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West Virginia

Cost of a Hip Replacement Surgery Visit
in West Virginia

Reviewed by Momentary Medical Group West PC

West Virginia's aging population and high rates of arthritis create significant demand for orthopedic specialists across the state's mountainous terrain. Hip Replacement Surgery costs in West Virginia typically range from limited data availability, though the state maintains 99 active providers specializing in hip procedures. Patients can browse all Hip Replacement Surgery providers throughout West Virginia to compare costs and find the most affordable option for their needs.

Average

$2,119

Median

$1,677

Lowest

$90

Highest

$4,590

Providers

99

National avg: $2,015West Virginia: $2,119

5% above national average

Compare Similar Procedures

How does hip replacement compare to related procedures in West Virginia?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,204$1,729$4,73488
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$669$1,40995
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$482$691$1,90189
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$98$707$1,650158
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$754$1,557110
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,094$2,12298
Septoplasty

Nasal septum repair

30520$461$780$1,69888
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$355$74897
Inguinal Hernia Repair

Inguinal hernia repair

49505$381$657$1,37886
Mastectomy

Partial or simple mastectomy

19301$366$777$1,69594
Carpal Tunnel Surgery

Open carpal tunnel release

64721$342$567$2,00688

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 West Virginia

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

5/5
87% would recommend117 patient surveys
5/5
84% would recommend184 patient surveys
5/5
84% would recommend126 patient surveys
5/5
84% would recommend106 patient surveys
5/5
81% would recommend133 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 West Virginia

West Virginia's Hip Replacement Surgery costs run approximately 2% below the national average, reflecting the state's lower cost of living and reduced overhead expenses compared to major metropolitan markets. The state's mountainous geography and scattered population create unique access challenges that influence both pricing and availability of orthopedic specialists.

Urban vs. Rural Provider Availability

Charleston, Morgantown, and Martinsburg host the majority of West Virginia's orthopedic specialists, while rural counties in the southern coalfields often lack local Hip Replacement Surgery options. This geographic disparity forces many patients to travel significant distances for care, though rural facilities that do exist may offer more competitive pricing due to lower operational costs.

Facility Type and Overhead Costs

Hospital-based orthopedic clinics affiliated with major health systems like Charleston Area Medical Center or WVU Medicine typically charge higher facility fees than independent surgical practices. Academic medical centers in Morgantown may have premium pricing for complex cases, while community hospitals in smaller cities often provide more cost-effective options for routine hip procedures.

Insurance Market Competition in West Virginia

The concentration of major insurers like Highmark WV, UHC, and Aetna in West Virginia's market creates both advantages and disadvantages for negotiated rates with Hip Replacement Surgery providers. Limited competition can result in higher premiums but may also lead to more stable provider networks and consistent coverage policies across the state's diverse geographic regions.

Physician Supply and Demand in West Virginia

With 99 active Hip Replacement Surgery providers serving the state's 1.8 million residents, West Virginia maintains adequate orthopedic specialist availability in urban areas while facing shortages in rural regions. This supply distribution affects both pricing and wait times, with rural patients often experiencing longer delays but potentially lower costs when they access care locally.

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 West Virginia

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

Hip Replacement Surgery consultation costs in West Virginia vary widely based on facility type and complexity, with data showing significant ranges from $90 to $4,590 for surgical procedures. Most uninsured patients can expect to pay between $200-500 for initial consultations, though self-pay discounts may reduce these amounts by 20-40%.

Does West Virginia Medicaid cover Hip Replacement Surgery visits?

Yes, West Virginia's expanded Medicaid program covers Hip Replacement Surgery visits for eligible adults, including consultations, diagnostic imaging, and surgical procedures when medically necessary. Coverage includes both initial evaluations and follow-up care, with no copayments for most Medicaid recipients.

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

Compare costs between hospital-based orthopedic clinics and independent practices, as independent surgeons often have lower overhead expenses. Ask about self-pay discounts, payment plans, and consider community health centers that may offer sliding-scale fees based on income. Rural facilities sometimes provide more competitive pricing than urban medical centers.

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, medical history review, and diagnostic planning involved. Follow-up visits for established patients generally cost 30-50% less than new patient consultations, focusing on treatment progress and ongoing care management.

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

Yes, Hip Replacement Surgery consultations, diagnostic tests, and surgical procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these tax-advantaged funds for copayments, deductibles, and any out-of-pocket costs related to orthopedic care.

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

Telemedicine consultations with Hip Replacement Surgery specialists typically cost 20-30% less than in-person visits and can be particularly valuable for follow-up appointments in rural West Virginia. However, initial evaluations usually require physical examination and imaging, limiting the use of telehealth for new orthopedic problems.

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