Cost of a Hip Replacement Surgery Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's healthcare landscape features a strong network of orthopedic specialists across major health systems like UW Health and Froedtert, with particularly robust Hip Replacement Surgery services in Milwaukee and Madison metropolitan areas. Hip Replacement Surgery patients in Wisconsin typically encounter costs ranging from $73 to $10,565, with a median rate of $3,602 based on negotiated insurance rates. The state maintains over 2,700 active Hip Replacement Surgery providers, giving patients substantial options when browsing all orthopedic specialists throughout Wisconsin's diverse urban and rural communities.
Average
$4,747
Median
$3,602
Lowest
$73
Highest
$10,565
Providers
2,707
136% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $73 | $3,723 | $10,559 | 2,606 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $95 | $10,062 | 3,125 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $73 | $1,658 | $4,236 | 2,595 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $73 | $1,221 | $4,635 | 3,551 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $73 | $1,115 | $5,429 | 4,057 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $73 | $1,742 | $5,848 | 5,130 |
| Septoplasty Nasal septum repair | 30520 | $95 | $1,082 | $4,419 | 1,138 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $547 | $1,404 | 1,113 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $73 | $1,248 | $4,031 | 2,412 |
| Mastectomy Partial or simple mastectomy | 19301 | $73 | $984 | $3,947 | 2,389 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $85 | $747 | $5,357 | 2,273 |
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 27130 — Total 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 Wisconsin
These hospitals in Wisconsin are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GLENDALE, WI
ALTOONA, WI
PRAIRIE DU SAC, WI
MADISON, WI
WOODRUFF, WI
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 Wisconsin
Wisconsin's Hip Replacement Surgery costs run approximately 1% above national averages, reflecting the state's balanced healthcare market and moderate cost of living compared to coastal regions. The state's mix of academic medical centers, community hospitals, and independent practices creates diverse pricing structures across Wisconsin's urban and rural regions.
Urban vs. Rural Provider Availability
Wisconsin's Hip Replacement Surgery providers concentrate heavily in the Milwaukee-Madison corridor, with rural counties often requiring patients to travel significant distances for specialized orthopedic care. Northern Wisconsin communities may have limited local options, leading some patients to seek care in the Twin Cities or travel to Green Bay and Eau Claire for more competitive pricing. This geographic disparity can influence both direct costs and indirect expenses like travel and lodging for major procedures.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices in Wisconsin typically charge higher facility fees than independent surgical centers, particularly within major health systems like Froedtert, UW Health, and Advocate Aurora. Wisconsin's numerous ambulatory surgery centers offer cost-effective alternatives for certain Hip Replacement Surgery procedures, though not all insurance plans provide equivalent coverage for these facilities. Academic medical centers command premium pricing due to their teaching hospital status and advanced technology investments.
Insurance Market Competition in Wisconsin
Wisconsin's insurance market benefits from active competition between BCBS Wisconsin (Anthem), UHC, and the state's unique WEA Trust cooperative, creating downward pressure on Hip Replacement Surgery negotiated rates. The state's robust employer-sponsored insurance market means most Wisconsin residents have access to multiple plan options with varying orthopedic networks. This competitive environment has encouraged Wisconsin health systems to offer transparent pricing and compete more aggressively on cost for elective procedures like hip replacements.
Physician Supply and Demand in Wisconsin
With over 2,700 active Hip Replacement Surgery providers, Wisconsin maintains a relatively strong orthopedic surgeon supply compared to many Midwest states, helping moderate pricing and reduce wait times. The state's medical schools and residency programs at UW-Madison and Medical College of Wisconsin help maintain adequate provider numbers, though rural areas still experience shortages. This healthy provider supply creates competitive pricing pressure and gives patients more options when seeking cost-effective Hip Replacement Surgery care.
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.
