Delaware

Cost of a Hip Replacement Surgery Visit
in Delaware

Name: Hip Replacement Cost in Delaware (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Delaware's small size and concentrated healthcare infrastructure around Wilmington and Dover creates unique pricing patterns for orthopedic procedures. Hip Replacement Surgery costs in the First State typically range from $80 to $6,060, with a median negotiated rate of $1,574 based on Transparency in Coverage data from 91 active providers. Despite Delaware's compact geography, patients can find significant cost variations between hospital-based facilities and independent orthopedic practices when browsing all Hip Replacement Surgery providers in Delaware.

Average

$2,571

Median

$1,574

Lowest

$80

Highest

$6,060

Providers

National avg: $2,015Delaware: $2,571

28% above national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

How does hip replacement compare to related procedures in Delaware?

Procedure	CPT	Low	Median	High	Providers
Knee Replacement Total knee replacement (arthroplasty)	27447	$1,005	$1,687	$6,051	78
Cataract Surgery Cataract extraction with intraocular lens insertion	66984	$343	$691	$2,135	83
Knee Arthroscopy Arthroscopy of the knee with meniscectomy	29881	$412	$640	$2,410	80
Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy	47562	$416	$773	$2,073	81
Appendectomy (Laparoscopic) Laparoscopic appendectomy	44970	$80	$622	$1,893	99
Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy	58571	$85	$1,038	$3,201	83
Septoplasty Nasal septum repair	30520	$449	$726	$2,160	78
Tonsillectomy Tonsillectomy, primary or secondary	42820	$154	$319	$698	82
Inguinal Hernia Repair Inguinal hernia repair	49505	$330	$602	$1,435	79
Mastectomy Partial or simple mastectomy	19301	$95	$705	$2,642	84
Carpal Tunnel Surgery Open carpal tunnel release	64721	$354	$612	$1,957	77

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 27130 — Total 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.

Full data methodology and glossary

Why Hip Replacement Surgery Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's proximity to high-cost northeastern markets and limited provider competition in certain specialties. The state's compact size concentrates most orthopedic specialists in New Castle County, creating access challenges for residents of rural Sussex County who may travel significant distances for Hip Replacement Surgery care.

Urban vs. Rural Provider Availability

Most of Delaware's Hip Replacement Surgery specialists practice in the Wilmington metropolitan area, while residents of rural Sussex County around Rehoboth Beach and Georgetown face longer travel times and fewer provider options. This geographic concentration drives up costs in rural areas where patients have limited choice and may need to seek care at hospital-based facilities rather than independent practices.

Facility Type and Overhead Costs

ChristianaCare's dominance in northern Delaware and Bayhealth's presence in central Delaware create a hospital-heavy market where many Hip Replacement Surgery procedures occur in high-overhead outpatient hospital departments. Independent orthopedic practices and ambulatory surgery centers offer lower-cost alternatives but have limited geographic distribution across the state's three counties.

Insurance Market Competition in Delaware

Delaware's insurance market features moderate competition between Highmark, Aetna, and UnitedHealthcare, though the small state size limits negotiating power compared to larger markets. The concentration of major insurers creates relatively standardized negotiated rates for Hip Replacement Surgery, though self-insured employer plans may secure better pricing through direct provider contracts.

Physician Supply and Demand in Delaware

With 91 active Hip Replacement Surgery providers serving Delaware's population of nearly one million residents, the state maintains adequate orthopedic specialist availability in urban areas but faces shortages in rural regions. This uneven distribution contributes to pricing disparities and longer wait times for non-urgent procedures in areas outside the Wilmington-Dover corridor.

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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 Delaware

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

Hip Replacement Surgery visits in Delaware range from $80 to $6,060 without insurance, with a median cost of $1,574 based on negotiated rates from 91 providers. Self-pay patients often receive discounts of 20-40% from these rates when paying upfront, making the actual out-of-pocket cost potentially lower than the median negotiated rate.

Does Delaware Medicaid cover Hip Replacement Surgery visits?

Yes, Delaware Medicaid covers Hip Replacement Surgery consultations and procedures for eligible adults under the state's expanded Medicaid program. Diamond State Health Plan manages most Medicaid orthopedic benefits, requiring referrals from primary care physicians for specialist visits. Covered services include consultation visits, imaging studies, and medically necessary hip replacement surgeries with minimal patient copays.

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

Compare costs between independent orthopedic practices and hospital-based clinics, as independent practices often charge 20-30% less for consultations. Consider ambulatory surgery centers for procedures rather than hospital outpatient departments, and ask about cash-pay discounts if you're uninsured. Community health centers in Wilmington and Dover may offer sliding fee scales based on income for orthopedic referrals.

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, as new patient evaluations involve comprehensive history, physical examination, and treatment planning. Based on the available data showing consultation costs from $80 to $6,060 with a median of $1,574, follow-up visits generally cost 40-60% less than initial consultations. The exact difference depends on the complexity of your case and the provider's fee structure.

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

Yes, Hip Replacement Surgery consultations and procedures qualify as eligible medical expenses for both HSA and FSA accounts. You can use these tax-advantaged funds to pay deductibles, copays, and coinsurance for orthopedic care in Delaware. Keep all receipts and documentation, as HSA funds can be saved for future medical expenses while FSA funds typically must be used within the plan year.

