Revision of thigh bone and hip joint prosthesis
Medicare pricing data for 5,787 providers across 51 states
This procedure has a 6.0x markup — hospitals charge $7,267 but Medicare allows only $1,201. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. 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
Revision of thigh bone and hip joint prosthesis (HCPCS code 27134) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,201, but hospitals typically charge $7,267 — a 6.0x 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 $1,201, your out-of-pocket cost would be approximately $240.25. 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 6.0x more than what Medicare allows for this procedure. Medicare actually pays $957.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,828 | $10,411 | 14 | 54 | +52.2% |
| Hawaii | $1,722 | $4,230 | 9 | 21 | +43.3% |
| New York | $1,523 | $13,596 | 327 | 765 | +26.8% |
| West Virginia | $1,438 | $5,404 | 25 | 67 | +19.7% |
| Massachusetts | $1,423 | $8,083 | 144 | 446 | +18.5% |
| California | $1,368 | $6,639 | 424 | 1,156 | +13.9% |
| Michigan | $1,330 | $5,334 | 179 | 399 | +10.7% |
| Maryland | $1,286 | $5,864 | 111 | 284 | +7.1% |
| Illinois | $1,282 | $11,917 | 245 | 716 | +6.7% |
| Missouri | $1,269 | $8,435 | 103 | 244 | +5.7% |
| New Jersey | $1,264 | $16,846 | 135 | 377 | +5.2% |
| New Mexico | $1,253 | $4,903 | 32 | 76 | +4.3% |
| Pennsylvania | $1,248 | $6,666 | 260 | 708 | +3.9% |
| Virginia | $1,239 | $6,758 | 121 | 305 | +3.2% |
| North Dakota | $1,223 | $5,033 | 25 | 84 | +1.8% |
| Connecticut | $1,212 | $9,040 | 88 | 181 | +0.9% |
| Minnesota | $1,199 | $7,160 | 131 | 302 | -0.2% |
| Kentucky | $1,197 | $5,032 | 63 | 193 | -0.3% |
| Oregon | $1,194 | $5,695 | 67 | 182 | -0.6% |
| Georgia | $1,194 | $7,148 | 120 | 283 | -0.6% |
| Rhode Island | $1,180 | $6,892 | 21 | 46 | -1.8% |
| Florida | $1,175 | $6,157 | 457 | 1,366 | -2.2% |
| Nevada | $1,155 | $4,775 | 44 | 125 | -3.9% |
| New Hampshire | $1,154 | $11,777 | 43 | 116 | -3.9% |
| Louisiana | $1,147 | $7,173 | 65 | 168 | -4.5% |
| Tennessee | $1,143 | $6,046 | 121 | 299 | -4.8% |
| Wyoming | $1,142 | $7,595 | 26 | 59 | -4.9% |
| Oklahoma | $1,140 | $3,845 | 79 | 205 | -5.1% |
| Texas | $1,139 | $5,912 | 331 | 1,038 | -5.1% |
| Mississippi | $1,137 | $5,616 | 43 | 122 | -5.4% |
| Arizona | $1,107 | $4,991 | 163 | 416 | -7.9% |
| Kansas | $1,102 | $5,618 | 89 | 199 | -8.3% |
| Washington | $1,101 | $4,541 | 173 | 367 | -8.3% |
| North Carolina | $1,100 | $5,470 | 212 | 489 | -8.5% |
| Nebraska | $1,092 | $7,159 | 48 | 119 | -9.1% |
| Ohio | $1,092 | $5,224 | 200 | 442 | -9.1% |
| Alabama | $1,084 | $7,020 | 72 | 195 | -9.8% |
| Wisconsin | $1,076 | $15,989 | 153 | 280 | -10.4% |
| Indiana | $1,072 | $6,997 | 145 | 372 | -10.8% |
| Utah | $1,063 | $4,192 | 57 | 141 | -11.5% |
| South Dakota | $1,031 | $4,852 | 51 | 122 | -14.2% |
| Delaware | $1,019 | $5,892 | 30 | 103 | -15.2% |
| Montana | $1,016 | $4,936 | 41 | 71 | -15.4% |
| Iowa | $1,010 | $6,176 | 80 | 224 | -15.9% |
| South Carolina | $1,007 | $5,794 | 107 | 250 | -16.1% |
| Arkansas | $1,000 | $4,519 | 46 | 209 | -16.8% |
| Vermont | $995 | $6,360 | 15 | 38 | -17.1% |
| Colorado | $976 | $5,308 | 128 | 312 | -18.7% |
| Maine | $966 | $3,049 | 37 | 85 | -19.6% |
| Idaho | $945 | $4,599 | 42 | 113 | -21.3% |
| Alaska | $914 | $10,717 | 20 | 57 | -23.9% |
⚠️ 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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