Cost of a Hip Replacement Surgery Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare system spans from world-class facilities like Cleveland Clinic to rural hospitals serving Appalachian communities, creating significant variation in Hip Replacement Surgery costs across the state. Based on negotiated insurance rates, patients typically pay between $85 and $2,491, with a median out-of-pocket cost of $1,415 for this procedure. With 3,692 active Hip Replacement Surgery providers throughout Ohio, patients have substantial options for finding quality orthopedic care that fits their budget and location preferences.
Average
$1,331
Median
$1,415
Lowest
$85
Highest
$2,491
Providers
3,692
34% below national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $848 | $1,471 | $2,491 | 3,206 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $335 | $613 | $1,087 | 3,282 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $338 | $585 | $983 | 3,234 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $667 | $1,185 | 4,653 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $355 | $660 | $1,185 | 4,341 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $917 | $1,597 | 3,541 |
| Septoplasty Nasal septum repair | 30520 | $357 | $592 | $1,116 | 3,245 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $297 | $559 | 3,518 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $328 | $547 | $1,039 | 3,201 |
| Mastectomy Partial or simple mastectomy | 19301 | $303 | $598 | $1,175 | 3,266 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $268 | $453 | $797 | 3,211 |
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 Ohio
These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AKRON, OH
YOUNGSTOWN, OH
Wright-Patterson AFB, OH
MARIETTA, OH
OBERLIN, OH
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 Ohio
Ohio's Hip Replacement Surgery costs run approximately 2% below national averages, reflecting the state's balanced mix of urban competition and rural accessibility challenges. The presence of major health systems like Cleveland Clinic, Ohio State Wexner, and Cincinnati Children's creates pricing anchors in metropolitan areas while smaller communities rely on regional hospitals with different cost structures.
Urban vs. Rural Provider Availability
Ohio's population concentration in Columbus, Cleveland, and Cincinnati creates intense competition among Hip Replacement Surgery specialists in these metros, potentially driving down costs through market pressure. Rural areas, particularly in southeastern Ohio's Appalachian region, may have limited orthopedic options requiring patients to travel to larger cities for specialized hip procedures. This geographic disparity can affect both direct costs and indirect expenses like travel and lodging for patients seeking care.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices in Ohio often carry higher overhead costs than independent surgery centers, reflected in their Hip Replacement Surgery pricing. Major health systems like OhioHealth and Mercy Health operate extensive networks of facilities with varying cost structures depending on their urban or suburban locations. Ambulatory surgery centers throughout Ohio frequently offer more competitive pricing for outpatient orthopedic procedures compared to hospital outpatient departments.
Insurance Market Competition in Ohio
Ohio's insurance market features robust competition between Medical Mutual of Ohio, Anthem Blue Cross Blue Shield, and United Healthcare, creating negotiating leverage that helps control Hip Replacement Surgery costs. The state's Medicaid managed care program spreads enrollment across multiple insurers, further encouraging competitive pricing for orthopedic services. This multi-payer environment prevents any single insurer from dominating rate negotiations with major health systems.
Physician Supply and Demand in Ohio
With 3,692 active Hip Replacement Surgery providers, Ohio maintains a relatively strong supply of orthopedic specialists compared to many states, helping moderate pricing through competition. The concentration of medical schools and residency programs in Ohio, including Case Western Reserve and Ohio State, helps sustain physician supply in metropolitan areas. However, rural counties still face orthopedic shortages, potentially driving up costs and wait times for patients in these underserved regions.
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 Ohio
What is the average cost of a Hip Replacement Surgery visit in Ohio without insurance?
Does Ohio Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Ohio?
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 |