuong spoke at Stanford Medicine X, HIMSS conference, and served as a Fellow at the Bon Secours Health System.