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New Jersey

Cost of a Hip Replacement Surgery Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's dense healthcare network includes over 6,500 active Hip Replacement Surgery providers across the state, creating competitive pricing options for patients. Hip Replacement Surgery visits in New Jersey typically cost between $953 and $4,590, with a median negotiated rate of $1,424. Patients can browse all Hip Replacement Surgery providers throughout New Jersey to compare costs and find the best value for their specific insurance plan.

Average

$2,322

Median

$1,424

Lowest

$953

Highest

$4,590

Providers

6,528

National avg: $2,015New Jersey: $2,322

15% above national average

Compare Similar Procedures

How does hip replacement compare to related procedures in New Jersey?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$952$1,422$4,5886,486
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$364$625$1,3806,526
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$412$578$1,8456,494
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$388$664$1,8276,521
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$340$546$1,6696,585
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$627$1,045$2,0936,519
Septoplasty

Nasal septum repair

30520$406$566$1,4116,484
Tonsillectomy

Tonsillectomy, primary or secondary

42820$170$273$8336,523
Inguinal Hernia Repair

Inguinal hernia repair

49505$309$475$1,4356,484
Mastectomy

Partial or simple mastectomy

19301$314$558$1,4466,513
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$519$2,1196,490

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 New Jersey

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

4/5
84% would recommend907 patient surveys
3/5
81% would recommend2,632 patient surveys
3/5
78% would recommend1,326 patient surveys
3/5
77% would recommend343 patient surveys
VALLEY HOSPITAL

PARAMUS, NJ

3/5
76% would recommend1,308 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 New Jersey

New Jersey's Hip Replacement Surgery costs run approximately 17% above national averages, driven by the state's high cost of living and proximity to major metropolitan areas. The density of academic medical centers and teaching hospitals throughout the state creates a premium pricing environment, particularly in northern counties near New York City.

Urban vs. Rural Provider Availability

New Jersey's compact geography means most residents have access to multiple Hip Replacement Surgery providers within reasonable driving distance. However, northern counties like Bergen and Essex command higher rates due to proximity to Manhattan and higher commercial real estate costs. Southern and central New Jersey typically offer more affordable options while maintaining good access to care.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in New Jersey often charge facility fees on top of physician fees, significantly increasing total visit costs. Major health systems like RWJBarnabas Health, Atlantic Health System, and Hackensack Meridian Health operate numerous locations throughout the state. Independent orthopedic practices generally offer lower rates but may have fewer locations and extended wait times.

Insurance Market Competition in New Jersey

The presence of multiple major insurers including Horizon BCBS, Aetna, and UHC creates moderate competition for provider networks. Horizon BCBS maintains the largest market share and strongest negotiating power with providers, often securing lower rates. Smaller insurers may have limited networks but sometimes offer competitive pricing for Hip Replacement Surgery visits.

Physician Supply and Demand in New Jersey

With over 6,500 active Hip Replacement Surgery providers, New Jersey has robust orthopedic specialist availability relative to its population size. This healthy provider supply helps moderate pricing compared to shortage areas in other states. Wait times for routine consultations are generally reasonable, though popular surgeons and subspecialists may book several weeks in advance.

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 New Jersey

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

Without insurance, Hip Replacement Surgery visits in New Jersey typically range from $953 to $4,590, with a median cost of $1,424 based on negotiated rates. Self-pay patients may qualify for discounts of 20-40% if they pay cash upfront. Many providers offer payment plans to help manage these costs over time.

Does New Jersey Medicaid cover Hip Replacement Surgery visits?

Yes, New Jersey expanded Medicaid under the Affordable Care Act, which covers medically necessary Hip Replacement Surgery consultations and treatments. Medicaid patients typically pay minimal copays for specialist visits. Prior authorization may be required for certain procedures or advanced imaging studies.

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

Compare costs across different facility types, as independent practices often charge less than hospital-owned clinics. Ask about self-pay discounts and payment plans if you're uninsured. Community health centers in underserved areas may offer sliding fee scales based on income, and some providers offer cash-pay discounts of 20-40%.

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

Initial Hip Replacement Surgery consultations typically cost between $953-$4,590 with a median of $1,424, as these involve comprehensive evaluation and diagnostic planning. Follow-up visits generally cost significantly less, usually 30-50% of the initial consultation fee. The complexity of your condition and required imaging studies can affect the total cost of either visit type.

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

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 your orthopedic care. Keep receipts for all expenses as documentation for your account administrator.

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

Telemedicine consultations with Hip Replacement Surgery specialists typically cost 20-30% less than in-person visits in New Jersey. However, initial evaluations usually require physical examination and imaging, limiting telehealth to follow-up visits and second opinions. Many insurers now cover telemedicine visits at the same rate as in-person consultations following changes made during the pandemic.

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