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Maryland

Cost of a Hip Replacement Surgery Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's hospital rate-setting system provides unique cost transparency compared to other states, yet Hip Replacement Surgery costs still vary significantly across the state's diverse healthcare landscape. Based on negotiated insurance rates, patients typically pay between $1,124 and $2,667 for Hip Replacement Surgery procedures, with a median cost of $1,289. With nearly 4,000 active Hip Replacement Surgery providers throughout Maryland, patients have extensive options when browsing providers across the state's urban centers and rural communities.

Average

$1,694

Median

$1,289

Lowest

$1,124

Highest

$2,667

Providers

3,950

National avg: $2,015Maryland: $1,694

16% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Maryland?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,204$1,365$3,4753,921
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$477$581$1,0833,982
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$485$559$1,5913,923
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$633$1,3553,993
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$437$573$1,2384,028
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$754$892$1,7794,051
Septoplasty

Nasal septum repair

30520$461$617$1,3953,925
Tonsillectomy

Tonsillectomy, primary or secondary

42820$226$271$6073,971
Inguinal Hernia Repair

Inguinal hernia repair

49505$381$498$1,0793,919
Mastectomy

Partial or simple mastectomy

19301$346$626$1,2923,976
Carpal Tunnel Surgery

Open carpal tunnel release

64721$318$419$9203,931

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 Maryland

Maryland's healthcare costs run approximately 13% above the national average, driven by the state's proximity to Washington D.C., high cost of living, and concentration of academic medical centers. The state's unique hospital rate-setting system provides some cost control, but outpatient specialist services like Hip Replacement Surgery consultations remain subject to market forces and insurance negotiations.

Urban vs. Rural Provider Availability

Maryland's Hip Replacement Surgery providers cluster heavily around Baltimore and the Washington D.C. suburbs, creating significant access challenges for residents of the Eastern Shore and western mountain counties. Rural patients often travel 60-90 minutes for specialist consultations, with some choosing Virginia or Pennsylvania providers for convenience. This geographic concentration allows urban providers to maintain premium pricing while rural areas face provider shortages.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices affiliated with Johns Hopkins, University of Maryland, and MedStar Health typically charge higher rates due to facility fees and academic medical center overhead costs. Independent orthopedic surgery groups throughout Maryland often offer more competitive pricing for consultations while maintaining comparable expertise. Ambulatory surgery centers have grown rapidly in Maryland, providing cost-effective alternatives for many orthopedic procedures.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield dominates Maryland's individual and small group markets, while UnitedHealthcare and Aetna compete primarily for large employer accounts. This market concentration gives CareFirst significant negotiating power with orthopedic providers, potentially leading to lower negotiated rates for Hip Replacement Surgery services. The state's active insurance exchange provides additional options, though provider networks can be narrow on lower-tier plans.

Physician Supply and Demand in Maryland

With nearly 4,000 active Hip Replacement Surgery providers, Maryland enjoys strong orthopedic surgeon availability relative to its population of 6.2 million residents. This healthy provider-to-patient ratio helps moderate costs and reduces wait times for non-urgent consultations, though subspecialists in hip preservation or revision surgery may have longer booking delays. The state's medical schools and residency programs help maintain this robust provider supply.

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 Maryland

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

Without insurance, Hip Replacement Surgery visits in Maryland typically range from $1,124 to $2,667, with a median cost of $1,289 based on negotiated insurance rates. Self-pay patients may qualify for discounts of 30-50% below these rates at many practices, making the actual out-of-pocket cost potentially lower. Academic medical centers and hospital-based practices tend toward the higher end of this range, while independent orthopedic practices often offer more affordable consultation fees.

Does Maryland Medicaid cover Hip Replacement Surgery visits?

Yes, Maryland's expanded Medicaid program covers medically necessary Hip Replacement Surgery consultations for eligible adults. However, not all orthopedic practices accept Medicaid due to lower reimbursement rates, so patients should verify acceptance when scheduling appointments. Coverage includes both initial consultations and follow-up visits, plus any subsequent joint replacement procedures deemed medically appropriate by the surgeon.

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

Compare prices between hospital-based orthopedic clinics and independent practices, as independent surgeons often charge 20-40% less for consultations. Ask about self-pay discounts, payment plans, and package pricing for multiple visits when paying out-of-pocket. Community health centers in Baltimore, Prince George's County, and other urban areas may offer orthopedic services on sliding fee scales based on income.

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 new patient appointments involve comprehensive evaluation, imaging review, and treatment planning. Based on the available data showing Hip Replacement Surgery procedures ranging from $1,124 to $2,667, initial consultations likely fall in the middle to upper portion of this range. Follow-up visits for established patients generally cost 40-60% less than new patient consultations, focusing on progress assessment and treatment adjustments.

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

Yes, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for Hip Replacement Surgery consultations and related orthopedic care in Maryland. These accounts cover medically necessary specialist visits, diagnostic imaging, and subsequent treatments recommended by the surgeon. Using pre-tax dollars through HSA or FSA accounts effectively reduces your cost by your marginal tax rate, providing additional savings on orthopedic care.

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

Telemedicine consultations with Hip Replacement Surgery providers typically cost 20-30% less than in-person visits, though physical examination limitations make virtual visits most suitable for follow-ups or second opinions. Many Maryland orthopedic practices expanded telehealth options during the pandemic and continue offering virtual consultations for appropriate cases. Insurance coverage for telemedicine visits varies by plan, but most major carriers in Maryland now cover virtual orthopedic consultations at similar rates to in-person visits.

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