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Oregon

Cost of a Hip Replacement Surgery Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's expanded Medicaid program and concentrated urban provider networks in Portland have created distinct Hip Replacement Surgery cost patterns across the state. Patients typically face negotiated rates ranging from $90 to $3,637, with a median cost of $1,921 for standard hip replacement procedures. With 201 active Hip Replacement Surgery providers throughout Oregon, patients have access to both urban specialists and rural orthopedic centers when browsing all available providers in the state.

Average

$1,883

Median

$1,921

Lowest

$90

Highest

$3,637

Providers

201

National avg: $2,015Oregon: $1,883

7% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,116$2,114$3,635165
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$803$1,687188
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$763$1,591250
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$751$1,770326
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$745$1,616366
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,271$3,201186
Septoplasty

Nasal septum repair

30520$80$843$1,641243
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$413$774176
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$758$1,399156
Mastectomy

Partial or simple mastectomy

19301$85$934$1,746180
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$643$1,930170

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 27130Total 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.

Why Hip Replacement Surgery Visit Costs Vary Across Oregon

Oregon's Hip Replacement Surgery costs run approximately 11% above national averages, reflecting the state's higher cost of living and concentrated provider networks in urban areas. The Portland metro area drives much of this premium, while rural eastern Oregon communities often see more competitive pricing due to lower overhead costs.

Urban vs. Rural Provider Availability

Oregon's population concentration in the Willamette Valley creates a stark contrast between well-staffed urban orthopedic practices and limited rural options east of the Cascades. Patients in eastern Oregon may travel significant distances to Portland or bend for specialized Hip Replacement Surgery, often facing higher travel costs but potentially lower procedure fees.

Facility Type and Overhead Costs

Hospital-owned orthopedic clinics affiliated with systems like OHSU, Legacy Health, and Providence dominate Oregon's urban markets, typically charging higher facility fees than independent practices. These health systems invest heavily in advanced surgical technology and rehabilitation facilities, costs that are reflected in their negotiated rates with insurers.

Insurance Market Competition in Oregon

Oregon's moderate insurer competition between Regence BCBS, PacificSource, and UnitedHealthcare creates varied negotiated rates for Hip Replacement Surgery services across the state. Rural areas often have limited insurer options, potentially reducing competition and affecting the range of negotiated rates available to patients.

Physician Supply and Demand in Oregon

With 201 active Hip Replacement Surgery providers serving Oregon's 4.2 million residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply distribution contributes to price variations, with rural providers sometimes charging premium rates due to limited competition, while urban markets see more competitive pricing.

JP

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 Oregon

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

Hip Replacement Surgery visits in Oregon range from $90 to $3,637 without insurance, with a median cost of $1,921 based on current negotiated rates. Self-pay patients can often negotiate discounts of 20-40% off these standard rates, particularly with independent orthopedic practices. The wide cost variation reflects differences between consultation visits and complex surgical procedures.

Does Oregon Medicaid cover Hip Replacement Surgery visits?

Yes, Oregon's expanded Medicaid program covers Hip Replacement Surgery visits and procedures with minimal cost-sharing for eligible patients. Coverage includes consultations, diagnostic imaging, and medically necessary joint replacement surgeries. Prior authorization may be required for certain procedures, but urgent care situations typically receive expedited approval.

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

Compare costs between hospital-based orthopedic clinics and independent practices, as independent providers often charge lower facility fees. Consider providers in smaller Oregon cities outside the Portland metro area, where overhead costs may be lower. Community health centers and federally qualified health centers also offer sliding scale fees for uninsured patients.

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

Based on Oregon's negotiated rates, initial Hip Replacement Surgery consultations typically cost more than follow-up visits due to comprehensive evaluation and diagnostic planning requirements. New patient visits involve detailed history-taking and examination, while established patient visits focus on specific issues or surgical follow-up. The cost difference can range from $200-800 depending on the complexity and provider type.

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

Yes, Hip Replacement Surgery visits qualify as eligible medical expenses for both HSA and FSA accounts in Oregon. This includes consultation fees, diagnostic imaging, and surgical procedures related to hip conditions. Keep all receipts and documentation, as these accounts can provide significant tax savings for high-cost orthopedic care.

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

Telemedicine consultations for Hip Replacement Surgery typically cost 30-50% less than in-person visits in Oregon, though physical examination limitations may require follow-up office visits. Many Oregon orthopedic practices expanded telehealth options during the pandemic, particularly for post-surgical follow-ups and initial consultations. However, diagnostic imaging and surgical procedures still require in-person care.

Click a state to compare costs

Average Visit Cost

$734
$4,747

Office visit (CPT 27130)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$10,565
$4,747
2Alaska
Range: $1,137$6,292
$3,083
3Connecticut
Range: $807$6,060
$2,863
4New York
Range: $900$6,060
$2,750
5Georgia
Range: $1,115$5,088
$2,741
6Massachusetts
Range: $80$6,060
$2,717
7Wyoming
Range: $1,632$4,245
$2,717
8Rhode Island
Range: $80$6,060
$2,706
9New Hampshire
Range: $1,435$4,083
$2,653
10Montana
Range: $80$6,442
$2,639
11Delaware
Range: $80$6,060
$2,571
12Nebraska
Range: $1,627$3,012
$2,526
13Pennsylvania
Range: $80$6,060
$2,506
14Washington
Range: $1,500$3,707
$2,415
15Iowa
Range: $91$3,950
$2,326
16New Jersey
Range: $953$4,590
$2,322
17Maine
Range: $1,585$2,639
$2,238
18New Mexico
Range: $1,203$3,377
$2,225
19District of Columbia
Range: $1,045$3,311
$2,214
20West Virginia
Range: $90$4,590
$2,119
21Colorado
Range: $940$3,328
$2,082
22Utah
Range: $90$2,909
$1,936
23North Carolina
Range: $90$3,786
$1,919
24Vermont
Range: $959$3,289
$1,902
25Oregon
Range: $90$3,637
$1,883
26Mississippi
Range: $1,040$3,084
$1,819
27Illinois
Range: $85$3,707
$1,819
28Missouri
Range: $1,274$2,249
$1,813
29Kentucky
Range: $386$3,244
$1,804
30Tennessee
Range: $1,095$2,579
$1,792
31Indiana
Range: $85$3,549
$1,751
32Nevada
Range: $1,115$2,360
$1,717
33California
Range: $80$3,012
$1,704
34Kansas
Range: $1,274$2,226
$1,700
35Maryland
Range: $1,124$2,667
$1,694
36Virginia
Range: $920$2,659
$1,684
37Louisiana
Range: $960$2,505
$1,674
38Idaho
Range: $90$3,023
$1,652
39Hawaii
Range: $90$2,947
$1,644
40South Dakota
Range: $90$3,012
$1,624
41Michigan
Range: $80$2,869
$1,566
42Arizona
Range: $1,097$2,279
$1,504
43Arkansas
Range: $90$2,535
$1,488
44South Carolina
Range: $80$2,907
$1,477
45Alabama
Range: $80$2,767
$1,453
46Ohio
Range: $85$2,491
$1,331
47Oklahoma
Range: $85$2,536
$1,298
48Texas
Range: $90$2,602
$1,277
49Minnesota
Range: $91$3,227
$1,136
50Florida
Range: $35$2,391
$827
51North Dakota
Range: $91$2,019
$734
Hip Replacement in Other States