How Much Does Total Hip Replacement Cost in 2026?
According to ProcedureRadar's analysis of 411 hospital pricing files, the national median cost of total hip replacement is $18,597, with prices typically ranging from $5,536 (10th percentile) to $55,273 (90th percentile). The full spread runs from $1,150 at the lowest to $117,117 at the highest across 21 US metros. The cheapest metro for total hip replacement is Phoenix (median $1,150), while Boston is the most expensive (median $117,117). This guide breaks down what drives these prices and how to save.
Compare Hip Replacement Prices Near YouKey Takeaways
- The national median cost of total hip replacement is $18,597, ranging from $1,150 to $117,117 across 411 hospitals in 21 metros.
- Cash pay prices are typically 40% to 60% lower than insured prices. Always ask for the cash rate, even if you have insurance with a high deductible.
- The cheapest metro is Phoenix ($1,150 median). The most expensive is Boston ($117,117).
- Total vs. Partial Hip Replacement is the biggest price driver. A total hip replacement replaces both the ball (femoral head) and socket (acetabulum). A partial (hemiarthroplasty) repl...
- You can save by comparing hospitals on ProcedureRadar, choosing lower-cost facilities, and asking for the cash price before scheduling. Jump to savings tips
The National Picture
Hip replacement is one of the most common and most price-variable major surgeries in the United States. The national median reflects significant variation driven by geography, facility type, and implant selection. Some bundled programs at high-volume centers offer total hip replacement for under $20,000, while academic medical centers in high-cost metros charge over $70,000.
Like knee replacement, hip replacement involves multiple billing components: surgeon fee, anesthesia, facility charges (OR time, recovery, inpatient stay), the hip implant device, and post-operative rehabilitation. Each component varies independently, creating a wide total price spread even within the same metro.
See How Your City ComparesWhat Affects the Cost
Six factors drive the final cost of a hip replacement. Understanding them helps you make informed decisions about where and how to have the procedure.
Total vs. Partial Hip Replacement
A total hip replacement replaces both the ball (femoral head) and socket (acetabulum). A partial (hemiarthroplasty) replaces only the ball and is typically performed for hip fractures, not arthritis. Total hip replacement costs more due to the additional implant components and surgical complexity. Your orthopedic surgeon recommends the appropriate type based on your condition.
Surgical Approach: Anterior vs. Posterior
The anterior approach (from the front) is minimally invasive, potentially resulting in faster recovery and fewer restrictions. Not all surgeons perform the anterior approach, and it requires specialized surgical tables. The approach does not significantly change the price, but it may affect facility choice and availability.
Implant Material and Brand
Hip implants range from $3,000 to $14,000 depending on the materials (ceramic, metal, polyethylene) and manufacturer. Ceramic-on-ceramic bearings are the most expensive but offer superior wear characteristics for younger, active patients. Standard metal-on-polyethylene implants are the most common and most affordable.
Inpatient vs. Outpatient
Outpatient hip replacement (same-day discharge) is increasingly available for healthy patients and saves $5,000 to $15,000 in inpatient facility charges. Not all patients qualify. Patients with significant comorbidities or those who live alone may need an inpatient stay.
Geographic Region
Hip replacement prices vary substantially by metro. Southern and Midwestern metros tend to be 30% to 50% cheaper than coastal cities. Within the same metro, the difference between the cheapest and most expensive facility can be 3x or more.
Post-Operative Rehabilitation
Physical therapy runs 6 to 12 weeks after hip replacement. Outpatient PT costs $75 to $250 per session. Some patients require inpatient rehabilitation at a skilled nursing facility, adding $10,000 to $30,000. Your surgeon and physical therapist determine the appropriate level of rehabilitation.
A total hip replacement at the cheapest hospital in your metro may cost less than just the facility fee at the most expensive one. Location and facility type determine more than clinical complexity.
ProcedureRadar analysis, 411 hospitals, April 2026What's Included (and What's Not)
Hip replacement pricing is fragmented across multiple billing entities. Knowing what the quoted price covers helps you avoid unexpected charges after surgery.