Frequently Asked Questions — Hip Replacement Surgery Costs in Wisconsin
What is the average cost of a Hip Replacement Surgery visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Wisconsin?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in Wisconsin?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Wisconsin?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27130)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,565 | $4,747 |
| 2 | Alaska Range: $1,137 – $6,292 | $3,083 |
| 3 | Connecticut Range: $807 – $6,060 | $2,863 |
| 4 | New York Range: $900 – $6,060 | $2,750 |
| 5 | Georgia Range: $1,115 – $5,088 | $2,741 |
| 6 | Massachusetts Range: $80 – $6,060 | $2,717 |
| 7 | Wyoming Range: $1,632 – $4,245 | $2,717 |
| 8 | Rhode Island Range: $80 – $6,060 | $2,706 |
| 9 | New Hampshire Range: $1,435 – $4,083 | $2,653 |
| 10 | Montana Range: $80 – $6,442 | $2,639 |
| 11 | Delaware Range: $80 – $6,060 | $2,571 |
| 12 | Nebraska Range: $1,627 – $3,012 | $2,526 |
| 13 | Pennsylvania Range: $80 – $6,060 | $2,506 |
| 14 | Washington Range: $1,500 – $3,707 | $2,415 |
| 15 | Iowa Range: $91 – $3,950 | $2,326 |
| 16 | New Jersey Range: $953 – $4,590 | $2,322 |
| 17 | Maine Range: $1,585 – $2,639 | $2,238 |
| 18 | New Mexico Range: $1,203 – $3,377 | $2,225 |
| 19 | District of Columbia Range: $1,045 – $3,311 | $2,214 |
| 20 | West Virginia Range: $90 – $4,590 | $2,119 |
| 21 | Colorado Range: $940 – $3,328 | $2,082 |
| 22 | Utah Range: $90 – $2,909 | $1,936 |
| 23 | North Carolina Range: $90 – $3,786 | $1,919 |
| 24 | Vermont Range: $959 – $3,289 | $1,902 |
| 25 | Oregon Range: $90 – $3,637 | $1,883 |
| 26 | Mississippi Range: $1,040 – $3,084 | $1,819 |
| 27 | Illinois Range: $85 – $3,707 | $1,819 |
| 28 | Missouri Range: $1,274 – $2,249 | $1,813 |
| 29 | Kentucky Range: $386 – $3,244 | $1,804 |
| 30 | Tennessee Range: $1,095 – $2,579 | $1,792 |
| 31 | Indiana Range: $85 – $3,549 | $1,751 |
| 32 | Nevada Range: $1,115 – $2,360 | $1,717 |
| 33 | California Range: $80 – $3,012 | $1,704 |
| 34 | Kansas Range: $1,274 – $2,226 | $1,700 |
| 35 | Maryland Range: $1,124 – $2,667 | $1,694 |
| 36 | Virginia Range: $920 – $2,659 | $1,684 |
| 37 | Louisiana Range: $960 – $2,505 | $1,674 |
| 38 | Idaho Range: $90 – $3,023 | $1,652 |
| 39 | Hawaii Range: $90 – $2,947 | $1,644 |
| 40 | South Dakota Range: $90 – $3,012 | $1,624 |
| 41 | Michigan Range: $80 – $2,869 | $1,566 |
| 42 | Arizona Range: $1,097 – $2,279 | $1,504 |
| 43 | Arkansas Range: $90 – $2,535 | $1,488 |
| 44 | South Carolina Range: $80 – $2,907 | $1,477 |
| 45 | Alabama Range: $80 – $2,767 | $1,453 |
| 46 | Ohio Range: $85 – $2,491 | $1,331 |
| 47 | Oklahoma Range: $85 – $2,536 | $1,298 |
| 48 | Texas Range: $90 – $2,602 | $1,277 |
| 49 | Minnesota Range: $91 – $3,227 | $1,136 |
| 50 | Florida Range: $35 – $2,391 | $827 |
| 51 | North Dakota Range: $91 – $2,019 | $734 |