Cost of a Hip Replacement Surgery Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's compact size belies its complex healthcare landscape, where patients benefit from concentrated medical expertise across Providence and surrounding areas. Hip Replacement Surgery patients typically pay between $80 and $6,060, with a median cost of $1,978 based on negotiated insurance rates from 74 active providers statewide. The Ocean State's robust network of orthopedic specialists spans from major academic medical centers to community-based practices, giving patients multiple options when browsing all Hip Replacement Surgery providers in Rhode Island.
Average
$2,706
Median
$1,978
Lowest
$80
Highest
$6,060
Providers
74
34% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,323 | $6,051 | 57 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $448 | $960 | $2,135 | 58 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $895 | $2,410 | 58 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $91 | $1,006 | $1,921 | 66 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $884 | $1,752 | 79 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,277 | $3,201 | 60 |
| Septoplasty Nasal septum repair | 30520 | $555 | $1,052 | $2,160 | 56 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $239 | $441 | $742 | 58 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $858 | $1,521 | 57 |
| Mastectomy Partial or simple mastectomy | 19301 | $509 | $1,087 | $2,642 | 61 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $877 | $1,957 | 58 |
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.
Why Hip Replacement Surgery Visit Costs Vary Across Rhode Island
Rhode Island patients pay approximately 13% more than the national average for Hip Replacement Surgery visits, reflecting the state's concentrated healthcare market and higher overall cost of living. The Ocean State's small geographic footprint creates unique dynamics where most residents have access to Providence-area specialists, yet limited competition among major health systems keeps prices elevated.
Urban vs. Rural Provider Availability
Rhode Island's compact size means most residents live within 30 minutes of Providence, where the majority of Hip Replacement Surgery specialists practice at major medical centers like Rhode Island Hospital and The Miriam Hospital. Rural areas in western and southern Rhode Island have fewer orthopedic options, often requiring patients to travel to Providence or seek care across state lines in Connecticut or Massachusetts. This geographic concentration allows urban practices to command premium pricing while rural residents face longer travel times for specialized care.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices dominate Rhode Island's Hip Replacement Surgery landscape, with major systems like Lifespan and Care New England operating most specialty clinics throughout the state. These hospital-affiliated practices typically charge facility fees in addition to physician fees, increasing overall visit costs compared to independent orthopedic groups. The limited number of independent Hip Replacement Surgery practices reduces competitive pressure on pricing across the state.
Insurance Market Competition in Rhode Island
The insurance market in Rhode Island remains relatively concentrated with Blue Cross Blue Shield of Rhode Island holding significant market share alongside UnitedHealthcare and Tufts Health Plan. This limited insurer competition can reduce negotiating leverage with Hip Replacement Surgery providers, potentially leading to higher negotiated rates passed on to patients through copays and deductibles. The state's small size also means fewer total covered lives for insurers to spread risk across, contributing to higher overall healthcare premiums.
Physician Supply and Demand in Rhode Island
With 74 active Hip Replacement Surgery providers serving Rhode Island's 1.1 million residents, the state maintains adequate specialist availability relative to national benchmarks. This reasonable supply-to-population ratio helps prevent extreme pricing premiums that occur in physician shortage areas, though the concentration of providers in hospital systems limits competitive pricing pressures. Wait times for non-urgent Hip Replacement Surgery consultations typically range from 2-4 weeks, indicating balanced supply and demand dynamics.
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 Rhode Island
What is the average cost of a Hip Replacement Surgery visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Rhode Island?
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 |