Logo
Washington

Cost of a Hip Replacement Surgery Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's Cascade Health Alliance and integrated health systems serve a population where orthopedic conditions affect nearly 15% of adults statewide. Hip Replacement Surgery procedures in Washington show significant cost variation, with patients typically experiencing expenses ranging from the available negotiated rates, though specific pricing data varies by provider and insurance plan. Washington maintains over 2,200 active Hip Replacement Surgery providers across urban centers like Seattle and rural counties east of the mountains, giving patients multiple options when selecting care.

Average

$2,415

Median

$2,037

Lowest

$1,500

Highest

$3,707

Providers

2,234

National avg: $2,015Washington: $2,415

20% above national average

Compare Similar Procedures

How does hip replacement compare to related procedures in Washington?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,606$2,114$3,7032,174
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$616$966$1,5212,220
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$764$1,4754,308
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$806$1,8155,408
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$794$1,8325,463
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$985$1,415$2,4802,213
Septoplasty

Nasal septum repair

30520$80$857$1,7934,297
Tonsillectomy

Tonsillectomy, primary or secondary

42820$324$434$8892,197
Inguinal Hernia Repair

Inguinal hernia repair

49505$592$768$1,5942,162
Mastectomy

Partial or simple mastectomy

19301$585$946$1,8042,200
Carpal Tunnel Surgery

Open carpal tunnel release

64721$490$669$1,2212,180

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 Washington

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

5/5
90% would recommend157 patient surveys
5/5
88% would recommend191 patient surveys
4/5
85% would recommend160 patient surveys
JEFFERSON HEALTHCARE

PORT TOWNSEND, WA

4/5
84% would recommend251 patient surveys
4/5
82% would recommend223 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 Washington

Hip Replacement Surgery costs in Washington run approximately 10% above national averages, reflecting the state's higher healthcare wages and facility costs concentrated in the Puget Sound region. The state's geography creates distinct cost zones, with Seattle and Bellevue commanding premium rates while eastern Washington communities offer more competitive pricing.

Urban vs. Rural Provider Availability

Seattle's concentration of major medical centers like UW Medicine, Swedish, and Virginia Mason creates abundant Hip Replacement Surgery options but drives up competition-based pricing in King County. Rural counties east of the Cascades often have limited orthopedic specialists, requiring patients to travel to Spokane, Yakima, or Seattle for complex hip procedures. This geographic disparity affects not just access but also the total cost of care when factoring in travel and lodging expenses.

Facility Type and Overhead Costs

Hospital-owned orthopedic practices in Washington carry higher overhead costs that translate to increased patient bills, particularly at major systems like UW Medicine and MultiCare. Independent Hip Replacement Surgery practices often offer more competitive rates but may have limited surgical facility access for complex procedures. Washington's certificate-of-need laws historically limited surgery center development, concentrating expensive procedures in hospital settings.

Insurance Market Competition in Washington

Washington's competitive insurance landscape includes Premera Blue Cross, Regence BlueShield, Kaiser Permanente, and UnitedHealthcare, each negotiating different rates with Hip Replacement Surgery providers. The state's robust individual marketplace competition helps keep some prices in check, though consolidation among health systems has strengthened provider negotiating positions. Rural Washington areas have fewer insurer options, sometimes limiting patient choices for in-network orthopedic care.

Physician Supply and Demand in Washington

With over 2,200 active Hip Replacement Surgery providers statewide, Washington maintains a relatively strong orthopedic specialist supply compared to national averages, particularly in urban areas. This adequate supply helps moderate pricing in competitive markets like Seattle, though subspecialty hip replacement surgeons remain concentrated in major metropolitan areas. Rural Washington continues to experience orthopedic shortages, sometimes leading to longer wait times but not necessarily higher per-visit costs.

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 Washington

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

Without insurance, Hip Replacement Surgery consultations in Washington typically range from $1,500 to $3,700 based on negotiated rate data, with most patients paying around $2,037 for an initial evaluation. These costs reflect what insurers have agreed to pay providers and may differ from cash-pay rates. Many Washington providers offer self-pay discounts that can reduce these amounts by 20-40% for uninsured patients.

Does Washington Medicaid cover Hip Replacement Surgery visits?

Yes, Washington's expanded Medicaid program (Apple Health) covers Hip Replacement Surgery consultations with minimal or no copays for eligible recipients. Coverage includes both initial consultations and follow-up visits, plus necessary imaging studies and surgical procedures when medically appropriate. Apple Health serves over 1.8 million Washington residents and contracts with orthopedic specialists throughout the state, though rural areas may have limited provider options.

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

Compare costs across different facility types, as independent orthopedic practices often charge less than hospital-owned clinics for the same consultation. Ask about self-pay discounts if you're uninsured, and consider community health centers in areas like Yakima or Spokane for more affordable options. Washington's competitive insurance market also means shopping for in-network providers can yield significant savings depending on your plan.

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, reflecting the comprehensive evaluation and diagnostic time required. Based on Washington negotiated rate data, initial consultations average around $2,037, while follow-up visits generally cost 30-50% less. The exact difference depends on the complexity of your condition and whether additional procedures or imaging are performed during either visit.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can cover Hip Replacement Surgery consultations as qualified medical expenses. This includes the consultation fee, any diagnostic imaging ordered during the visit, and prescribed treatments. Keep all receipts and documentation for HSA/FSA reimbursement, as these accounts offer valuable tax advantages for orthopedic care expenses.

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

Telemedicine consultations with Hip Replacement Surgery specialists typically cost 20-30% less than in-person visits, though physical examination limitations make them most suitable for follow-up appointments or initial consultations for certain conditions. Washington's strong telehealth infrastructure, expanded during COVID-19, allows many orthopedic practices to offer virtual consultations covered by most major insurers. However, imaging review and surgical planning often still require in-person 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