Average Medicaid Hip Replacement Payments
Typical Medicaid Hip Replacement reimbursement across 24 cities
Avg. Medicaid Paid
$3,529
Price Range
$597.89 – $8,535
Total Claims
2.8K
Cities
24
Typical Payment Range
Typical Medicaid Hip Replacement payments fall between $725.41 and $5,108 per claim (median: $2,764). The top 10% of payments exceed $7,222.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Hip replacement surgery replaces damaged or worn parts of the hip joint with artificial components to relieve pain and improve mobility.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| San Bernardino, CA | $8,265 | $8,265 – $8,265 | 12 | 1 |
| Natchitoches, LA | $1,199 | $1,199 – $1,199 | 12 | 1 |
| Jackson, MI | $709.84 | $709.84 – $709.84 | 12 | 1 |
| Springfield, MA | $6,499 | $6,499 – $6,499 | 13 | 1 |
| Portland, ME | $5,329 | $5,329 – $5,329 | 15 | 1 |
| Jersey City, NJ | $597.89 | $597.89 – $597.89 | 16 | 1 |
| Dayton, OH | $4,586 | $4,586 – $4,586 | 17 | 1 |
| Pikeville, KY | $628.88 | $628.88 – $628.88 | 18 | 1 |
| Newark, DE | $609.54 | $609.54 – $609.54 | 20 | 1 |
| Cincinnati, OH | $5,034 | $5,034 – $5,034 | 21 | 1 |
| Royal Oak, MI | $5,857 | $5,857 – $5,857 | 24 | 1 |
| Seattle, WA | $4,527 | $4,527 – $4,527 | 24 | 1 |
| Milwaukee, WI | $1,747 | $1,747 – $1,747 | 29 | 1 |
| Lexington, KY | $2,738 | $2,738 – $2,738 | 49 | 1 |
| Meriden, CT | $1,877 | $1,877 – $1,877 | 78 | 1 |
| New Haven, CT | $8,190 | $8,190 – $8,190 | 90 | 1 |
| Hartford, CT | $2,846 | $2,790 – $2,870 | 91 | 2 |
| Cleveland, OH | $3,262 | $560.14 – $4,361 | 130 | 4 |
| Louisville, KY | $1,264 | $1,139 – $2,539 | 169 | 2 |
| Columbus, OH | $4,008 | $3,770 – $4,391 | 172 | 2 |
| Farmington, CT | $8,535 | $698.73 – $9,085 | 183 | 2 |
| Detroit, MI | $6,939 | $6,939 – $6,939 | 204 | 1 |
| Phoenix, AZ | $7,253 | $7,253 – $7,253 | 414 | 1 |
| Southfield, MI | $612.31 | $323.08 – $618.07 | 1,025 | 2 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 27130 | Total hip arthroplasty | $3,506 | 2,860 | 32 |
| 27125 | Hemiarthroplasty hip | — | — | — |
| 27132 | Conversion total hip arthroplst | — | — | — |
| 27134 | Revision hip acetabular | — | — | — |
| 27137 | Revision hip acetabular comp | — | — | — |
| 27236 | Open treatment femoral fracture | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.