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Tennessee

Cost of a Hip Replacement Surgery Visit
in Tennessee

Reviewed by Momentary Medical Group West PC

Tennessee's orthopedic surgery landscape features some of the most cost-effective Hip Replacement Surgery options in the Southeast, with negotiated rates running approximately 2% below national averages. Hip Replacement Surgery patients in the Volunteer State typically pay between $1,095 and $2,579 for their procedure, with a median out-of-pocket cost of $1,701 based on insurer-negotiated rates. With over 2,300 active Hip Replacement Surgery providers across Tennessee's diverse healthcare market, patients can browse all qualified orthopedic specialists throughout the state to find the best combination of expertise and value.

Average

$1,792

Median

$1,701

Lowest

$1,095

Highest

$2,579

Providers

2,352

National avg: $2,015Tennessee: $1,792

11% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Tennessee?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,147$1,734$2,6472,258
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$418$715$1,0902,391
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$466$690$1,0572,276
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$531$835$1,3002,318
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$90$748$1,2582,637
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,116$1,6792,384
Septoplasty

Nasal septum repair

30520$516$732$1,1552,275
Tonsillectomy

Tonsillectomy, primary or secondary

42820$234$364$5592,379
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$660$1,0162,254
Mastectomy

Partial or simple mastectomy

19301$371$763$1,1982,374
Carpal Tunnel Surgery

Open carpal tunnel release

64721$332$503$8042,426

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.

Top-Rated Hospitals in Tennessee

These hospitals in Tennessee are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
89% would recommend441 patient surveys
UNITY MEDICAL CENTER

MANCHESTER, TN

5/5
88% would recommend140 patient surveys
5/5
81% would recommend144 patient surveys
5/5
79% would recommend111 patient surveys
4/5
81% would recommend492 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 Tennessee

Tennessee's Hip Replacement Surgery costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive healthcare market spanning from Memphis medical centers to Appalachian regional hospitals. The state's diverse geography creates distinct cost zones, with urban academic centers commanding premium rates while rural facilities compete aggressively on price.

Urban vs. Rural Provider Availability

Nashville and Memphis metropolitan areas concentrate the majority of Tennessee's high-volume Hip Replacement Surgery specialists, while rural counties in East Tennessee and the Cumberland Plateau face significant access challenges. Urban patients benefit from competition among multiple health systems, driving more competitive pricing, whereas rural patients may face limited options and longer travel distances. The Appalachian regions particularly struggle with orthopedic specialist shortages, often requiring referrals to urban centers.

Facility Type and Overhead Costs

Major health systems like Vanderbilt University Medical Center and Methodist Le Bonheur Healthcare operate hospital-based surgery centers with higher overhead costs reflected in facility fees. Independent surgery centers and physician-owned facilities typically offer more competitive pricing for elective Hip Replacement Surgery procedures. Tennessee's certificate of need laws historically limited surgery center development, though recent reforms have increased competition in major markets.

Insurance Market Competition in Tennessee

BCBS TN maintains the largest market share statewide, followed by UHC and Cigna, creating moderate competition that prevents extreme rate variations. The state's insurance marketplace offers limited carrier options in rural counties, reducing negotiating leverage for competitive rates. Tennessee's rejection of Medicaid expansion concentrates more patients in private insurance pools, generally supporting higher reimbursement rates for providers.

Physician Supply and Demand in Tennessee

With over 2,300 active Hip Replacement Surgery providers, Tennessee maintains adequate orthopedic surgeon supply in urban areas while facing shortages in rural regions. The concentration of providers in Nashville and Memphis creates competitive pricing pressure in these markets, while underserved areas may command premium rates due to limited access. Medical school programs at Vanderbilt and University of Tennessee help maintain steady provider pipelines, though rural retention remains challenging.

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 Tennessee

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

Hip Replacement Surgery costs in Tennessee range from $1,095 to $2,579 based on negotiated insurance rates, with a median cost of $1,701. Self-pay patients often receive discounts of 30-50% below these rates, though total costs vary significantly by facility type and geographic location. Many Tennessee providers offer payment plans and financing options to help uninsured patients manage these expenses.

Does Tennessee Medicaid cover Hip Replacement Surgery visits?

Tennessee's Medicaid program (TennCare) covers medically necessary Hip Replacement Surgery for eligible recipients, though the state did not expand Medicaid eligibility. Coverage is primarily limited to very low-income families, disabled individuals, and elderly patients who qualify for dual Medicare-Medicaid benefits. Patients should verify their specific eligibility and obtain required prior authorizations through TennCare's managed care organizations.

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

Compare costs across different facility types, as independent surgery centers often charge less than hospital-based providers for elective Hip Replacement Surgery procedures. Many Tennessee practices offer self-pay discounts and payment plans for uninsured patients. Community health centers and federally qualified health centers throughout the state may provide lower-cost orthopedic consultations with sliding fee scales based on income.

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 due to the comprehensive evaluation, imaging review, and treatment planning involved. The median cost of $1,701 generally applies to the surgical procedure itself, while office consultations range from $200-500 for new patients and $150-300 for established patients. Many surgeons include several follow-up visits in their global surgical fee when hip replacement is performed.

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

Yes, Hip Replacement Surgery consultations and procedures qualify as eligible medical expenses for both HSA and FSA accounts. These pre-tax dollars can cover deductibles, copays, and coinsurance associated with orthopedic care. Patients should save all receipts and documentation for reimbursement, as both consultation and surgical costs are considered qualified medical expenses under IRS guidelines.

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

Telemedicine consultations for Hip Replacement Surgery typically cost 20-40% less than in-person visits, though physical examination limitations make virtual visits more suitable for follow-up care and surgical planning discussions. Many Tennessee orthopedic practices adopted telehealth during the pandemic and continue offering virtual options for appropriate cases. Insurance coverage for telemedicine visits varies by plan, with some requiring the same copays as office visits while others offer reduced cost-sharing.

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