Replacement of thigh bone and hip joint with prosthesis
Medicare pricing data for 17,826 providers across 52 states
This procedure has a 6.2x markup — hospitals charge $8,268 but Medicare allows only $1,325. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $666 in South Dakota to $2,511 in Mississippi. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Replacement of thigh bone and hip joint with prosthesis (HCPCS code 27130) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,325, but hospitals typically charge $8,268 — a 6.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,325, your out-of-pocket cost would be approximately $264.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.2x more than what Medicare allows for this procedure. Medicare actually pays $1,054 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Mississippi | $2,511 | $14,863 | 120 | 3,052 | +89.5% |
| Hawaii | $2,504 | $6,976 | 36 | 476 | +89.0% |
| Oregon | $1,873 | $8,565 | 246 | 4,208 | +41.4% |
| New Hampshire | $1,863 | $15,411 | 133 | 2,671 | +40.6% |
| Maryland | $1,825 | $11,797 | 342 | 7,558 | +37.8% |
| Tennessee | $1,755 | $8,011 | 375 | 7,312 | +32.5% |
| Georgia | $1,755 | $9,891 | 447 | 8,320 | +32.5% |
| Nevada | $1,649 | $7,946 | 144 | 2,750 | +24.5% |
| Michigan | $1,633 | $9,079 | 602 | 8,514 | +23.3% |
| Indiana | $1,562 | $12,848 | 435 | 8,079 | +17.9% |
| Arizona | $1,541 | $9,594 | 422 | 8,308 | +16.3% |
| Ohio | $1,450 | $8,239 | 760 | 12,505 | +9.5% |
| Connecticut | $1,414 | $8,372 | 301 | 3,696 | +6.7% |
| Florida | $1,412 | $9,089 | 1,251 | 25,010 | +6.6% |
| Minnesota | $1,408 | $8,183 | 467 | 5,866 | +6.3% |
| Montana | $1,402 | $5,390 | 120 | 2,646 | +5.8% |
| Alaska | $1,388 | $14,706 | 75 | 1,062 | +4.7% |
| Rhode Island | $1,375 | $6,971 | 72 | 1,103 | +3.8% |
| California | $1,356 | $6,509 | 1,360 | 23,980 | +2.3% |
| Wyoming | $1,355 | $7,495 | 67 | 997 | +2.3% |
| Virginia | $1,324 | $6,688 | 361 | 9,753 | -0.0% |
| New York | $1,318 | $11,614 | 980 | 15,085 | -0.5% |
| Washington | $1,310 | $5,096 | 474 | 8,857 | -1.1% |
| South Carolina | $1,294 | $6,942 | 253 | 6,721 | -2.3% |
| Colorado | $1,286 | $6,728 | 400 | 7,069 | -3.0% |
| Missouri | $1,285 | $7,778 | 324 | 5,340 | -3.0% |
| New Jersey | $1,280 | $22,041 | 456 | 8,475 | -3.4% |
| Kentucky | $1,273 | $6,551 | 217 | 3,293 | -4.0% |
| District of Columbia | $1,235 | $7,706 | 25 | 545 | -6.8% |
| North Carolina | $1,206 | $5,571 | 597 | 11,067 | -9.0% |
| Illinois | $1,194 | $9,606 | 685 | 13,460 | -9.9% |
| Utah | $1,192 | $4,899 | 204 | 2,969 | -10.0% |
| North Dakota | $1,146 | $5,486 | 73 | 1,455 | -13.5% |
| Wisconsin | $1,139 | $14,461 | 471 | 6,711 | -14.1% |
| West Virginia | $1,134 | $5,082 | 102 | 1,359 | -14.4% |
| Pennsylvania | $1,126 | $6,038 | 807 | 13,526 | -15.0% |
| Puerto Rico | $1,122 | $1,893 | 29 | 68 | -15.3% |
| Texas | $1,116 | $6,481 | 1,102 | 15,709 | -15.8% |
| New Mexico | $1,104 | $3,925 | 81 | 1,290 | -16.7% |
| Massachusetts | $1,059 | $6,337 | 442 | 8,308 | -20.0% |
| Arkansas | $1,041 | $4,206 | 140 | 2,568 | -21.5% |
| Iowa | $994 | $5,025 | 204 | 4,744 | -25.0% |
| Louisiana | $962 | $5,187 | 241 | 3,024 | -27.4% |
| Oklahoma | $891 | $3,058 | 182 | 3,619 | -32.7% |
| Maine | $880 | $2,878 | 101 | 1,387 | -33.6% |
| Delaware | $862 | $4,801 | 68 | 1,589 | -35.0% |
| Kansas | $815 | $4,789 | 225 | 4,809 | -38.5% |
| Idaho | $783 | $4,194 | 139 | 2,762 | -40.9% |
| Nebraska | $774 | $4,824 | 166 | 3,359 | -41.6% |
| Alabama | $772 | $4,842 | 289 | 3,649 | -41.7% |
| Vermont | $764 | $4,177 | 48 | 717 | -42.4% |
| South Dakota | $666 | $3,388 | 110 | 2,305 | -49.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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