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Hawaii

Cost of a Hip Replacement Surgery Visit
in Hawaii

Reviewed by Momentary Medical Group West PC

Hawaii's isolated island geography creates unique healthcare delivery challenges, with patients often traveling between islands for specialized orthopedic care. Hip Replacement Surgery costs in the state typically range from $90 to $2,946, with a median cost of $1,896 based on negotiated insurance rates. Hawaii maintains 50 active Hip Replacement Surgery providers across the island chain, and patients can browse all available specialists throughout the state.

Average

$1,644

Median

$1,896

Lowest

$90

Highest

$2,947

Providers

50

National avg: $2,015Hawaii: $1,644

18% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Hawaii?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,018$1,894$2,94646
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$746$1,38651
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$752$1,28752
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$929$1,50768
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$846$1,37675
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,235$1,92946
Septoplasty

Nasal septum repair

30520$80$858$1,37647
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$66545
Inguinal Hernia Repair

Inguinal hernia repair

49505$426$734$1,14942
Mastectomy

Partial or simple mastectomy

19301$85$922$1,47545
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$604$1,04041

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.

Why Hip Replacement Surgery Visit Costs Vary Across Hawaii

Healthcare costs in Hawaii run approximately 16% above the national average, driven by the state's remote location, high cost of living, and the expense of importing medical equipment and supplies. The island geography creates natural monopolies where patients have limited alternatives, particularly on the neighbor islands.

Urban vs. Rural Provider Availability

Oahu concentrates most of Hawaii's orthopedic specialists, with over 70% of Hip Replacement Surgery providers practicing in the Honolulu metro area. Patients on Maui, Kauai, and the Big Island often must travel to Oahu for complex procedures, adding travel and lodging costs to their medical expenses. This geographic disparity allows urban providers to command premium pricing while rural patients face limited options.

Facility Type and Overhead Costs

Hospital-owned practices dominate Hawaii's orthopedic landscape, with major health systems like Kaiser Permanente, Queens Health Systems, and Hawaii Pacific Health controlling most specialty care. These hospital-affiliated clinics typically charge higher facility fees to cover overhead costs including expensive medical equipment and island-specific operating expenses. Independent orthopedic practices offer an alternative but are becoming increasingly rare due to Hawaii's challenging business environment.

Insurance Market Competition in Hawaii

Hawaii's insurance market is relatively concentrated, with HMSA Blue Cross Blue Shield, United Healthcare, and Kaiser Permanente controlling the majority of covered lives. This limited competition can result in higher negotiated rates for specialty services, though Kaiser's integrated model sometimes offers lower costs for members. The state's small population and geographic isolation make it difficult for new insurers to enter the market and provide pricing pressure.

Physician Supply and Demand in Hawaii

With 50 active Hip Replacement Surgery providers serving a population of 1.4 million residents, Hawaii maintains adequate specialist density in urban areas but faces shortages on neighbor islands. The high cost of living and professional isolation can make it challenging to recruit orthopedic surgeons, particularly to rural areas. This supply constraint allows established providers to maintain higher pricing while patients may face longer wait times for non-urgent procedures.

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 Hawaii

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

Hip Replacement Surgery visits in Hawaii range from $90 to $2,946 for uninsured patients, with a median cost of $1,896 based on negotiated insurance rates. Self-pay patients should expect to pay near the median rate, though many practices offer cash discounts of 20-30% for immediate payment. Hospital-based clinics typically charge toward the higher end of this range due to facility fees and overhead costs.

Does Hawaii Medicaid cover Hip Replacement Surgery visits?

Yes, Hawaii expanded Medicaid under the Affordable Care Act, providing comprehensive orthopedic coverage for residents earning up to 138% of the federal poverty level. Medicaid covers both initial consultations and follow-up visits with Hip Replacement Surgery providers, though patients may need referrals and face longer wait times. Prior authorization may be required for expensive procedures or imaging studies, but routine specialist visits are typically approved without delays.

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

Start by comparing costs between hospital-owned practices and independent orthopedic clinics, as independents often offer lower rates. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding-scale fees based on income. Patients on neighbor islands should factor in travel costs when comparing Oahu specialists against local options, as inter-island travel can add $300-500 to your total expenses.

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

Initial Hip Replacement Surgery consultations typically cost $90-$2,946 depending on complexity and facility type, while follow-up visits generally range from the lower end of this spectrum. New patient visits involve comprehensive examinations and often include imaging review, justifying higher costs than routine follow-ups. Hospital-based practices tend to charge facility fees for both types of visits, while independent practices may offer more competitive pricing for routine follow-up care.

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

Yes, Hip Replacement Surgery consultations qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these tax-advantaged funds to pay for copays, deductibles, and any out-of-pocket costs related to orthopedic care. Keep all receipts and documentation, as you may need to provide proof that the expenses were for qualified medical care when filing claims or during audits.

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

Telemedicine consultations for orthopedic follow-ups typically cost 20-40% less than in-person visits, though initial evaluations usually require physical examination and imaging review. Hawaii's island geography makes telehealth particularly valuable for neighbor island patients who might otherwise need to travel to Oahu for routine follow-ups. Many insurance plans now cover orthopedic telemedicine visits at the same rate as in-person consultations, though some providers offer cash-pay telemedicine rates as low as $150-250.

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