Cost of a Hip Replacement Surgery Visit
in Illinois
Reviewed by Momentary Medical Group West PC
Illinois residents benefit from a robust orthopedic surgery network, particularly concentrated in the Chicago metropolitan area which houses several nationally-ranked orthopedic specialty centers. Hip Replacement Surgery patients across the state work with thousands of active providers, though specific cost data varies significantly by facility type and geographic region. Finding the right Hip Replacement Surgery specialist in Illinois requires comparing both clinical expertise and transparent pricing across the state's diverse healthcare landscape.
Average
$1,819
Median
$1,664
Lowest
$85
Highest
$3,707
Providers
4,966
10% below national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Illinois?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $85 | $1,778 | $3,789 | 4,831 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $418 | $694 | $1,200 | 3,854 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $90 | $655 | $1,895 | 4,839 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $943 | $1,984 | 4,987 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $857 | $1,654 | 6,834 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,214 | $2,665 | 5,065 |
| Septoplasty Nasal septum repair | 30520 | $512 | $683 | $1,289 | 3,659 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $253 | $339 | $596 | 3,648 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $90 | $707 | $1,569 | 4,730 |
| Mastectomy Partial or simple mastectomy | 19301 | $90 | $740 | $1,846 | 4,743 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $372 | $594 | $1,070 | 3,849 |
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.
Top-Rated Hospitals in Illinois
These hospitals in Illinois are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GALENA, IL
CARTHAGE, IL
GIBSON CITY, IL
MONMOUTH, IL
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 Illinois
Illinois healthcare costs run approximately 10% above the national average, driven primarily by the Chicago metropolitan area's concentration of academic medical centers and specialty hospitals. The state's healthcare landscape creates significant cost disparities between Cook County's premium facilities and the more affordable community hospitals serving central and southern Illinois.
Urban vs. Rural Provider Availability
Chicago's concentration of orthopedic specialists contrasts sharply with rural Illinois counties where patients may travel over 100 miles for Hip Replacement Surgery consultations. This geographic imbalance drives higher costs in metropolitan areas due to demand concentration, while rural facilities often offer lower rates to attract patients willing to travel for care.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices dominate Illinois's major metro areas, with systems like Northwestern Medicine, Rush, and University of Chicago commanding premium pricing due to their academic affiliations and research overhead. Independent orthopedic clinics, more common in suburban and rural areas, typically offer lower consultation fees but may have limited surgical capabilities requiring referrals to hospital systems.
Insurance Market Competition in Illinois
The Illinois insurance market shows strong competition in Chicago with multiple options including Blue Cross Blue Shield of Illinois, UnitedHealthcare, and Aetna, leading to competitive negotiated rates with orthopedic providers. Rural counties often have limited insurer participation, reducing competitive pressure and sometimes resulting in higher negotiated rates or limited provider networks for Hip Replacement Surgery services.
Physician Supply and Demand in Illinois
Illinois maintains a robust supply of orthopedic surgeons, with over 1,000 practicing specialists statewide, though distribution heavily favors the Chicago metropolitan region. This adequate physician supply in urban areas helps moderate pricing and reduces wait times, while rural areas may experience both higher costs and longer scheduling delays due to limited local provider availability.
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.
Frequently Asked Questions — Hip Replacement Surgery Costs in Illinois
What is the average cost of a Hip Replacement Surgery visit in Illinois without insurance?
Does Illinois Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Illinois?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in Illinois?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Illinois?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27130)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,565 | $4,747 |
| 2 | Alaska Range: $1,137 – $6,292 | $3,083 |
| 3 | Connecticut Range: $807 – $6,060 | $2,863 |
| 4 | New York Range: $900 – $6,060 | $2,750 |
| 5 | Georgia Range: $1,115 – $5,088 | $2,741 |
| 6 | Massachusetts Range: $80 – $6,060 | $2,717 |
| 7 | Wyoming Range: $1,632 – $4,245 | $2,717 |
| 8 | Rhode Island Range: $80 – $6,060 | $2,706 |
| 9 | New Hampshire Range: $1,435 – $4,083 | $2,653 |
| 10 | Montana Range: $80 – $6,442 | $2,639 |
| 11 | Delaware Range: $80 – $6,060 | $2,571 |
| 12 | Nebraska Range: $1,627 – $3,012 | $2,526 |
| 13 | Pennsylvania Range: $80 – $6,060 | $2,506 |
| 14 | Washington Range: $1,500 – $3,707 | $2,415 |
| 15 | Iowa Range: $91 – $3,950 | $2,326 |
| 16 | New Jersey Range: $953 – $4,590 | $2,322 |
| 17 | Maine Range: $1,585 – $2,639 | $2,238 |
| 18 | New Mexico Range: $1,203 – $3,377 | $2,225 |
| 19 | District of Columbia Range: $1,045 – $3,311 | $2,214 |
| 20 | West Virginia Range: $90 – $4,590 | $2,119 |
| 21 | Colorado Range: $940 – $3,328 | $2,082 |
| 22 | Utah Range: $90 – $2,909 | $1,936 |
| 23 | North Carolina Range: $90 – $3,786 | $1,919 |
| 24 | Vermont Range: $959 – $3,289 | $1,902 |
| 25 | Oregon Range: $90 – $3,637 | $1,883 |
| 26 | Mississippi Range: $1,040 – $3,084 | $1,819 |
| 27 | Illinois Range: $85 – $3,707 | $1,819 |
| 28 | Missouri Range: $1,274 – $2,249 | $1,813 |
| 29 | Kentucky Range: $386 – $3,244 | $1,804 |
| 30 | Tennessee Range: $1,095 – $2,579 | $1,792 |
| 31 | Indiana Range: $85 – $3,549 | $1,751 |
| 32 | Nevada Range: $1,115 – $2,360 | $1,717 |
| 33 | California Range: $80 – $3,012 | $1,704 |
| 34 | Kansas Range: $1,274 – $2,226 | $1,700 |
| 35 | Maryland Range: $1,124 – $2,667 | $1,694 |
| 36 | Virginia Range: $920 – $2,659 | $1,684 |
| 37 | Louisiana Range: $960 – $2,505 | $1,674 |
| 38 | Idaho Range: $90 – $3,023 | $1,652 |
| 39 | Hawaii Range: $90 – $2,947 | $1,644 |
| 40 | South Dakota Range: $90 – $3,012 | $1,624 |
| 41 | Michigan Range: $80 – $2,869 | $1,566 |
| 42 | Arizona Range: $1,097 – $2,279 | $1,504 |
| 43 | Arkansas Range: $90 – $2,535 | $1,488 |
| 44 | South Carolina Range: $80 – $2,907 | $1,477 |
| 45 | Alabama Range: $80 – $2,767 | $1,453 |
| 46 | Ohio Range: $85 – $2,491 | $1,331 |
| 47 | Oklahoma Range: $85 – $2,536 | $1,298 |
| 48 | Texas Range: $90 – $2,602 | $1,277 |
| 49 | Minnesota Range: $91 – $3,227 | $1,136 |
| 50 | Florida Range: $35 – $2,391 | $827 |
| 51 | North Dakota Range: $91 – $2,019 | $734 |