With Insurance Coverage: copays, coinsurance and deductibles
Without Insurance: Average $32,299
A total hip replacement -- replacement of an entire hip joint with artificial parts -- usually is performed on patients whose hip has been so damaged by arthritis or injury that there is severe pain that limits daily activity.
Typical costs:
For patients without health insurance, a total hip replacement usually will cost between $31,839 and $44,816, with an average cost of $39,299, according to Blue Cross Blue Shield of North Carolina. However, some medical facilities offer uninsured discounts. At the Kapiolani Medical Center[1] in Aiea, Hawaii, where the full price is about $33,000, an uninsured patient would pay a discounted rate of $20,212 to $23,581.
Hip replacement surgery usually is covered by health insurance, according to DePuy Orthopaedics, Inc., a Johnson & Johnson company and major manufacturer of orthopaedic devices. And, according to Blue Cross Blue Shield of Kansas[2] , any necessary surgery, including hip replacement, would be covered, unless it is experimental or covered in a specific exclusion.
Patients with health insurance typically pay out-of-pocket expenses up to several thousand dollars, or their out-of-pocket maximum. For example, at Dartmought-Hitchcock Medical Center[3] , a Medicare patient could pay up to $3,957, including deductibles and coinsurance. And a patient with health insurance that has a typical 20 percent copay for surgeries and a $3,000 out-of-pocket maximum would pay the full $3,000 at DHMC.
An orthopaedic surgeon will perform an initial evaluation, take a medical history and X-rays, possibly perform other tests such as an MRI to check bone and soft tissues, and discuss whether a hip replacement is right for the patient. If so, the doctor will provide a list of preparations for surgery, which might include blood tests and losing weight, if necessary.
After surgery, a several-day hospital stay usually is required.
The American Academy of Orthopaedic Surgeons[4] offers an overview of hip replacement surgery.
Additional costs:
It is usually recommended to outfit the living quarters with items to ease recovery, such as shower or bath handrails, secure handrails on stairs, a reacher to assist in grabbing items and cushions that allow for sitting with knees lower than hips.
Shopping for hip replacement:
Look for a surgeon who is certified by the American Board of Orthopaedic Surgery[5] and who has plenty of experience performing hip replacements.
Hip replacement candidates include people with hip pain so severe it interferes with daily activities such as walking.
Possible serious hip replacement complications include joint infection, which happens in 2 percent of hip replacement surgeries. Complications that are even more rare include heart attack and stroke.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
7 Lesser-Known Discounts for the 50+ Crowd As they age, members of the Baby Boomer generation don't like to admit that they're senior citizens, but they love getting discounts. It's kind of a quandary, because some of the best deals available are reduced prices for older folks. || Posted October 21 2013
7 Ways to Stretch Your Reduced Food Budget End of the year budgets are tight for everyone, especially in this economy.It's especially hard for the millions of Americans who depend on government programs like food stamps to help make ends meet. || Posted November 11 2013
Clinic or Doctor: Dr Andrew Crosby Campbell River BC
Insurance Carrier: Canadians get free health care
Type of Policy: BC health care
Can't imagine paying for this, we are spoiled here in Canada. Just got home now from left hip replacement one night stay in hospital, went super smooth, 24 hours after surgery I'm walking with cane but could do without it, been instructed to use it though for 2 weeks to let bone grow into the implant. Couldn't be happier!
I am now 47 yrs old. Have been given every excuse- from being too young to Lady Gagas experience- as why to not have surgery. Im to the point of some days notneven being able to move without tears- sometimes collapsings. I am on SSDI due to severe PTSD. And due to my age this leaves me with the worste 'insurance' out there- Partenership/ AKA Obamacare. Had surgery set up actually and physical therapy, until Tahoe hospital saw my insurance. Cancelled it the day before. I have a wonderful husband of 27 years, 6 children and about to have 16 grandchildren. I am missing it all. I am begging, someone anyone, please help our family. I want to live again for them and with them. We are a very close family and are all deeply affected. I honestly feel i am no longer living but suviving on the sidelines waiting to get called back into the game, to life.
My only expense has been the facility deductible of $250 ... plus a couple of very minor admin fees. Surgeon was Dr. Robert Berghoff, Jr. All other expenses and follow-up care are paid by the UMR. I believe the facility and physicians accepted the 90% insurance payment as payment in full.
