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Iowa

Cost of a Hip Replacement Surgery Visit
in Iowa

Reviewed by Momentary Medical Group West PC

Iowa's rural healthcare landscape presents unique challenges, with 77% of the state's counties designated as Health Professional Shortage Areas for orthopedic specialists. Hip Replacement Surgery costs in Iowa range from $91 to $3,950, with a median cost of $2,938 based on negotiated insurance rates. The state maintains 320 active Hip Replacement Surgery providers across its 99 counties, though access remains concentrated in urban centers like Des Moines and Cedar Rapids.

Average

$2,326

Median

$2,938

Lowest

$91

Highest

$3,950

Providers

320

National avg: $2,015Iowa: $2,326

15% above national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Iowa?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$95$2,935$4,753309
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$1,186$1,313296
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$1,174$1,680311
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$1,428$3,082337
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$1,304$2,810369
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,912$3,576341
Septoplasty

Nasal septum repair

30520$549$1,426$1,627255
Tonsillectomy

Tonsillectomy, primary or secondary

42820$95$640$705270
Inguinal Hernia Repair

Inguinal hernia repair

49505$457$1,131$2,449317
Mastectomy

Partial or simple mastectomy

19301$85$1,392$3,021333
Carpal Tunnel Surgery

Open carpal tunnel release

64721$361$933$1,068260

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 Iowa

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

5/5
94% would recommend137 patient surveys
5/5
89% would recommend103 patient surveys
5/5
85% would recommend277 patient surveys
5/5
82% would recommend104 patient surveys
5/5
82% would recommend118 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 Iowa

Hip Replacement Surgery costs in Iowa run approximately 9% below the national average, reflecting the state's lower cost of living and reduced overhead expenses compared to coastal markets. However, Iowa's vast rural geography creates significant access challenges, with orthopedic specialists concentrated in just a handful of metropolitan areas.

Urban vs. Rural Provider Availability

Des Moines, Cedar Rapids, and Iowa City contain most of Iowa's Hip Replacement Surgery specialists, while rural counties often lack local orthopedic coverage. This geographic disparity forces rural patients to travel long distances for specialized care, potentially increasing overall treatment costs due to travel and lodging expenses.

Facility Type and Overhead Costs

Iowa's healthcare landscape includes major systems like UnityPoint Health and MercyOne, which operate hospital-based orthopedic clinics with higher overhead costs. Independent surgical centers and physician-owned practices typically offer lower prices for Hip Replacement Surgery consultations and procedures.

Insurance Market Competition in Iowa

Iowa's insurance market shows limited competition, with Wellmark BCBS holding dominant market share alongside UHC and Aetna. This concentration can limit provider network options but often results in more stable negotiated rates for Hip Replacement Surgery services across the state.

Physician Supply and Demand in Iowa

With 320 active Hip Replacement Surgery providers serving Iowa's 3.2 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This supply imbalance contributes to longer wait times and potentially higher costs in underserved areas, while urban markets show more competitive pricing.

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 Iowa

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

Hip Replacement Surgery visits in Iowa range from $91 to $3,950 without insurance, with a median cost of $2,938 based on negotiated rates. Self-pay patients may qualify for cash discounts that can reduce these costs significantly. Many Iowa providers offer payment plans to help manage the expense of consultation and surgical procedures.

Does Iowa Medicaid cover Hip Replacement Surgery visits?

Yes, Iowa expanded Medicaid covers Hip Replacement Surgery consultations and necessary surgical procedures for eligible adults with incomes up to 138% of the federal poverty level. Coverage includes both initial consultations and follow-up visits, though prior authorization may be required for certain procedures. Medicaid recipients should verify their orthopedic surgeon accepts Iowa Medicaid before scheduling.

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

Compare costs across different facility types in Iowa, as independent surgical centers often charge less than hospital-based clinics. Many providers offer self-pay discounts of 20-40% for uninsured patients. Community health centers in larger Iowa cities may provide orthopedic referrals at reduced rates for qualifying patients.

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

Initial Hip Replacement Surgery consultations typically cost more than follow-up visits due to the comprehensive evaluation required. New patient visits involve detailed history-taking, physical examination, and treatment planning, while established patient follow-ups focus on monitoring progress and adjusting treatment plans. The specific cost difference varies by provider and insurance coverage.

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

Yes, Hip Replacement Surgery consultations and treatments qualify as eligible medical expenses for both HSA and FSA accounts. This includes office visits, diagnostic imaging, surgical procedures, and related medical equipment. Keep all receipts and documentation for reimbursement or direct payment from your tax-advantaged health accounts.

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

Telemedicine consultations for Hip Replacement Surgery are typically less expensive than in-person visits, though physical examination limitations make them more suitable for follow-up visits rather than initial evaluations. Iowa providers increasingly offer telehealth options for post-operative monitoring and routine follow-ups. Some insurance plans cover telemedicine visits at the same rate as office visits, while others may have different copay structures.

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