North Dakota

Cost of a Hip Replacement Surgery Visit
in North Dakota

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

Reviewed by Momentary Medical Group West PC

North Dakota's rural geography creates unique challenges for orthopedic care access, with many patients traveling significant distances to reach specialized Hip Replacement Surgery providers. Hip Replacement Surgery costs in the state reflect this dynamic, though specific pricing data varies widely based on facility type and location. With active Hip Replacement Surgery providers distributed across major medical centers in Fargo, Bismarck, and Grand Forks, patients can browse all available providers throughout North Dakota to find the most suitable option for their needs.

Average

$734

Median

$91

Lowest

$91

Highest

$2,019

Providers

455

National avg: $2,015North Dakota: $734

64% below national average

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Compare Similar Procedures

How does hip replacement compare to related procedures in North Dakota?

Procedure	CPT	Low	Median	High	Providers
Knee Replacement Total knee replacement (arthroplasty)	27447	$1,198	$1,894	$3,475	37
Cataract Surgery Cataract extraction with intraocular lens insertion	66984	$80	$746	$1,609	41
Knee Arthroscopy Arthroscopy of the knee with meniscectomy	29881	$331	$752	$1,591	43
Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy	47562	$691	$6,146	$6,146	470
Appendectomy (Laparoscopic) Laparoscopic appendectomy	44970	$80	$800	$1,767	55
Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy	58571	$610	$1,240	$2,597	40
Septoplasty Nasal septum repair	30520	$381	$849	$1,627	42
Tonsillectomy Tonsillectomy, primary or secondary	42820	$237	$399	$820	38
Inguinal Hernia Repair Inguinal hernia repair	49505	$437	$709	$1,537	39
Mastectomy Partial or simple mastectomy	19301	$478	$885	$1,820	40
Carpal Tunnel Surgery Open carpal tunnel release	64721	$319	$596	$2,591	38

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

Why Hip Replacement Surgery Visit Costs Vary Across North Dakota

North Dakota's Hip Replacement Surgery costs run approximately 4% above the national average, reflecting the state's rural geography and limited provider competition. The Peace Garden State's vast distances between population centers create unique access challenges that influence pricing structures across different regions.

Urban vs. Rural Provider Availability

The majority of North Dakota's orthopedic surgeons practice in the Fargo-Moorhead and Bismarck-Mandan metropolitan areas, with limited specialist availability in rural counties. Patients in western North Dakota often travel to Bismarck or even out-of-state to Colorado or Minnesota for specialized hip replacement care. This geographic concentration allows urban providers to maintain higher prices due to limited competition and travel requirements for rural patients.

Facility Type and Overhead Costs

Major health systems like Sanford Health and Essentia Health operate most orthopedic clinics in North Dakota, with hospital-owned practices typically charging higher facility fees than independent surgeon practices. These large health systems justify higher costs through advanced surgical technology and comprehensive rehabilitation services. Independent orthopedic practices remain primarily in Fargo and Grand Forks, offering more competitive pricing for consultations and routine follow-up care.

Insurance Market Competition in North Dakota

The state's insurance market lacks robust competition, with Blue Cross Blue Shield of North Dakota holding a dominant position alongside Sanford Health Plan and UnitedHealthcare. This concentrated market gives insurers significant leverage in rate negotiations with providers, though the limited number of orthopedic specialists can offset some of this bargaining power. Rural areas often have even fewer insurer options, potentially leading to higher out-of-pocket costs for patients.

Physician Supply and Demand in North Dakota

North Dakota faces an ongoing shortage of orthopedic surgeons relative to its aging population and active agricultural workforce prone to joint injuries. The limited supply of specialists allows existing providers to maintain higher consultation fees and longer wait times for non-urgent procedures. Recent efforts to recruit physicians to the state have focused on loan forgiveness programs and practice support, but specialist shortages persist particularly in rural regions.

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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 Dakota

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

Without insurance, Hip Replacement Surgery consultations in North Dakota typically range from several hundred to over a thousand dollars, depending on the provider and facility type. Hospital-owned orthopedic clinics generally charge more than independent practices due to additional facility fees. Many providers offer cash-pay discounts of 10-30% for patients who pay at the time of service, making it worthwhile to ask about self-pay pricing options.

Does North Dakota Medicaid cover Hip Replacement Surgery visits?

Yes, North Dakota expanded Medicaid covers medically necessary Hip Replacement Surgery consultations for eligible patients. However, some orthopedic practices have limited Medicaid appointment availability due to reimbursement rates, potentially leading to longer wait times. Patients should verify that their chosen provider accepts Medicaid before scheduling, and may need a referral from their primary care physician depending on their specific managed care plan.

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

Start by comparing prices between hospital-owned clinics and independent orthopedic practices in your area, as independent practices often offer more competitive pricing. Ask about cash-pay discounts if you're uninsured, and consider community health centers that may offer sliding scale fees based on income. For rural North Dakota residents, traveling to larger cities like Fargo or Bismarck may provide more provider options and competitive pricing despite the additional travel costs.

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

Initial Hip Replacement Surgery consultations typically cost significantly more than follow-up visits, as they involve comprehensive evaluation, detailed history-taking, and treatment planning. Follow-up appointments for established patients are generally shorter and focus on monitoring progress or adjusting treatment plans. The specific cost difference varies by provider, but initial consultations can cost two to three times more than routine follow-up visits.

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

Yes, Hip Replacement Surgery consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for copays, deductibles, and any out-of-pocket costs associated with your orthopedic care. Keep your receipts and explanation of benefits statements for tax purposes, as the IRS may require documentation of qualified medical expenses.

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

Telemedicine consultations with orthopedic surgeons typically cost less than in-person visits, making them attractive for follow-up appointments or initial evaluations in North Dakota's rural areas. However, physical examination limitations mean that most patients will eventually need an in-person visit for definitive diagnosis and treatment planning. Some insurance plans cover telehealth visits at the same rate as in-person consultations, while others may have different copay structures, so patients should verify coverage with their insurer.

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Average Visit Cost