During surgery Dr use a medical devise Woodpecker and malfunction brake my femur and has been more than 4 years the pain is there and I am lipping I need more surgery I have the longest steam and is going to be a surgery only to level my 2 legs my surgery last 5 hours make sure to ask your Dr if he use the devise Woodpecker has been lots of malfunction
After years of pain, I was the one in one-thousand with such severe osteoarthritis, popping pain meds all day and hobbling around like a penguin, both hips needed to be done at the same time. After going to four other surgeons, I heard about Dr. Klug. He did the anterior approach which is supposedly the way to go. The surgery was a breeze. I was out like a light and 5 seconds later I was done. The worst thing about my recovery was kicking the pain killers Six weeks after my surgery, I was on my brand new mountain bike. Now ten months later, I'm in a karate class and I'm getting out my snowboarding gear to hit the slopes that I've missed for the past eight years. Dr Klug is THE guy.
Getting ready for left hip replacement due to lifelong osteoarthritis. Chose a surgeon using the computer assisted arm promising more accurate cup machining (acetabulum) and better final leg length. Surgeon is using ceramic. I could have had VA do this but wanted the computer assist. Mandatory as ibuprofen won't touch the pain and I use a cane. Estimated cost is $50 to $60K billing amount.
Surgery performed the afternoon of 11/23/15 and one night as inpatient. I had time to read everything I could about the procedure and what to expect.I had a friend give me a raised toilet seat. (Please, don't get the kind that simply sits on your own toilet seat, but get one where you remove your seat and screw this in as a total replacement ) If you have the money and the space, get one with arm rails to help pull yourself up. I had the loose seat and on my first night home, reached down to the floor for a roll or toilet paper, the seat went to the right and I fell to the left. My incision started to bleed through the adhesive bandage and I had to go in for x-rays and a check of the incision. Luckily no real damage was done. I had to purchase out of pocket the usual devices Medicare doesn't cover. Still on pain meds, and starting outpatient PT next week. Have not gotten paper bill.
Had terrible pain in my right hip for 2 months prior due to a fall that the Urgent Care in Vegas did not noticed that the hip was broken. After a new x-ray the procedure was scheduled within 5 days and it went well. I stayed 2 1/2 days in the hospital then went home and am now able to walk with a cane and little pain. Terrific staff at the hospital and wonderful care. Lost a bit of weight due to being in pain for so long but looking forward to a full recovery.
I am changing insurance as of 2015 and I have double hip replacement/revision 1/13/2015, but my pre-op is 12/29/2014 I was wondering how much this pre-op would cost approximately.. I have not met my deductible/out-of-pocket for 2014..
Clinic or Doctor: Nordorthopaedics Clinic,Dr Tarasevicius
Insurance Carrier: GEHA
Type of Policy: High, group
Need a THR to replace a pinned, now arthritic hip. I have reviewed more than 60 hospitals and doctors, various ratings, research articles, outcome statistics and costs. I am planning to go to Lithuania in December for this surgery. (Yes it will be cold and dark but this is not about vacation.) I am asking for GEHA to include our flights because it is only around $10000 for the TOTAL package for me and an accompanying person including 2 weeks of physical therapy, post surgical lodging and the flights. I asked for other patients' references and the office arrangements manager has been most accommodating. Why would they not pay the $10k when surgery without PT in the States goes from $25k-$50k even at insurance companies negotiated rates and our healthcare and outcomes do not rate very high in the world market.
Had an anterior THR. The surgeon severed a vein or an artery and I lost a lot of blood. He also severed the nerves that control my leg. He also took two units of blood during my surgery, because he forgot to have me come in before the surgery to bank it. It took me six months to walk somewhat normally. It's been 21 months since the surgery, and I'd say that I now have five good days, one day where I have some difficulty walking, and one where the pain, while tolerable, is somewhat intense, every week.
Posted by: Thailandmedicalvacations dot com in Bangkok, Other.
Posted: September 14th, 2014 12:09PM
Clinic or Doctor: Thailand Medical Vacations .com
Insurance Carrier:
Type of Policy: out of pocket
I'm an agent for a hospital in Bangkok. Flight to and from Thailand, all inclusive surgery and a hotel for a week or two all well under $10,000. Some US insurance accepted. Just ask.
