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Michigan

Cost of a Hip Replacement Surgery Visit
in Michigan

Reviewed by Momentary Medical Group West PC

Michigan's healthcare landscape benefits from a robust network of academic medical centers and Medicaid expansion, creating competitive pricing for orthopedic procedures. Hip Replacement Surgery patients typically pay between $80 and $2,869, with a median out-of-pocket cost of $1,749 based on negotiated insurance rates. With over 2,000 active Hip Replacement Surgery providers across the state, patients can browse all providers in Michigan to find the best combination of quality and affordability.

Average

$1,566

Median

$1,749

Lowest

$80

Highest

$2,869

Providers

2,018

National avg: $2,015Michigan: $1,566

22% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Michigan?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$1,872$3,3551,660
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$776$1,0731,788
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$753$1,2941,677
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$430$1,039$1,5651,749
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$833$2,0212,239
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$93$1,316$1,9261,724
Septoplasty

Nasal septum repair

30520$532$635$1,0721,631
Tonsillectomy

Tonsillectomy, primary or secondary

42820$238$409$5591,670
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$736$1,2161,658
Mastectomy

Partial or simple mastectomy

19301$429$654$1,4701,712
Carpal Tunnel Surgery

Open carpal tunnel release

64721$359$457$1,0681,634

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 Michigan

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

5/5
86% would recommend456 patient surveys
5/5
83% would recommend150 patient surveys
5/5
83% would recommend204 patient surveys
5/5
80% would recommend299 patient surveys
5/5
80% would recommend130 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 Michigan

Michigan's healthcare costs run approximately 3% below national averages, reflecting the state's balanced mix of urban medical centers and rural communities. The state's diverse geography creates distinct cost patterns, with Detroit and Grand Rapids commanding higher rates while smaller communities offer more affordable options.

Urban vs. Rural Provider Availability

Michigan's Upper Peninsula and northern regions have limited Hip Replacement Surgery specialists, often requiring patients to travel to Traverse City, Grand Rapids, or Detroit for care. This geographic concentration drives up costs in urban areas while creating access challenges for rural residents. The state's major population centers like Metro Detroit, Grand Rapids, and Ann Arbor have multiple competing orthopedic practices, which helps moderate pricing.

Facility Type and Overhead Costs

Hospital-owned orthopedic clinics in Michigan, particularly those affiliated with major health systems like Beaumont, Henry Ford, and University of Michigan Health, typically charge higher facility fees than independent surgical practices. These academic and large health system providers often have higher overhead costs but may offer more comprehensive services and subspecialty expertise. Independent orthopedic groups in Michigan frequently offer more competitive pricing for routine consultations and procedures.

Insurance Market Competition in Michigan

BCBS Michigan, UHC, and Aetna compete actively in the state's commercial insurance market, creating competitive negotiated rates with Hip Replacement Surgery providers. The state's moderate insurance competition helps keep costs reasonable compared to markets dominated by single insurers. Michigan's strong union presence has also historically negotiated favorable health benefits, influencing the broader insurance marketplace.

Physician Supply and Demand in Michigan

With over 2,000 active Hip Replacement Surgery providers, Michigan has a relatively robust supply of orthopedic specialists concentrated primarily in the southern Lower Peninsula. This adequate supply helps prevent the extreme pricing seen in specialist-shortage states, though wait times for elective procedures can still extend several weeks during peak demand periods. The presence of multiple medical schools including University of Michigan and Michigan State helps maintain a steady pipeline of orthopedic specialists.

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 Michigan

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

Without insurance, Hip Replacement Surgery visits in Michigan range from $80 to $2,869, with a median cost of $1,749 based on negotiated insurance rates. Self-pay patients often receive discounts of 30-50% off these rates, and many Michigan orthopedic practices offer payment plans to make care more affordable. Always ask about cash-pay discounts and financial assistance programs when scheduling your appointment.

Does Michigan Medicaid cover Hip Replacement Surgery visits?

Yes, Michigan's expanded Medicaid program (Healthy Michigan Plan) covers Hip Replacement Surgery consultations and necessary orthopedic procedures for eligible adults. Coverage includes both initial consultations and follow-up visits, with minimal cost-sharing for patients. Pre-authorization may be required for expensive procedures or advanced imaging studies, so work with your provider's office to handle any required approvals.

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

Compare costs across different facility types, as independent orthopedic practices often charge less than hospital-based clinics in Michigan. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding-scale fees. Use Momentary Lab to compare actual costs across providers and verify your insurance network status before booking.

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

Based on Michigan pricing data, Hip Replacement Surgery consultations show significant cost variation with median rates around $1,749, though this reflects a mix of visit types and procedures. Follow-up visits typically cost less than comprehensive initial evaluations, but exact pricing depends on the complexity of your case and any procedures performed during the visit. Always confirm expected costs when scheduling any orthopedic appointment.

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

Yes, Hip Replacement Surgery consultations qualify as eligible medical expenses for both HSA and FSA accounts. You can use these pre-tax dollars for copays, deductibles, and any out-of-pocket costs related to orthopedic care in Michigan. Keep all receipts and documentation, as you may need them for reimbursement or tax purposes.

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

Telemedicine consultations with Hip Replacement Surgery specialists typically cost less than in-person visits, though physical examination limitations make them most suitable for follow-up care or initial screenings. Many Michigan insurers now cover orthopedic telehealth visits at the same rate as in-person consultations. However, most hip conditions eventually require in-person evaluation for proper diagnosis and treatment planning.

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