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California

Cost of a Hip Replacement Surgery Visit
in California

Reviewed by Momentary Medical Group West PC

California leads the nation in orthopedic innovation with top-tier medical centers from Stanford to Cedars-Sinai, yet Hip Replacement Surgery costs vary significantly across the Golden State. Based on negotiated insurance rates, patients typically pay between $80 and $3,012 for Hip Replacement Surgery procedures, with a median cost of $2,021. California maintains 3,930 active Hip Replacement Surgery providers across its diverse regions, giving patients extensive options from San Francisco's academic medical centers to Los Angeles's specialized orthopedic institutes.

Average

$1,704

Median

$2,021

Lowest

$80

Highest

$3,012

Providers

3,930

National avg: $2,015California: $1,704

15% below national average

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How does hip replacement compare to related procedures in California?

ProcedureCPTLowMedianHighProviders
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58563$245$1,904$6,978778
Chin Liposuction

Cost of chin (submental) liposuction across the US, with state-by-state pricing for both office-based and ambulatory surgery center settings.

15876$304$510$97239
Knee Replacement

Total knee replacement (arthroplasty)

27447$75$2,228$3,2863,142
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$1,210$1,4012,015
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$80$8,7674,867
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$75$1,094$1,7146,358
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$933$1,3757,138
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,135$2,7581,473
Septoplasty

Nasal septum repair

30520$80$820$2,160897
Tonsillectomy

Tonsillectomy, primary or secondary

42820$80$265$7051,717
Inguinal Hernia Repair

Inguinal hernia repair

49505$423$975$1,2162,424
Mastectomy

Partial or simple mastectomy

19301$85$961$1,9721,786
Carpal Tunnel Surgery

Open carpal tunnel release

64721$80$261$1,9302,261

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27130Total hip arthroplasty). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 27130 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27130 (Total hip arthroplasty), as mandated by the CMS Price Transparency Rule.

What CPT 27130 covers: the provider's professional fee for hip replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in California

These hospitals in California are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
90% would recommend136 patient surveys
5/5
90% would recommend544 patient surveys
5/5
89% would recommend411 patient surveys
MAMMOTH HOSPITAL

MAMMOTH LAKES, CA

5/5
87% would recommend104 patient surveys
5/5
86% would recommend243 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Hip Replacement Surgery Visit Costs Vary Across California

California's Hip Replacement Surgery costs run approximately 18% above national averages, driven by the state's high cost of living, stringent regulatory environment, and concentration of premium medical facilities in major metropolitan areas. The Golden State's diverse geography creates distinct cost corridors from Silicon Valley's tech-driven healthcare premiums to more moderate pricing in agricultural regions.

Urban vs. Rural Provider Availability

California's coastal metropolitan areas like San Francisco, Los Angeles, and San Diego concentrate the majority of specialized orthopedic surgeons, creating premium pricing due to high demand and elevated operating costs. Rural counties in the Central Valley and Northern California often have limited Hip Replacement Surgery options, requiring patient travel to urban centers but potentially offering lower base rates. The geographic disparity means patients may choose between convenience and cost savings.

Facility Type and Overhead Costs

Hospital-owned orthopedic clinics in California typically charge 40-60% more than independent practices due to facility fees and higher overhead structures at major systems like Sutter Health, Kaiser, and Dignity Health. Academic medical centers such as UCSF and Stanford command premium rates for their specialized expertise and research capabilities. Independent orthopedic surgery centers often provide the most cost-effective option for routine Hip Replacement Surgery procedures.

Insurance Market Competition in California

California's insurance market shows regional variation, with Anthem and UHC competing statewide while Kaiser Permanente maintains integrated delivery in major metros, creating different negotiated rate structures for Hip Replacement Surgery services. Los Angeles and San Francisco markets feature robust insurer competition that can benefit consumers, while rural areas may have limited plan choices. The competitive dynamics directly influence the negotiated rates that determine patient costs.

Physician Supply and Demand in California

With 3,930 active Hip Replacement Surgery providers statewide, California maintains strong physician density in metropolitan areas but faces shortages in rural regions, creating cost pressures in underserved markets. The state's large population and active lifestyle generate substantial demand for orthopedic services, particularly in recreation-heavy areas like ski regions and coastal communities. This supply-demand dynamic contributes to California's higher-than-average Hip Replacement Surgery costs while providing patients with extensive provider choice in urban areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hip Replacement Surgery Costs in California

What is the average cost of a Hip Replacement Surgery visit in California without insurance?

Without insurance, Hip Replacement Surgery visits in California range from $80 to $3,012, with a median cost of $2,021 based on negotiated insurance rates. Self-pay patients often receive 20-40% discounts from list prices, but costs vary significantly by location and facility type. Many providers offer payment plans to make treatment more affordable for uninsured patients.

