Cost of a Hip Replacement Surgery Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's aging population and rural geography create unique challenges for accessing Hip Replacement Surgery services across the state's vast landscape. The cost of Hip Replacement Surgery typically varies based on provider type and location, though specific pricing data is limited for comprehensive analysis. Maine maintains an active network of Hip Replacement Surgery providers serving patients from Aroostook County to York County, and patients can browse all available providers throughout the state.
Average
$2,238
Median
$2,491
Lowest
$1,585
Highest
$2,639
Providers
1,529
11% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,713 | $2,488 | $2,689 | 1,522 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $643 | $1,068 | $1,123 | 1,524 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $634 | $1,054 | $1,087 | 1,528 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $746 | $1,250 | $1,286 | 1,541 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $682 | $1,144 | $1,177 | 1,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,043 | $1,716 | $1,776 | 1,529 |
| Septoplasty Nasal septum repair | 30520 | $811 | $1,310 | $1,346 | 1,526 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $342 | $573 | $578 | 1,524 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $630 | $998 | $1,022 | 1,521 |
| Mastectomy Partial or simple mastectomy | 19301 | $749 | $1,255 | $1,274 | 1,523 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $850 | $888 | 1,519 |
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 Maine
These hospitals in Maine are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AUGUSTA, ME
HOULTON, ME
BANGOR, ME
PORTLAND, ME
BAR HARBOR, ME
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 Maine
Hip Replacement Surgery costs in Maine run approximately 12% above national averages, reflecting the state's rural healthcare delivery challenges and limited specialist competition. Maine's geography spans from dense southern coastal areas to sparsely populated northern counties, creating significant access and pricing disparities.
Urban vs. Rural Provider Availability
Southern Maine cities like Portland and Biddeford concentrate most orthopedic specialists, while northern and eastern regions face provider shortages that drive up costs. Rural patients often travel 2-3 hours for Hip Replacement Surgery consultations, adding transportation costs to their total healthcare expense. The urban-rural divide creates a two-tier pricing system where rural facilities may charge premium rates due to limited competition.
Facility Type and Overhead Costs
Maine's healthcare landscape features major systems like Northern Light Health and MaineHealth, which operate hospital-based orthopedic clinics with higher overhead costs than independent practices. Academic medical centers in Portland command premium pricing for complex hip cases and revision surgeries. Ambulatory surgery centers offer cost-effective alternatives for routine hip procedures, though geographic distribution remains limited outside southern Maine.
Insurance Market Competition in Maine
Limited insurer competition between Anthem, Harvard Pilgrim, and UnitedHealthcare reduces negotiating pressure on provider rates in Maine. The small market size gives major health systems significant leverage in contract negotiations, contributing to higher Hip Replacement Surgery costs. Rural areas often lack sufficient provider networks, forcing insurers to accept higher reimbursement rates to maintain network adequacy.
Physician Supply and Demand in Maine
Maine faces an orthopedic surgeon shortage relative to its aging population, with many specialists concentrated in the Portland metropolitan area. Limited Hip Replacement Surgery provider availability creates longer wait times and supports higher pricing, particularly for complex cases requiring subspecialty expertise. The supply-demand imbalance is most acute in northern and eastern Maine, where patients may wait months for consultation appointments.
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 Maine
What is the average cost of a Hip Replacement Surgery visit in Maine without insurance?
Does Maine Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Maine?
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 |