GITNUX MARKETDATA REPORT 2024

Statistics About The Average Cost Of Hip Replacement With Insurance

The average cost of hip replacement with insurance in the United States is approximately $30,000 to $40,000.

Last Updated: June 23, 2024

How we write

In this post, we explore the average cost of hip replacement surgery with insurance coverage in the United States. From hospital stays to preoperative consultations, post-operative therapy, and surgical implants, we analyze various statistics that shed light on the financial aspects of this common medical procedure. Understanding insurance co-payments, out-of-pocket expenses, Medicare coverage, and the impact of different insurance plans and geographic locations provides valuable insights for individuals considering or undergoing hip replacement surgery.

Statistic 1

"The average hospital stay for a hip replacement surgery is 2 to 4 days."

Statistic 2

"Some insurance plans require a 20% co-payment after the deductible for hip replacement surgery."

Statistic 3

"Medicare often covers 80% of the cost, reducing the average out-of-pocket cost for seniors considerably."

Statistic 4

"The average total cost of a hip replacement in the U.S. is approximately $32,000."

Statistic 5

"The average cost for preoperative consultations and tests can range from $700 to $1,200."

Statistic 6

"Post-operative physical therapy costs can add another $1,000 to $2,500 to the total."

Statistic 7

"Some insurance plans have annual maximums which could affect patients' costs."

Statistic 8

"Surgical implants like prosthetic hips typically cost between $3,000 and $10,000."

Statistic 9

"With insurance coverage, patients may pay an average of $4,000 to $6,000 out-of-pocket."

Statistic 10

"Outpatient hip replacement surgeries typically cost less, averaging around $25,000."

Statistic 11

"Private insurance may cover between 50% and 90% of the total hip replacement cost."

Statistic 12

"Investigational clinical trials for hip replacements may be covered by insurance if proven beneficial."

Statistic 13

"Geographic location can significantly affect costs, with urban areas generally being more expensive."

Statistic 14

"Coverage requirements differ significantly between HMOs and PPOs."

Statistic 15

"In-network hospital facilities may offer lower costs negotiated with insurance companies."

Statistic 16

"Some supplemental insurance plans might reduce out-of-pocket expenses."

Statistic 17

"Anesthesia fees may range from $1,000 to $2,500 for hip replacement surgery."

Statistic 18

"A patient with a high-deductible plan might pay an average of $8,000 to $12,000 out-of-pocket."

Statistic 19

"Insurance coverage varies for minimally invasive hip replacement techniques."

Statistic 20

"Hip replacement revision surgery is generally more expensive than the initial surgery."

In conclusion, the average cost of hip replacement surgery with insurance is affected by various factors, such as insurance coverage percentages, deductible requirements, additional expenses for preoperative and post-operative care, as well as geographical location and type of insurance plan. While the average total cost of a hip replacement in the U.S. stands at around $32,000, insurance coverage can significantly reduce out-of-pocket expenses for patients, particularly for Medicare beneficiaries. It is important for individuals considering hip replacement surgery to thoroughly review their insurance policies, understand coverage details, and explore options for supplemental insurance plans to mitigate overall expenses and ensure financial preparedness for potential out-of-pocket costs associated with the procedure.

Jannik Lindner

Jannik is the Co-Founder of Gitnux and has been working in the digital space since 2016. He is specialized in content and tech.

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