Logo
Utah

Cost of a Hip Replacement Surgery Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's integrated healthcare delivery model and strong physician network have positioned the state as a regional leader in orthopedic care quality and access. Hip Replacement Surgery patients typically pay between $90 and $2,909, with a median out-of-pocket cost of $2,808 based on negotiated insurance rates. Utah maintains 330 active Hip Replacement Surgery providers across the state, giving patients substantial choice in finding the right specialist for their orthopedic needs.

Average

$1,936

Median

$2,808

Lowest

$90

Highest

$2,909

Providers

330

National avg: $2,015Utah: $1,936

4% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Utah?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$842$2,803$2,906318
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$1,079$1,209368
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$1,157$1,294337
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$1,309$1,513352
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$975$1,321405
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,452$1,994354
Septoplasty

Nasal septum repair

30520$90$1,368$1,485322
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$497$643356
Inguinal Hernia Repair

Inguinal hernia repair

49505$374$1,126$1,150315
Mastectomy

Partial or simple mastectomy

19301$85$1,363$1,449354
Carpal Tunnel Surgery

Open carpal tunnel release

64721$265$930$988314

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 Utah

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

5/5
85% would recommend108 patient surveys
CEDAR CITY HOSPITAL

CEDAR CITY, UT

5/5
84% would recommend219 patient surveys
CACHE VALLEY HOSPITAL

NORTH LOGAN, UT

4/5
85% would recommend104 patient surveys
4/5
84% would recommend872 patient surveys
PARK CITY HOSPITAL

PARK CITY, UT

4/5
83% would recommend230 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 Utah

Utah's healthcare costs run approximately 2% below national averages, reflecting the state's efficient healthcare delivery model and competitive provider market. The concentration of major health systems along the Wasatch Front creates pricing competition while maintaining quality standards across orthopedic specialties.

Urban vs. Rural Provider Availability

Utah's population concentration along the Wasatch Front from Ogden to Provo creates abundant Hip Replacement Surgery options in urban areas, while rural counties often require travel to Salt Lake City or regional centers. This geographic disparity can affect both access and pricing, with urban providers typically charging higher rates but offering more scheduling flexibility. Rural patients may find lower surgical facility costs at regional hospitals but face additional travel expenses.

Facility Type and Overhead Costs

Hospital-based orthopedic clinics affiliated with Intermountain Healthcare or University of Utah Health typically have higher overhead costs reflected in their pricing structure. Independent surgical centers and private orthopedic practices often provide more competitive Hip Replacement Surgery pricing while maintaining quality outcomes. The choice between academic medical centers and community-based practices can significantly impact your total procedure costs.

Insurance Market Competition in Utah

SelectHealth's dominant market position alongside BCBS UT and UHC creates a competitive environment that helps moderate Hip Replacement Surgery costs statewide. The regional focus of SelectHealth often results in stronger negotiated rates with Utah providers compared to national carriers. This competitive dynamic benefits patients through lower out-of-pocket costs and broader provider network options.

Physician Supply and Demand in Utah

Utah's 330 active Hip Replacement Surgery providers represent a robust supply relative to the state's population, helping maintain competitive pricing and reasonable wait times. The state's strong medical education programs and quality of life attract orthopedic surgeons, preventing the physician shortages seen in other western states. This adequate supply-demand balance typically results in more accessible scheduling and competitive pricing for patients seeking Hip Replacement Surgery.

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 Utah

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

Without insurance, Hip Replacement Surgery consultations in Utah range from $90 to $2,909, with a median cost of $2,808 based on negotiated rates. Cash-paying patients often receive discounts of 30-50% off these standard rates, making the actual out-of-pocket cost potentially lower. Many Utah providers offer payment plans to help manage these expenses for uninsured patients.

Does Utah Medicaid cover Hip Replacement Surgery visits?

Yes, Utah Medicaid covers medically necessary Hip Replacement Surgery consultations and procedures following the state's Medicaid expansion. Coverage includes both initial consultations and follow-up visits, though you may need a referral from your primary care provider. Prior authorization may be required for certain procedures, so check with your Medicaid managed care plan before scheduling.

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

Compare costs across Utah's 330 Hip Replacement Surgery providers by checking with independent surgical centers, which often charge less than hospital-based clinics. Ask about self-pay discounts if you're uninsured, and consider community health centers for initial consultations. Momentary Lab can help you compare actual costs and find in-network providers that fit your budget and location preferences.

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

Initial Hip Replacement Surgery consultations typically cost more than follow-up visits due to the comprehensive evaluation required during first appointments. Based on Utah negotiated rates, costs range from $90 to $2,909 depending on the complexity of your case and facility type. Follow-up visits are generally 30-50% less expensive than new patient consultations, though specific costs vary by provider and insurance coverage.

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

Yes, Hip Replacement Surgery consultations and treatments qualify as eligible medical expenses for both HSA and FSA accounts. You can use these pre-tax dollars for copays, deductibles, and any out-of-pocket costs related to your orthopedic care. Keep all receipts and documentation for tax purposes, as both diagnostic visits and surgical procedures are considered qualified medical expenses.

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

Telemedicine consultations for Hip Replacement Surgery are typically 20-40% less expensive than in-person visits, though physical examination limitations make them suitable mainly for follow-up care or initial screening. Utah providers have expanded telehealth options since 2020, with most major insurers covering virtual orthopedic consultations. However, diagnostic imaging and physical assessments still require in-person visits for comprehensive Hip Replacement Surgery evaluation.

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