National price data · 1,554 hospitals
Total hip replacement cost
What a total hip replacement costs across the U.S. — and the fair price to aim for.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%)
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Behavioral Pricing FingerprintConsistent Department Multiples
Aligned Regional Benchmark Peer
Coffee Regional Medical Center, Inc prices shoppable and inpatient services (0.8× to 1.2× Medicare, divergence 1.50×) in alignment with regional hospital peers (0.87× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
#12 of 100 in GA · 11th State Percentile#495 of 3,385 in U.S. · 14th National Percentile
Advantage
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
- Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (62/100 safety score) with 62% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (28.8% AGB cap)
Watchout
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.5×) & laboratory (0.9×) services average 1.50× higher multiples than routine shoppable care (0.8×)
- Upper-quartile procedures (Q75 1.01×) jump +20% above the median procedure ratio (Q50 0.84×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
0.8× Medicare
Pre-scheduled outpatient procedures where patients can comparison-shop.
Back-Door Captive & ER1.50× Divergence
1.2× Medicare
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Quantile Tail Spread+20% Upper Tail
Q25 0.65× · Q50 0.84× · Q75 1.01×
Detects median-gaming when upper-quartile codes spike above the p50 median.
Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor)
Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
0.8× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.5× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.9× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
0.9× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.6× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
33% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 62/100Elevated
National Geographic Price Intelligence · 50-State + DC/PR Cartogram
National State Price Index Heatmap · Total hip replacement
State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories
<0.93× Below Fair Price
0.93–1.05× Near Average
1.05–1.18× Elevated
>1.18× High-Cost State
AK0.68×
7.8× Med
ME0.35×
2.1× Med
WA1.55×
17.9× Med
ID0.41×
4.7× Med
MT1.01×
11.6× Med
ND1.08×
12.5× Med
MN0.97×
11.2× Med
WI0.98×
11.3× Med
MI0.95×
10.9× Med
VT0.35×
2.5× Med
NH1.85×
21.4× Med
OR1.36×
15.8× Med
NV0.89×
10.2× Med
WY0.35×
3.8× Med
SD0.99×
11.4× Med
IA0.35×
3.6× Med
IL1.03×
11.8× Med
IN1.68×
19.4× Med
OH0.93×
10.7× Med
PA0.99×
11.5× Med
NY0.69×
8.0× Med
MA1.23×
14.3× Med
CA1.22×
14.1× Med
UT0.44×
5.0× Med
CO0.96×
11.1× Med
NE0.94×
10.9× Med
MO0.99×
11.4× Med
KY0.95×
10.9× Med
WV1.37×
15.8× Med
VA1.47×
17.0× Med
MD1.20×
1.2× Med
NJ1.13×
13.0× Med
CT0.40×
4.6× Med
AZ1.02×
11.8× Med
NM1.08×
12.4× Med
KS0.87×
10.1× Med
AR0.92×
10.7× Med
TN0.91×
10.5× Med
NC0.94×
10.9× Med
SC1.15×
13.2× Med
DE1.30×
15.0× Med
DC0.99×
11.4× Med
RI1.47×
17.0× Med
OK0.95×
10.9× Med
LA0.88×
10.1× Med
MS1.06×
12.3× Med
AL0.91×
10.5× Med
GA0.87×
10.1× Med
HI1.09×
12.6× Med
TX0.97×
11.2× Med
FL1.01×
11.6× Med
PR0.77×
1.1× Med