Does California Medicaid cover Hip Replacement Surgery visits?

Yes, California's expanded Medicaid program (Medi-Cal) covers Hip Replacement Surgery visits and related orthopedic procedures when medically necessary. Coverage includes both consultations and surgical treatments, with no copay for most services. Patients need to see Medi-Cal participating providers, which include many orthopedic practices throughout California.

How do I find an affordable Hip Replacement Surgery near me in California?

Compare costs between independent orthopedic practices and hospital-based clinics, as independents often charge 40-60% less for the same services. Ask about self-pay discounts if uninsured, and consider community health centers for initial evaluation. Use cost comparison tools to identify in-network providers with the lowest patient responsibility based on your specific insurance plan.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Hip Replacement Surgery consultations typically cost significantly more than follow-up visits due to comprehensive evaluation requirements and potential imaging studies. New patient visits involve detailed history-taking and examination, while established patient follow-ups focus on specific concerns or treatment progress. The cost difference can range from $200-500 depending on the complexity and facility type.

Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in California?

Yes, Hip Replacement Surgery visits qualify as eligible medical expenses for both HSA and FSA accounts in California. These pre-tax dollars can cover consultation fees, copays, deductibles, and related orthopedic treatments. Keep receipts and documentation for reimbursement, and remember that HSA funds roll over annually while FSA funds typically must be used within the plan year.

How does telemedicine affect the cost of seeing a Hip Replacement Surgery in California?

Telemedicine orthopedic consultations in California typically cost 30-50% less than in-person visits, though physical examination limitations make them most suitable for follow-ups or second opinions rather than initial evaluations. Many California insurers cover telehealth orthopedic visits at the same rate as in-person care. However, Hip Replacement Surgery often requires hands-on examination and imaging that necessitates in-person visits for accurate diagnosis and treatment planning.

Click a state to compare costs

Average Visit Cost

$734
$4,747

Office visit (CPT 27130)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$10,565
$4,747
2Alaska
Range: $1,137$6,292
$3,083
3Connecticut
Range: $807$6,060
$2,863
4New York
Range: $900$6,060
$2,750
5Georgia
Range: $1,115$5,088
$2,741
6Massachusetts
Range: $80$6,060
$2,717
7Wyoming
Range: $1,632$4,245
$2,717
8Rhode Island
Range: $80$6,060
$2,706
9New Hampshire
Range: $1,435$4,083
$2,653
10Montana
Range: $80$6,442
$2,639
11Delaware
Range: $80$6,060
$2,571
12Nebraska
Range: $1,627$3,012
$2,526
13Pennsylvania
Range: $80$6,060
$2,506
14Washington
Range: $1,500$3,707
$2,415
15Iowa
Range: $91$3,950
$2,326
16New Jersey
Range: $953$4,590
$2,322
17Maine
Range: $1,585$2,639
$2,238
18New Mexico
Range: $1,203$3,377
$2,225
19District of Columbia
Range: $1,045$3,311
$2,214
20West Virginia
Range: $90$4,590
$2,119
21Colorado
Range: $940$3,328
$2,082
22Utah
Range: $90$2,909
$1,936
23North Carolina
Range: $90$3,786
$1,919
24Vermont
Range: $959$3,289
$1,902
25Oregon
Range: $90$3,637
$1,883
26Mississippi
Range: $1,040$3,084
$1,819
27Illinois
Range: $85$3,707
$1,819
28Missouri
Range: $1,274$2,249
$1,813
29Kentucky
Range: $386$3,244
$1,804
30Tennessee
Range: $1,095$2,579
$1,792
31Indiana
Range: $85$3,549
$1,751
32Nevada
Range: $1,115$2,360
$1,717
33California
Range: $80$3,012
$1,704
34Kansas
Range: $1,274$2,226
$1,700
35Maryland
Range: $1,124$2,667
$1,694
36Virginia
Range: $920$2,659
$1,684
37Louisiana
Range: $960$2,505
$1,674
38Idaho
Range: $90$3,023
$1,652
39Hawaii
Range: $90$2,947
$1,644
40South Dakota
Range: $90$3,012
$1,624
41Michigan
Range: $80$2,869
$1,566
42Arizona
Range: $1,097$2,279
$1,504
43Arkansas
Range: $90$2,535
$1,488
44South Carolina
Range: $80$2,907
$1,477
45Alabama
Range: $80$2,767
$1,453
46Ohio
Range: $85$2,491
$1,331
47Oklahoma
Range: $85$2,536
$1,298
48Texas
Range: $90$2,602
$1,277
49Minnesota
Range: $91$3,227
$1,136
50Florida
Range: $35$2,391
$827
51North Dakota
Range: $91$2,019
$734
Hip Replacement in Other States