Cost of a Hip Replacement Surgery Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare landscape features over 5,200 Hip Replacement Surgery providers across the state, reflecting strong orthopedic care access despite the absence of Medicaid expansion. Hip Replacement Surgery patients typically pay between $1,274 and $2,249 for procedures, with a median cost of $1,917 based on negotiated insurance rates. The state's competitive insurance market, led by Anthem, UHC, and Cigna, helps keep orthopedic costs approximately 5% below national averages while maintaining quality care standards throughout Missouri's diverse urban and rural communities.
Average
$1,813
Median
$1,917
Lowest
$1,274
Highest
$2,249
Providers
5,286
10% below national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,272 | $1,915 | $2,246 | 5,186 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $502 | $728 | $811 | 5,258 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $507 | $761 | $892 | 5,187 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $623 | $1,127 | $1,300 | 5,243 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $551 | $966 | $1,185 | 5,445 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $822 | $1,163 | $1,375 | 5,264 |
| Septoplasty Nasal septum repair | 30520 | $573 | $821 | $954 | 5,176 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $268 | $480 | $559 | 5,242 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $493 | $892 | $1,027 | 5,182 |
| Mastectomy Partial or simple mastectomy | 19301 | $516 | $824 | $946 | 5,250 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $402 | $614 | $726 | 5,183 |
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 Missouri
These hospitals in Missouri are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAMAR, MO
MONETT, MO
AURORA, MO
LEXINGTON, MO
CHILLICOTHE, MO
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 Missouri
Missouri's Hip Replacement Surgery costs run approximately 5% below national averages, reflecting the state's moderate cost of living and competitive insurance environment. The state's mix of urban medical centers and rural communities creates distinct pricing tiers, with metropolitan areas commanding higher rates due to facility overhead while rural providers often offer more affordable options.
Urban vs. Rural Provider Availability
Missouri's major metropolitan areas like St. Louis and Kansas City concentrate most orthopedic subspecialists, while rural counties may have limited Hip Replacement Surgery access requiring travel to regional centers. This geographic disparity creates cost variations, with urban providers typically charging 20-30% more than rural counterparts due to higher real estate and staffing costs. The state's central location helps rural residents access multiple metropolitan markets, promoting some price competition across regions.
Facility Type and Overhead Costs
Large health systems like BJC HealthCare in St. Louis and Mercy Health statewide often operate hospital-based orthopedic clinics with higher overhead costs than independent surgical practices. These facility fees can add significant expense to Hip Replacement Surgery visits, though they may offer more comprehensive ancillary services and advanced imaging capabilities. Missouri's competitive healthcare market includes numerous independent orthopedic groups that typically offer lower-cost alternatives without sacrificing quality care.
Insurance Market Competition in Missouri
Missouri's insurance landscape features moderate competition among Anthem, UHC, and Cigna, creating negotiated rate variations that affect patient costs depending on their specific plan. The state's regulatory approach generally favors market-based solutions, allowing insurers flexibility in network design and reimbursement rates. This competitive environment helps keep Hip Replacement Surgery costs reasonable while maintaining adequate provider networks across urban and rural areas.
Physician Supply and Demand in Missouri
With over 5,200 Hip Replacement Surgery providers statewide, Missouri maintains adequate orthopedic access relative to its population, though distribution favors metropolitan areas over rural regions. This robust provider supply helps contain costs through competition while offering patients multiple options for specialized joint replacement care. The state's medical schools and residency programs contribute to physician retention, supporting both access and competitive pricing in the orthopedic market.
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 Missouri
What is the average cost of a Hip Replacement Surgery visit in Missouri without insurance?
Does Missouri Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Missouri?
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 |