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

Telemedicine consultations with Hip Replacement Surgery specialists cost 30-50% less than in-person visits, though physical examination limitations make virtual visits suitable mainly for follow-ups and initial consultations. Delaware providers increasingly offer telehealth options for post-operative care and routine monitoring. However, diagnostic imaging and physical examination for surgical candidates still require in-person visits at orthopedic clinics or hospitals.

Click a state to compare costs

Average Visit Cost

$734

$4,747

Office visit (CPT 27130)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $10,565	$4,747	$73	$10,565	2,707
2	Alaska(AK) Range: $1,137 – $6,292	$3,083	$1,137	$6,292	39
3	Connecticut(CT) Range: $807 – $6,060	$2,863	$807	$6,060	408
4	New York(NY) Range: $900 – $6,060	$2,750	$900	$6,060	30,927
5	Georgia(GA) Range: $1,115 – $5,088	$2,741	$1,115	$5,088	2,920
6	Massachusetts(MA) Range: $80 – $6,060	$2,717	$80	$6,060	1,302
7	Wyoming(WY) Range: $1,632 – $4,245	$2,717	$1,632	$4,245	176
8	Rhode Island(RI) Range: $80 – $6,060	$2,706	$80	$6,060	74
9	New Hampshire(NH) Range: $1,435 – $4,083	$2,653	$1,435	$4,083	3,670
10	Montana(MT) Range: $80 – $6,442	$2,639	$80	$6,442	49
11	Delaware(DE) Range: $80 – $6,060	$2,571	$80	$6,060	91
12	Nebraska(NE) Range: $1,627 – $3,012	$2,526	$1,627	$3,012	2,188
13	Pennsylvania(PA) Range: $80 – $6,060	$2,506	$80	$6,060	1,270
14	Washington(WA) Range: $1,500 – $3,707	$2,415	$1,500	$3,707	2,234
15	Iowa(IA) Range: $91 – $3,950	$2,326	$91	$3,950	320
16	New Jersey(NJ) Range: $953 – $4,590	$2,322	$953	$4,590	6,528
17	Maine(ME) Range: $1,585 – $2,639	$2,238	$1,585	$2,639	1,529
18	New Mexico(NM) Range: $1,203 – $3,377	$2,225	$1,203	$3,377	1,197
19	District of Columbia(DC) Range: $1,045 – $3,311	$2,214	$1,045	$3,311	318
20	West Virginia(WV) Range: $90 – $4,590	$2,119	$90	$4,590	99
21	Colorado(CO) Range: $940 – $3,328	$2,082	$940	$3,328	1,345
22	Utah(UT) Range: $90 – $2,909	$1,936	$90	$2,909	330
23	North Carolina(NC) Range: $90 – $3,786	$1,919	$90	$3,786	2,366
24	Vermont(VT) Range: $959 – $3,289	$1,902	$959	$3,289	329
25	Oregon(OR) Range: $90 – $3,637	$1,883	$90	$3,637	201
26	Mississippi(MS) Range: $1,040 – $3,084	$1,819	$1,040	$3,084	1,288
27	Illinois(IL) Range: $85 – $3,707	$1,819	$85	$3,707	4,966
28	Missouri(MO) Range: $1,274 – $2,249	$1,813	$1,274	$2,249	5,286
29	Kentucky(KY) Range: $386 – $3,244	$1,804	$386	$3,244	179
30	Tennessee(TN) Range: $1,095 – $2,579	$1,792	$1,095	$2,579	2,352
31	Indiana(IN) Range: $85 – $3,549	$1,751	$85	$3,549	291
32	Nevada(NV) Range: $1,115 – $2,360	$1,717	$1,115	$2,360	2,552
33	California(CA) Range: $80 – $3,012	$1,704	$80	$3,012	3,930
34	Kansas(KS) Range: $1,274 – $2,226	$1,700	$1,274	$2,226	1,712
35	Maryland(MD) Range: $1,124 – $2,667	$1,694	$1,124	$2,667	3,950
36	Virginia(VA) Range: $920 – $2,659	$1,684	$920	$2,659	2,724
37	Louisiana(LA) Range: $960 – $2,505	$1,674	$960	$2,505	877
38	Idaho(ID) Range: $90 – $3,023	$1,652	$90	$3,023	93
39	Hawaii(HI) Range: $90 – $2,947	$1,644	$90	$2,947	50
40	South Dakota(SD) Range: $90 – $3,012	$1,624	$90	$3,012	67
41	Michigan(MI) Range: $80 – $2,869	$1,566	$80	$2,869	2,018
42	Arizona(AZ) Range: $1,097 – $2,279	$1,504	$1,097	$2,279	5,350
43	Arkansas(AR) Range: $90 – $2,535	$1,488	$90	$2,535	109
44	South Carolina(SC) Range: $80 – $2,907	$1,477	$80	$2,907	1,247
45	Alabama(AL) Range: $80 – $2,767	$1,453	$80	$2,767	2,636
46	Ohio(OH) Range: $85 – $2,491	$1,331	$85	$2,491	3,692
47	Oklahoma(OK) Range: $85 – $2,536	$1,298	$85	$2,536	1,700
48	Texas(TX) Range: $90 – $2,602	$1,277	$90	$2,602	8,415
49	Minnesota(MN) Range: $91 – $3,227	$1,136	$91	$3,227	1,859
50	Florida(FL) Range: $35 – $2,391	$827	$35	$2,391	4,789
51	North Dakota(ND) Range: $91 – $2,019	$734	$91	$2,019	455

Cost of a Hip Replacement Surgery Visitin Delaware