CPT 27130 Surgery - Musculoskeletal
Total hip arthroplasty Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,162
CMS PFS CY2026
Medicare Non-Facility Rate
$1,162
Office/clinic setting
Hospital Outpatient
$13
OPPS rate
Surgery Center (ASC)
$9
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
19.11
Work RVU
11.63
Facility PE RVU
4.05
Malpractice RVU
34.79
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $1,453 | $1,889 — $2,906 |
| AL — ALABAMA | $1,060 | $1,378 — $2,120 |
| AR — ARKANSAS | $1,047 | $1,361 — $2,094 |
| AZ — ARIZONA | $1,136 | $1,477 — $2,272 |
| CA — BAKERSFIELD | $1,164 | $1,514 — $2,329 |
| CA — CHICO | $1,153 | $1,499 — $2,306 |
| CA — EL CENTRO | $1,154 | $1,500 — $2,308 |
| CA — FRESNO | $1,153 | $1,499 — $2,306 |
| CA — HANFORD-CORCORAN | $1,153 | $1,499 — $2,306 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $1,220 | $1,586 — $2,440 |
| CA — MADERA | $1,153 | $1,499 — $2,306 |
| CA — MERCED | $1,153 | $1,499 — $2,306 |
| CA — MODESTO | $1,153 | $1,499 — $2,306 |
| CA — NAPA | $1,265 | $1,645 — $2,531 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $1,206 | $1,567 — $2,411 |
| CA — REDDING | $1,153 | $1,499 — $2,306 |
| CA — REST OF CALIFORNIA | $1,153 | $1,499 — $2,306 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $1,197 | $1,556 — $2,394 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $1,191 | $1,549 — $2,383 |
| CA — SALINAS | $1,187 | $1,543 — $2,373 |
Frequently Asked Questions
How much does Total hip arthroplasty cost?
The Medicare facility rate is $1,162. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $13. Ambulatory surgery center rate: $9.
How much does Total hip arthroplasty cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,162.