Cost of a Hip Replacement Surgery Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's healthcare market operates approximately 2% below national cost averages, with over 2,300 active Hip Replacement Surgery providers serving patients across the state's diverse urban and rural communities. Hip Replacement Surgery patients typically encounter negotiated rates ranging from $90 to $3,786, with a median cost of $1,880 based on actual insurer agreements. The state's robust provider network spans from Charlotte's major medical centers to smaller orthopedic practices in the Outer Banks, giving patients multiple options to browse all providers in North Carolina.
Average
$1,919
Median
$1,880
Lowest
$90
Highest
$3,786
Providers
2,366
5% below national average
Compare Similar Procedures
How does hip replacement compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,013 | $3,785 | 2,164 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $390 | $821 | $1,609 | 2,276 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $450 | $795 | $1,504 | 2,192 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $488 | $940 | $1,839 | 2,261 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $776 | $1,655 | 2,518 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,325 | $2,597 | 2,276 |
| Septoplasty Nasal septum repair | 30520 | $500 | $827 | $1,710 | 2,178 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $217 | $396 | $820 | 2,252 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $426 | $698 | $1,453 | 2,159 |
| Mastectomy Partial or simple mastectomy | 19301 | $346 | $831 | $1,713 | 2,257 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $349 | $592 | $1,241 | 2,171 |
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 North Carolina
These hospitals in North Carolina are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ASHEVILLE, NC
WINSTON-SALEM, NC
SILER CITY, NC
HENDERSONVILLE, NC
DURHAM, NC
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 North Carolina
North Carolina's healthcare costs run approximately 2% below national averages, reflecting the state's balanced mix of urban medical centers and rural practices. The state's extensive geography creates significant access disparities between metropolitan areas and remote counties in the mountains and coastal plains.
Urban vs. Rural Provider Availability
Charlotte, Raleigh-Durham, and Greensboro concentrate the majority of North Carolina's orthopedic specialists, while rural counties in the western mountains and eastern coastal plain face significant provider shortages. This geographic imbalance forces rural patients to travel 2-3 hours for specialized care, often driving them toward higher-cost urban providers.
Facility Type and Overhead Costs
Major health systems like Atrium Health, UNC Health, and Novant Health operate hospital-based orthopedic clinics with higher overhead costs than independent practices. These systems dominate North Carolina's urban markets, contributing to higher facility fees and overall visit costs compared to standalone orthopedic offices.
Insurance Market Competition in North Carolina
Blue Cross Blue Shield of North Carolina holds the largest market share, followed by UnitedHealthcare and Aetna, creating moderate insurer competition. This concentration allows the major insurers to negotiate competitive rates with providers, though rural areas often have limited insurer options that can reduce competitive pressure on pricing.
Physician Supply and Demand in North Carolina
With over 2,300 active Hip Replacement Surgery providers statewide, North Carolina maintains adequate orthopedic specialist supply in urban areas but faces shortages in rural regions. This imbalanced distribution creates longer wait times and higher costs in underserved areas, while urban competition helps moderate pricing and improves access.
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 North Carolina
What is the average cost of a Hip Replacement Surgery visit in North Carolina without insurance?
Does North Carolina Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in North Carolina?
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 |