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Idaho

Cost of a Hip Replacement Surgery Visit
in Idaho

Reviewed by Momentary Medical Group West PC

Idaho's rural healthcare delivery model creates unique cost patterns for Hip Replacement Surgery, with the state maintaining costs approximately 3% below national averages despite geographic challenges. Hip Replacement Surgery patients across Idaho face varying expenses based on location and facility type, though the state's 93 active providers offer competitive options. Patients can browse all Hip Replacement Surgery providers throughout Idaho to find the most cost-effective care for their specific needs.

Average

$1,652

Median

$1,843

Lowest

$90

Highest

$3,023

Providers

93

National avg: $2,015Idaho: $1,652

18% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Idaho?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,061$1,894$3,04978
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$797$1,348101
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$838$4,173201
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$738$1,480145
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$719$1,349182
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,196$2,02196
Septoplasty

Nasal septum repair

30520$80$785$1,422122
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$388$67996
Inguinal Hernia Repair

Inguinal hernia repair

49505$438$690$1,19776
Mastectomy

Partial or simple mastectomy

19301$85$839$1,48493
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$581$1,03180

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 Idaho

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

5/5
90% would recommend272 patient surveys
5/5
86% would recommend108 patient surveys
5/5
85% would recommend520 patient surveys
5/5
72% would recommend188 patient surveys
4/5
89% would recommend355 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 Idaho

Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower overall cost of living and reduced provider competition in rural markets. The state's vast rural geography creates significant access challenges, with many patients traveling considerable distances to reach specialized Hip Replacement Surgery centers in Boise, Coeur d'Alene, or Idaho Falls.

Urban vs. Rural Provider Availability

Idaho's population concentration in the Treasure Valley creates a provider density imbalance, with most Hip Replacement Surgery specialists located in Boise while rural counties often lack local orthopedic services. Patients in eastern and northern Idaho may face longer wait times and travel costs, though rural providers sometimes offer competitive pricing to attract patients from urban areas.

Facility Type and Overhead Costs

Hospital-based orthopedic practices in Idaho, particularly those affiliated with Saint Alphonsus or Kootenai Health, typically charge higher facility fees than independent surgical centers. Ambulatory surgery centers throughout Idaho often provide Hip Replacement Surgery procedures at lower total costs due to reduced overhead compared to traditional hospital settings.

Insurance Market Competition in Idaho

Limited insurer competition in Idaho's marketplace, dominated by Regence BlueCross and PacificSource, can result in higher premiums but also more stable provider networks for Hip Replacement Surgery. Rural areas particularly face constrained insurer options, which may limit patient choice but can create more predictable cost structures for orthopedic procedures.

Physician Supply and Demand in Idaho

With 93 active Hip Replacement Surgery providers serving Idaho's growing population, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This geographic maldistribution can drive up costs in underserved areas while creating competitive pricing in markets like Boise where multiple orthopedic groups practice.

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 Idaho

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

Based on negotiated insurance rates, Hip Replacement Surgery consultations in Idaho range from $90 to $3,023, with a median cost of $1,843. Uninsured patients may face higher list prices but should ask about cash-pay discounts that many Idaho providers offer to reduce out-of-pocket expenses. Self-pay rates often fall between these negotiated amounts, making price shopping essential for uninsured patients.

Does Idaho Medicaid cover Hip Replacement Surgery visits?

Yes, Idaho's expanded Medicaid program covers Hip Replacement Surgery consultations and procedures for eligible adults. Patients must choose from Medicaid-participating orthopedic surgeons, which may be more limited than commercial insurance networks, particularly in rural areas. Prior authorization may be required for expensive procedures, but medically necessary hip replacements are generally covered with minimal patient cost-sharing.

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

Compare costs among Idaho's 93 Hip Replacement Surgery providers by requesting price estimates and asking about self-pay discounts of 10-30% for cash payments. Community health centers and federally qualified health centers throughout Idaho may offer sliding fee scales based on income. Consider ambulatory surgery centers over hospital-based facilities for potentially lower total procedure costs.

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 they involve comprehensive evaluation, imaging review, and treatment planning. Follow-up visits for post-surgical care or progress monitoring generally range from $200-500 in Idaho, while initial consultations can cost $400-800 depending on the complexity of your condition and facility type.

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

Yes, Hip Replacement Surgery consultations and procedures qualify as eligible medical expenses for Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for copays, deductibles, and any out-of-network costs associated with orthopedic care. Keep all receipts and documentation for tax purposes, as these accounts require proper expense verification.

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

Telemedicine consultations for Hip Replacement Surgery in Idaho typically cost 20-40% less than in-person visits and can be particularly valuable for follow-up appointments and second opinions. However, initial evaluations usually require physical examination and imaging that cannot be performed remotely. Idaho's rural geography makes telehealth especially beneficial for reducing travel costs and time for patients in remote areas.

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