North Carolina

Cost of a Hip Replacement Surgery Visit
in North Carolina

Name: Hip Replacement Cost in North Carolina (2026)
Creator: Jayant Panwar
Published: 2026-03-18

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

National avg: $2,015North Carolina: $1,919

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.

Full data methodology and glossary

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-OTEEN VA MEDICAL CENTER

ASHEVILLE, NC

5/5

92% would recommend397 patient surveys

NOVANT HEALTH MEDICAL PARK HOSPITAL

WINSTON-SALEM, NC

5/5

89% would recommend162 patient surveys

CHATHAM HOSPITAL INC

SILER CITY, NC

5/5

86% would recommend148 patient surveys

ADVENTHEALTH HENDERSONVILLE

HENDERSONVILLE, NC

4/5

87% would recommend733 patient surveys

NORTH CAROLINA SPECIALTY HOSPITAL

DURHAM, NC

4/5

85% would recommend235 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 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.

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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 North Carolina

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

Uninsured patients in North Carolina typically pay between $90 and $3,786 for Hip Replacement Surgery visits, with a median cost of $1,880 based on actual negotiated rates. Many providers offer cash discounts of 20-40% for uninsured patients who pay at the time of service. Community health centers and independent practices often provide more affordable options than hospital-based orthopedic clinics.

Does North Carolina Medicaid cover Hip Replacement Surgery visits?

Yes, North Carolina Medicaid covers Hip Replacement Surgery visits when medically necessary, though the state has not expanded Medicaid eligibility. Traditional Medicaid recipients can access orthopedic specialists with proper referrals, but many working adults fall into the coverage gap between Medicaid and marketplace plan eligibility. Prior authorization may be required for certain procedures or imaging studies.

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

Compare costs between hospital-based clinics and independent orthopedic practices, as independents often charge 40-60% less for similar services. Ask about self-pay discounts, payment plans, and sliding fee scales at community health centers. Rural areas may have fewer options but often feature lower baseline costs than urban markets like Charlotte or Raleigh.

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

Initial Hip Replacement Surgery consultations typically cost 50-75% more than follow-up visits due to comprehensive examinations and diagnostic planning. New patient visits often include detailed medical history review and physical examination, while established patient visits focus on treatment progress and symptom management. The median cost difference ranges from $200-500 depending on the provider and facility type.

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

Yes, Hip Replacement Surgery visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes consultation fees, diagnostic imaging, and prescribed treatments. Keep all receipts and documentation, as these accounts require proper substantiation for tax purposes.

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

Telemedicine consultations for Hip Replacement Surgery typically cost 30-50% less than in-person visits, though physical examination limitations make them most suitable for follow-ups or initial symptom discussions. North Carolina expanded telehealth coverage during the pandemic, with most major insurers now covering virtual orthopedic consultations. However, diagnostic imaging and physical assessments still require in-person visits.