Typically Included
- Facility/operating room fee
- Hip implant device (femoral stem, head, acetabular cup, liner)
- Inpatient stay (if applicable, typically 1 to 2 nights)
- Post-operative monitoring and pain management
Often Billed Separately
- Orthopedic surgeon fee
- Anesthesiologist fee
- Pre-operative imaging (X-ray, MRI) and lab work
- Post-operative physical therapy (6 to 12 weeks)
Watch for the implant markup. Hospitals mark up hip implant devices by 200% to 500% above manufacturer cost. A $3,000 implant may appear as $12,000 on your hospital bill. Ask: "What is the cost of the implant, and are there comparable alternatives?"
Cost by City
Total Hip Replacement prices vary significantly across US metros. Click any city to see the full hospital-by-hospital pricing breakdown.
Insurance Coverage
Most insurance plans cover hip replacement when conservative treatments (physical therapy, medications, injections) have failed and the procedure is deemed medically necessary. Your orthopedic surgeon documents the medical necessity for the prior authorization request.
Prior authorization is required by nearly all commercial insurers for hip replacement. The approval process takes 5 to 14 business days. Ensure your surgeon's office submits the request promptly and follow up with your insurer to confirm approval.
Verify that the surgeon, anesthesiologist, and facility are all in-network. For a procedure this expensive, out-of-network charges can add tens of thousands of dollars to your bill. Ask the hospital's scheduling department to confirm the network status of every provider involved.
Medicare covers hip replacement under Part A (inpatient) with the Part A deductible covering the first 60 days. For outpatient hip replacement, Medicare Part B covers 80% of the approved amount after the Part B deductible. Medicare beneficiaries choosing outpatient may have lower total out-of-pocket costs.
If you are uninsured: Some high-volume joint replacement centers offer bundled cash prices for total hip replacement starting at $18,000 to $28,000, including all surgical components. Payment plans and medical financing options like CareCredit are widely available.
How to Save Money
Hip replacement is a major expense, but these strategies can meaningfully reduce your out-of-pocket costs.
- 1Ask About Outpatient SurgeryIf you are healthy, under 75, and have someone to help you at home, you may qualify for outpatient hip replacement. This eliminates 1 to 2 nights of inpatient facility charges, saving $5,000 to $15,000.
- 2Compare Hospitals on ProcedureRadarPrice differences of $25,000 or more are common between hospitals in the same metro for the same hip replacement. Comparing prices is the single highest-value step you can take.
- 3Request a Bundled PriceA bundled price covers surgeon, anesthesia, facility, implant, and recovery in one quote. This eliminates surprise bills from separate billing entities and often includes a 10% to 20% discount over a la carte pricing.
- 4Discuss Implant OptionsAsk your surgeon about implant alternatives. Standard metal-on-polyethylene implants cost significantly less than ceramic-on-ceramic and have excellent clinical track records. The savings on the implant alone can be $5,000 or more.
- 5Use Your HSA or FSAIf you have a Health Savings Account or Flexible Spending Account, use pre-tax dollars to pay your out-of-pocket costs. For a $5,000 out-of-pocket expense, this saves $1,250 to $1,850 depending on your tax bracket.
- 6Explore Centers of ExcellenceSome insurers designate high-volume joint replacement facilities as Centers of Excellence with reduced cost-sharing. These programs sometimes cover travel and lodging. Ask your insurer about available programs.
Questions to Ask Your Hospital
Before scheduling your hip replacement, ask these questions to understand the full cost picture.
- "What is the all-in bundled price including surgeon, anesthesia, facility, and implant?"
- "Am I a candidate for outpatient (same-day) hip replacement?"
- "What hip implant will you use, and what does it cost?"
- "Are there lower-cost implant alternatives with comparable clinical outcomes?"
- "Will the surgeon, anesthesiologist, and facility all be in-network?"
- "What is the expected length of inpatient stay, and what is the per-night cost?"
- "What is the expected duration and cost of post-operative physical therapy?"
- "Do you offer a payment plan or accept medical financing?"