Dr's in Alaska aren't in network so coverage, even with this great plan is terrible and Dr's can charge whatever they want. I am looking for a state to go to where I can get good care and see an IN NETWORK BCBS Federal Provider.
Clinic or Doctor: cedars sinai hospital Los Angeles
Insurance Carrier:
Type of Policy: PPO
I was told I should have a hip replacement asap. Been having some horrific pain in one leg and had done MRI's and what not. I am so scared that I will never walk again. My insurance will cover 100% do you recommend I do it or NOT!
in the meantime I am homebound so depressed, cannot walk and not sure what to do. can someone advise please?
The Doctor's fee was $19,000 FOR TOTAL HIP REPLACEMENT OF MY LEFT HIP. THIS SURGERY WAS A RESULT OF A FALL.
MY BLUE CROSS BLUE SHIELD EMPIRE MEDIBLU FREEDOM III (PPO)INSURANCE ONLY PAID $1,616.00. I FEEL THIS AMOUNT IS WRONG.
Hi, I am a French surgeon. Just for your information, on recommendation by some american patient, I am surprised by the cost of your surgeons. The total cost of a ceramic total hip arthroplasty by anterior approach in my specialized institution is 10460USD (8000euros), for french people with insurance, it costs between 0 and 1000euros. What do you think about that?
This Dr replaced my right knee which went very well but involved 3 week rehab, all was well untill I fell and broke left hip. Same Dr used Three screws to attach bone to hip ball. Little pain involved. Hospital stay one day. Great!
I had my very first hip replacement at the age of 25(1988). I am now 47 and facing a revision. It has lasted 23 yrs and never had a day of pain after the replacement until now. I can honestly say it was the best thing I could have done and never had an ounce of regret. Just found out the "cup" has come loose and went through my pelvic bone. Went to bed one night and woke up like this. Now I have been using crutches/wheelchair for a little over a month. Surgery planned for 2 weeks. This is a degenerative bone disease of some kind. We have been "studied" since the age of 2. Seems to affect the hips, knees and shoulders. Would love to hear from ANYONE who has anything like this.
Due to my age (16 at the time) Doctors would not due a THR(Total Hip Replacement) So they prolonged the THR by alleviating the pain for the time being. This surgery was simple and the recovery was swift. We chose the ostyotomy because a Hip Fusion (just like a fused disk in your back, would consume too much bone. this has gotten me only 6 years as I am now looking at a THR at age 23. I have Pertis Disease. This is a degenerative bone disease in children.
My doctor had placed a Hylamer lining prosthethis in me in 1992. Hylamer was found to be highly defective (my doctor alone had 13 out 36 go bad within 3 years). The prosthethis completely destroyed my hip and I needed reconstructive surgery in 1996. Unfortunately, my dr. had sent the defective prosthethis to a pathologist and I was unable to file a suit against Dupont due to not having the prosthethis intact. It has been 14 years now since my last replacement and I find myself on the verge of having to have it done again, only this time I do not have insurance coverage. I am willing to withstand the pain, but I am concerned about structural damage and I just can't risk getting x-rays prior to getting insurance. It appears that I will not be able to qualify for indivdual comverage and I am overwhelmed by the fact that I just started a new job (2 weeks ago) and that the pain in my hip is escalating at a very rapid pace. Not sure how to tell my employer, as I am afraid that I will be let go. I really do not know what to do from here. Any advice would be greatly appreciated.
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.
CostHelper Community
UTI urgent care visit Paid: 147.00 Visit was $135. Antibiotics was $12. Waiting for four hours in the waiting room and the visit was quick... [more]
Spanish Medical Interpreter Paid: 150.00 I worked with SynShyne Services out of Monroe, NC. They were so worth the price! Professional, friendly, accurate, great attitude and always on time. I recieved an itemized report after every contact and a user friendly invoice weekly... [more]
Skin prick allergy test Paid: 573.00 Took my 9 yr. old in after an allergic reaction to eggs. Several panels for nuts, fish & top 8 allergens. Sure enough, egg came up. Got a script for epinephrine and left... [more]