Cost of a Hip Replacement Surgery Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation in healthcare quality metrics but also ranks among the highest for medical costs, with Hip Replacement Surgery procedures reflecting this premium pricing structure. Based on negotiated insurance rates, patients typically face out-of-pocket costs ranging from $80 to $6,060, with a median cost of $2,012 for Hip Replacement Surgery procedures. The state's 1,302 active Hip Replacement Surgery providers offer extensive options across the Commonwealth, allowing patients to browse providers from Boston's academic medical centers to community hospitals in Western Massachusetts.
Average
$2,717
Median
$2,012
Lowest
$80
Highest
$6,060
Providers
1,302
35% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $2,196 | $6,051 | 1,004 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $935 | $2,078 | 1,014 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $438 | $892 | $2,410 | 1,023 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $476 | $1,057 | $2,717 | 1,072 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $834 | $2,485 | 1,368 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $710 | $1,297 | $3,890 | 1,012 |
| Septoplasty Nasal septum repair | 30520 | $456 | $1,001 | $2,788 | 1,010 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $219 | $455 | $1,237 | 1,012 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $397 | $834 | $2,168 | 1,003 |
| Mastectomy Partial or simple mastectomy | 19301 | $350 | $988 | $2,408 | 1,009 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $721 | $1,957 | 1,008 |
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 Massachusetts
These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GREAT BARRINGTON, MA
BOSTON, MA
OAK BLUFFS, MA
BOSTON, MA
BOSTON, MA
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above national averages, driven by the state's concentration of prestigious academic medical centers and highly regulated insurance market. The Commonwealth's geography creates stark cost disparities between the expensive Boston metro area and more affordable regions in Central and Western Massachusetts.
Urban vs. Rural Provider Availability
Boston's dense concentration of orthopedic specialists creates competitive pricing in some segments while academic medical centers command premium rates for complex procedures. Rural areas like the Berkshires and Pioneer Valley have fewer Hip Replacement Surgery options, often requiring patients to travel to Springfield or Boston for specialized care. This geographic imbalance can force rural patients to choose between higher local costs or travel expenses to access more affordable urban providers.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices dominate Massachusetts healthcare, with systems like Mass General Brigham and Steward Health Care setting pricing standards across their networks. Independent surgical groups face significant overhead pressures from the state's high commercial real estate costs and malpractice insurance requirements. Academic medical centers affiliated with Harvard Medical School or Tufts University typically charge premium rates that reflect their research missions and teaching responsibilities.
Insurance Market Competition in Massachusetts
The state's insurance landscape is dominated by BCBS MA, Tufts Health Plan, and Harvard Pilgrim Health Care, creating a moderately competitive environment that keeps negotiated rates reasonable compared to monopoly markets. Massachusetts's strict insurance regulations and essential health benefit requirements add administrative costs that providers pass through to patients. The state's Connector marketplace offers additional insurer options in some regions, providing leverage for better network rates among orthopedic providers.
Physician Supply and Demand in Massachusetts
With 1,302 active Hip Replacement Surgery providers serving the state's 7 million residents, Massachusetts maintains adequate orthopedic specialist availability, particularly in the Boston metro area. This relatively robust supply helps moderate pricing pressure compared to shortage states, though wait times for elective procedures can still extend several weeks at popular practices. The concentration of providers around academic medical centers creates competitive dynamics that benefit patients willing to shop for value-based orthopedic care.
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 Massachusetts
What is the average cost of a Hip Replacement Surgery visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Massachusetts?
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 |