Click a state to compare costs

Average Visit Cost

$734

$4,747

Office visit (CPT 27130)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $10,565	$4,747	$73	$10,565	2,707
2	Alaska(AK) Range: $1,137 – $6,292	$3,083	$1,137	$6,292	39
3	Connecticut(CT) Range: $807 – $6,060	$2,863	$807	$6,060	408
4	New York(NY) Range: $900 – $6,060	$2,750	$900	$6,060	30,927
5	Georgia(GA) Range: $1,115 – $5,088	$2,741	$1,115	$5,088	2,920
6	Massachusetts(MA) Range: $80 – $6,060	$2,717	$80	$6,060	1,302
7	Wyoming(WY) Range: $1,632 – $4,245	$2,717	$1,632	$4,245	176
8	Rhode Island(RI) Range: $80 – $6,060	$2,706	$80	$6,060	74
9	New Hampshire(NH) Range: $1,435 – $4,083	$2,653	$1,435	$4,083	3,670
10	Montana(MT) Range: $80 – $6,442	$2,639	$80	$6,442	49
11	Delaware(DE) Range: $80 – $6,060	$2,571	$80	$6,060	91
12	Nebraska(NE) Range: $1,627 – $3,012	$2,526	$1,627	$3,012	2,188
13	Pennsylvania(PA) Range: $80 – $6,060	$2,506	$80	$6,060	1,270
14	Washington(WA) Range: $1,500 – $3,707	$2,415	$1,500	$3,707	2,234
15	Iowa(IA) Range: $91 – $3,950	$2,326	$91	$3,950	320
16	New Jersey(NJ) Range: $953 – $4,590	$2,322	$953	$4,590	6,528
17	Maine(ME) Range: $1,585 – $2,639	$2,238	$1,585	$2,639	1,529
18	New Mexico(NM) Range: $1,203 – $3,377	$2,225	$1,203	$3,377	1,197
19	District of Columbia(DC) Range: $1,045 – $3,311	$2,214	$1,045	$3,311	318
20	West Virginia(WV) Range: $90 – $4,590	$2,119	$90	$4,590	99
21	Colorado(CO) Range: $940 – $3,328	$2,082	$940	$3,328	1,345
22	Utah(UT) Range: $90 – $2,909	$1,936	$90	$2,909	330
23	North Carolina(NC) Range: $90 – $3,786	$1,919	$90	$3,786	2,366
24	Vermont(VT) Range: $959 – $3,289	$1,902	$959	$3,289	329
25	Oregon(OR) Range: $90 – $3,637	$1,883	$90	$3,637	201
26	Mississippi(MS) Range: $1,040 – $3,084	$1,819	$1,040	$3,084	1,288
27	Illinois(IL) Range: $85 – $3,707	$1,819	$85	$3,707	4,966
28	Missouri(MO) Range: $1,274 – $2,249	$1,813	$1,274	$2,249	5,286
29	Kentucky(KY) Range: $386 – $3,244	$1,804	$386	$3,244	179
30	Tennessee(TN) Range: $1,095 – $2,579	$1,792	$1,095	$2,579	2,352
31	Indiana(IN) Range: $85 – $3,549	$1,751	$85	$3,549	291
32	Nevada(NV) Range: $1,115 – $2,360	$1,717	$1,115	$2,360	2,552
33	California(CA) Range: $80 – $3,012	$1,704	$80	$3,012	3,930
34	Kansas(KS) Range: $1,274 – $2,226	$1,700	$1,274	$2,226	1,712
35	Maryland(MD) Range: $1,124 – $2,667	$1,694	$1,124	$2,667	3,950
36	Virginia(VA) Range: $920 – $2,659	$1,684	$920	$2,659	2,724
37	Louisiana(LA) Range: $960 – $2,505	$1,674	$960	$2,505	877
38	Idaho(ID) Range: $90 – $3,023	$1,652	$90	$3,023	93
39	Hawaii(HI) Range: $90 – $2,947	$1,644	$90	$2,947	50
40	South Dakota(SD) Range: $90 – $3,012	$1,624	$90	$3,012	67
41	Michigan(MI) Range: $80 – $2,869	$1,566	$80	$2,869	2,018
42	Arizona(AZ) Range: $1,097 – $2,279	$1,504	$1,097	$2,279	5,350
43	Arkansas(AR) Range: $90 – $2,535	$1,488	$90	$2,535	109
44	South Carolina(SC) Range: $80 – $2,907	$1,477	$80	$2,907	1,247
45	Alabama(AL) Range: $80 – $2,767	$1,453	$80	$2,767	2,636
46	Ohio(OH) Range: $85 – $2,491	$1,331	$85	$2,491	3,692
47	Oklahoma(OK) Range: $85 – $2,536	$1,298	$85	$2,536	1,700
48	Texas(TX) Range: $90 – $2,602	$1,277	$90	$2,602	8,415
49	Minnesota(MN) Range: $91 – $3,227	$1,136	$91	$3,227	1,859
50	Florida(FL) Range: $35 – $2,391	$827	$35	$2,391	4,789
51	North Dakota(ND) Range: $91 – $2,019	$734	$91	$2,019	455