Hip Replacement Surgery Cost in 2026
Understanding the Investment
- National average: $32,000 (range: $20,000–$50,000)
- Insurance: Usually Covered — Covered by Medicare and most insurance when medically necessary for severe...
- Recovery: 28–90 days typical downtime
- Biggest cost driver: Facility type — outpatient centers can be 30–50% less than hospitals
Hip replacement surgery, also known as total hip arthroplasty (THA), replaces a damaged hip joint with an artificial one. Approximately 330,000 hip replacements are performed annually in the US, often to relieve arthritis pain and improve mobility.
Facility fees and surgeon's fees are the biggest cost drivers, accounting for a large portion of the overall expense. The implants and hardware necessary for the procedure also contribute significantly to the total cost.
Consider having your procedure done at an Ambulatory Surgery Center (ASC); outpatient joint replacements can cost up to 40% less than hospital-based surgery. Many patients with joint degeneration also need knee replacement — both procedures follow similar cost patterns. Confirm all costs with your provider before scheduling.
Where does your money go?
Typical allocation for a hip replacement surgery procedure at the national average price point.
Hip Replacement Surgery Cost by State
Geographic location plays a significant role — cost-of-living adjustments, regional demand for top specialists, and facility competition all affect pricing.
5 Cheapest States
- Mississippi $28,320-11.5%
- West Virginia $28,736-10.2%
- Alabama $28,960-9.5%
- Arkansas $29,184-8.8%
- Missouri $29,376-8.2%
5 Most Expensive States
- Hawaii $37,248+16.4%
- California $36,256+13.3%
- New York $36,096+12.8%
- Massachusetts $35,680+11.5%
- District of Columbia $35,360+10.5%
State-by-State Pricing Atlas
Click any state to see detailed pricing, regional cost factors, and top cities.
Hip Replacement Surgery Cost in All 50 States
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| State ▲▼ | Avg Cost ▲▼ | vs National ▲▼ |
|---|---|---|
| Alabama | $28,960 | -9.5% |
| Alaska | $34,784 | +8.7% |
| Arizona | $32,256 | +0.8% |
| Arkansas | $29,184 | -8.8% |
| California | $36,256 | +13.3% |
| Colorado | $33,664 | +5.2% |
| Connecticut | $35,136 | +9.8% |
| Delaware | $32,800 | +2.5% |
| District of Columbia | $35,360 | +10.5% |
| Florida | $32,096 | +0.3% |
| Georgia | $31,360 | -2.0% |
| Hawaii | $37,248 | +16.4% |
| Idaho | $31,104 | -2.8% |
| Illinois | $32,384 | +1.2% |
| Indiana | $30,656 | -4.2% |
| Iowa | $30,560 | -4.5% |
| Kansas | $30,336 | -5.2% |
| Kentucky | $29,536 | -7.7% |
| Louisiana | $29,824 | -6.8% |
| Maine | $33,216 | +3.8% |
| Maryland | $34,176 | +6.8% |
| Massachusetts | $35,680 | +11.5% |
| Michigan | $31,840 | -0.5% |
| Minnesota | $33,120 | +3.5% |
| Mississippi | $28,320 | -11.5% |
| Missouri | $29,376 | -8.2% |
| Montana | $31,200 | -2.5% |
| Nebraska | $30,880 | -3.5% |
| Nevada | $32,160 | +0.5% |
| New Hampshire | $33,760 | +5.5% |
| New Jersey | $35,040 | +9.5% |
| New Mexico | $30,016 | -6.2% |
| New York | $36,096 | +12.8% |
| North Carolina | $31,616 | -1.2% |
| North Dakota | $30,464 | -4.8% |
| Ohio | $31,456 | -1.7% |
| Oklahoma | $29,696 | -7.2% |
| Oregon | $34,400 | +7.5% |
| Pennsylvania | $32,576 | +1.8% |
| Rhode Island | $33,536 | +4.8% |
| South Carolina | $29,920 | -6.5% |
| South Dakota | $30,976 | -3.2% |
| Tennessee | $30,144 | -5.8% |
| Texas | $30,784 | -3.8% |
| Utah | $31,744 | -0.8% |
| Vermont | $33,440 | +4.5% |
| Virginia | $33,024 | +3.2% |
| Washington | $34,304 | +7.2% |
| West Virginia | $28,736 | -10.2% |
| Wisconsin | $31,936 | -0.2% |
| Wyoming | $30,240 | -5.5% |
Primary Pricing Factors
Three variables explain most of the cost variation you'll see across the same procedure.
The Road to Results
Recovery is an investment of time. Understanding the phases helps you plan downtime and set expectations.
Before your hip replacement, you'll have consultations with your surgeon and likely undergo blood tests and imaging to ensure you're a good candidate. Your doctor will advise you on medications to stop or start, often including blood thinners. On the day of surgery, you'll receive either general or spinal anesthesia. The procedure itself typically lasts between one and two hours, during which the damaged hip joint is replaced with a prosthetic implant.
In the first 24 to 48 hours after surgery, expect to manage pain with medication and begin gentle physical therapy exercises. You'll be encouraged to start moving as soon as possible, often with assistance. Full recovery typically takes 4 to 12 weeks. During this time, you'll gradually increase your activity level, attending regular physical therapy sessions to regain strength and mobility.
Remember to arrange for a ride home from the hospital and plan for someone to help you with daily tasks for the first few days. You'll need to take time off work, the duration depending on your job. Don’t forget to schedule all your follow-up appointments with your surgeon and physical therapist to monitor your progress.
Paying for Hip Replacement Surgery
Usually Covered by InsuranceCovered by Medicare and most insurance when medically necessary for severe arthritis or hip fracture.
Financing Options
- Medical credit cards — CareCredit and Alphaeon Credit offer 0% APR for 12-24 months on hip replacement surgery
- Surgeon payment plans — many hip replacement surgery providers split the $32,000 into 6-12 monthly installments with no interest
- HSA / FSA funds — medically necessary hip replacement surgery qualifies for pre-tax health savings, effectively saving 20-35%
- Personal medical loans — Prosper Healthcare Lending and LightStream offer fixed-rate loans with no prepayment penalties
- Cash-pay discounts — paying the full amount upfront often saves 10-20% off the quoted price