Cost of a Hip Replacement Surgery Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's healthcare market operates at costs approximately 22% above the national average, driven by the state's concentrated provider networks and high operational expenses. Hip Replacement Surgery patients in New York typically pay between $899 and $6,060, with a median out-of-pocket cost of $1,289 based on negotiated insurance rates. With over 30,000 active Hip Replacement Surgery providers across the state, patients can browse extensive options throughout New York's diverse healthcare landscape.
Average
$2,750
Median
$1,289
Lowest
$900
Highest
$6,060
Providers
30,927
36% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $898 | $1,288 | $6,051 | 30,852 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $515 | $2,135 | 30,876 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $384 | $538 | $2,410 | 30,865 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $452 | $638 | $1,820 | 30,954 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $412 | $577 | $1,655 | 31,025 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $890 | $3,201 | 30,796 |
| Septoplasty Nasal septum repair | 30520 | $466 | $625 | $2,160 | 30,844 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $203 | $276 | $742 | 30,860 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $364 | $504 | $1,435 | 30,842 |
| Mastectomy Partial or simple mastectomy | 19301 | $452 | $609 | $2,642 | 30,775 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $320 | $622 | $1,963 | 30,846 |
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 New York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 York
New York's Hip Replacement Surgery costs run approximately 22% above the national average, reflecting the state's high cost of living and concentrated healthcare market dominated by major health systems in the NYC metropolitan area. The state's geographic diversity creates stark cost disparities between urban medical centers and rural provider networks upstate.
Urban vs. Rural Provider Availability
New York City and Long Island maintain the highest concentration of orthopedic specialists, while rural counties in the North Country and Southern Tier face significant specialist shortages. Patients in upstate regions often travel 2-3 hours to access subspecialty joint replacement services, though costs may be 20-40% lower than Manhattan rates. The geographic divide creates access challenges but also cost-saving opportunities for patients willing to travel.
Facility Type and Overhead Costs
Hospital-based orthopedic clinics affiliated with systems like NewYork-Presbyterian, NYU Langone, and Mount Sinai typically charge premium rates due to higher overhead costs and academic medical center pricing structures. Independent orthopedic surgery centers, particularly in suburban areas, often provide comparable care at 30-50% lower facility fees. Ambulatory surgery centers throughout New York offer cost-effective alternatives for outpatient hip replacement procedures.
Insurance Market Competition in New York
The dominance of Empire BCBS, UHC, Aetna, and Cigna creates a moderately competitive insurance landscape, though provider network consolidation limits negotiating leverage. New York's essential health benefits requirements and state insurance regulations create standardized coverage minimums that benefit orthopedic patients. The state's robust insurance marketplace offers multiple plan options, though premium costs remain among the nation's highest.
Physician Supply and Demand in New York
With over 30,000 active Hip Replacement Surgery providers statewide, New York maintains adequate orthopedic specialist supply in metropolitan areas but faces shortages in rural regions. The high provider count in NYC creates competitive pricing for elective procedures, while upstate markets may have longer wait times but lower costs. Fellowship-trained joint replacement specialists cluster in academic medical centers, creating centers of excellence but potentially higher costs for specialized 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 New York
What is the average cost of a Hip Replacement Surgery visit in New York without insurance?
Does New York Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in New York?
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 New York?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in New York?
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 |