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Vermont

Cost of a Hip Replacement Surgery Visit
in Vermont

Reviewed by Momentary Medical Group West PC

Vermont's aging population and active outdoor lifestyle contribute to higher rates of hip-related injuries and degenerative conditions, driving demand for specialized orthopedic care across the Green Mountain State. Hip Replacement Surgery procedures in Vermont typically range from $959 to $3,289, with a median cost of $1,457 based on negotiated insurance rates. With 329 active Hip Replacement Surgery providers throughout Vermont, patients have multiple options for both total and partial hip replacement procedures across the state's hospital systems and orthopedic specialty centers.

Average

$1,902

Median

$1,457

Lowest

$959

Highest

$3,289

Providers

329

National avg: $2,015Vermont: $1,902

6% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Vermont?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$958$1,455$3,286326
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$403$643$1,548325
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$410$629$1,326331
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$492$746$1,597331
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$449$682$1,463337
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$678$1,043$2,143325
Septoplasty

Nasal septum repair

30520$500$821$1,577327
Tonsillectomy

Tonsillectomy, primary or secondary

42820$220$342$693324
Inguinal Hernia Repair

Inguinal hernia repair

49505$391$596$1,271325
Mastectomy

Partial or simple mastectomy

19301$491$749$1,593324
Carpal Tunnel Surgery

Open carpal tunnel release

64721$338$519$1,053324

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 Vermont

Vermont's Hip Replacement Surgery costs run approximately 15% above national averages, reflecting the state's rural geography and limited specialist competition. The Green Mountain State's small population and geographic isolation create unique cost pressures for specialized surgical care like hip replacement.

Urban vs. Rural Provider Availability

Burlington and the Chittenden County area concentrate most of Vermont's orthopedic specialists, while rural regions often require patients to travel significant distances for Hip Replacement Surgery. This geographic disparity creates higher costs for rural patients who must factor in travel and lodging expenses for major procedures. Some rural Vermont hospitals partner with visiting orthopedic surgeons, but complex hip replacements typically require referral to larger medical centers.

Facility Type and Overhead Costs

Vermont's hospital systems, including University of Vermont Medical Center and Southwestern Vermont Medical Center, operate most Hip Replacement Surgery programs with higher overhead costs than standalone surgical centers. The state's small market size limits economies of scale, contributing to higher facility fees for orthopedic procedures. Academic medical centers in Vermont often charge premium rates but offer access to the latest hip replacement technologies and revision surgery expertise.

Insurance Market Competition in Vermont

Vermont's insurance market is dominated by Blue Cross Blue Shield of Vermont and MVP Health Care, creating limited competition that can affect negotiated rates for Hip Replacement Surgery. This concentrated market may result in less aggressive rate negotiations compared to states with more insurer competition. The state's small size also means fewer in-network orthopedic options, reducing patients' ability to shop for lower-cost Hip Replacement Surgery providers.

Physician Supply and Demand in Vermont

With 329 active Hip Replacement Surgery providers serving Vermont's population of about 650,000, the state maintains adequate orthopedic coverage despite its rural challenges. However, this specialist-to-population ratio varies dramatically by region, with some areas experiencing shortages that can drive up costs and extend wait times. Vermont's aging population and active outdoor recreation culture create steady demand for hip replacement services, supporting higher pricing in areas with limited specialist availability.

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 Vermont

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

Hip Replacement Surgery procedures in Vermont range from $959 to $3,289 without insurance, with a median cost of $1,457 based on negotiated rates. Initial consultations typically cost less than surgical procedures, with cash-pay patients often receiving 20-40% discounts when paying upfront. These costs reflect the full surgical procedure including facility fees, surgeon fees, and associated medical services.

Does Vermont Medicaid cover Hip Replacement Surgery visits?

Yes, Vermont's expanded Medicaid program covers Hip Replacement Surgery consultations and medically necessary procedures for eligible patients. Prior authorization is typically required for elective hip replacement surgery, and patients may need to complete conservative treatments like physical therapy first. Coverage includes both the surgical procedure and follow-up care, though patients should verify their specific eligibility and any required referrals.

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

Compare costs between different Vermont hospitals and surgical centers, as prices can vary by over $2,000 for the same procedure. Ask about self-pay discounts if uninsured, as many providers offer 30-50% reductions for cash payments. Community health centers can provide referrals to lower-cost orthopedic specialists, and some patients find savings by choosing ambulatory surgery centers over hospital-based facilities when appropriate.

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 comprehensive evaluation and diagnostic planning requirements. Based on our data showing median costs of $1,457 for procedures, consultation visits generally range from $200-400 for new patients compared to $150-250 for established patient follow-ups. Complex cases requiring extensive imaging or surgical planning may incur additional costs beyond the basic consultation fee.

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

Yes, both HSA and FSA funds can be used to pay for Hip Replacement Surgery consultations and procedures as qualified medical expenses. This includes surgeon fees, facility costs, anesthesia, and related medical services for hip replacement surgery. Keep all receipts and documentation, as these accounts require proper record-keeping for tax purposes and account administration.

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

Telemedicine consultations for Hip Replacement Surgery typically cost 20-30% less than in-person visits and are increasingly used for follow-up appointments and surgical planning discussions. However, initial evaluations and post-surgical check-ups usually require in-person examination for proper assessment of hip mobility and healing. Vermont's rural geography makes telemedicine particularly valuable for reducing travel costs and time for patients in remote areas seeking orthopedic specialist 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