IA0.35×3.6× MedME0.35×2.1× MedVT0.35×2.5× MedWY0.35×3.8× MedCT0.40×4.6× MedID0.41×4.7× MedUT0.44×5.0× MedAK0.68×7.8× MedNY0.69×8.0× MedPR0.77×1.1× MedGA0.87×10.1× MedKS0.87×10.1× MedLA0.88×10.1× MedNV0.89×10.2× MedAL0.91×10.5× MedTN0.91×10.5× MedAR0.92×10.7× MedOH0.93×10.7× MedNC0.94×10.9× MedNE0.94×10.9× MedKY0.95×10.9× MedMI0.95×10.9× MedOK0.95×10.9× MedCO0.96×11.1× MedMN0.97×11.2× MedTX0.97×11.2× MedWI0.98×11.3× MedDC0.99×11.4× MedMO0.99×11.4× MedPA0.99×11.5× MedSD0.99×11.4× MedFL1.01×11.6× MedMT1.01×11.6× MedAZ1.02×11.8× MedIL1.03×11.8× MedMS1.06×12.3× MedND1.08×12.5× MedNM1.08×12.4× MedHI1.09×12.6× MedNJ1.13×13.0× MedSC1.15×13.2× MedMD1.20×1.2× MedCA1.22×14.1× MedMA1.23×14.3× MedDE1.30×15.0× MedOR1.36×15.8× MedWV1.37×15.8× MedRI1.47×17.0× MedVA1.47×17.0× MedWA1.55×17.9× MedIN1.68×19.4× MedNH1.85×21.4× Med
5 Lowest-Price States (Confounder-Isolated Value Leaders)
5 Highest-Markup States (Strict Bill Audit Recommended)
The BaseRate high confidence
$13,192
the fair national price for a total hip replacement
typically $4,467–$22,146 across 1,554 hospitals · how we calculate it
modeled estimate · not a bill or quote
1,554
hospitals priced
50
states
5×
price spread — where shopping matters
11.5×
vs. Medicare
Across 1,554 hospitals in 50 states, a total hip replacement has a fair BaseRate of $13,192 and typically costs $4,467–$22,146. The cheapest state is ME; the priciest is NH.
Cheapest hospitals for a total hip replacement
- Coffee Regional Medical Center, Inc · Douglas, GA $2,235
- Harney District Hospital · Burns, OR $2,252
- Erlanger Medical Center · Chattanooga, TN $2,255
- Aspirus Stevens Point Hospital & Clinics, Inc. · Stevens Point, WI $2,269
- Lincolnhealth · Damariscotta, ME $2,271
- Mainehealth Stephens Hospital · Norway, ME $2,271
- Sparrow Ionia Hospital · Ionia, MI $2,278
- Covenant Medical Center · Saginaw, MI $2,278
- Community Regional Medical Center · Fresno, CA $2,295
- Clovis Community Medical Center · Clovis, CA $2,295
- Mainehealth Franklin Hospital · Farmington, ME $2,331
- Bronson Battle Creek Hospital · Battle Creek, MI $2,332
- Gordon Memorial Hospital District · Gordon, NE $2,334
- Aspirus Stanley Hospital · Stanley, WI $2,341
- Aspirus Merrill Hospital · Merrill, WI $2,341
Total hip replacement cost by state
AK $9,056 6 hospitals AL $12,254 26 hospitals AR $12,390 15 hospitals AZ $13,700 36 hospitals CA $16,336 123 hospitals CO $12,931 31 hospitals CT $5,306 10 hospitals DC $13,266 2 hospitals DE $17,481 3 hospitals FL $13,497 99 hospitals GA $11,732 46 hospitals HI $14,613 9 hospitals IA $4,171 26 hospitals ID $5,479 7 hospitals IL $13,758 50 hospitals IN $22,495 39 hospitals KS $11,727 20 hospitals KY $12,714 18 hospitals LA $11,740 36 hospitals MA $16,562 19 hospitals ME $2,482 11 hospitals MI $12,714 35 hospitals MN $13,006 35 hospitals MO $13,245 29 hospitals MS $14,242 26 hospitals MT $13,510 3 hospitals NC $12,645 28 hospitals ND $14,537 13 hospitals NE $12,665 18 hospitals NH $24,814 8 hospitals NJ $15,153 39 hospitals NM $14,430 7 hospitals NV $11,882 16 hospitals NY $9,285 44 hospitals OH $12,419 93 hospitals OK $12,718 27 hospitals OR $18,308 12 hospitals PA $13,321 61 hospitals RI $19,705 4 hospitals SC $15,359 27 hospitals SD $13,253 7 hospitals TN $12,231 39 hospitals TX $13,022 177 hospitals UT $5,858 14 hospitals VA $19,764 46 hospitals VT $2,861 3 hospitals WA $20,840 34 hospitals WI $13,142 66 hospitals WV $18,383 7 hospitals WY $4,400 4 hospitals
Inline Bill X-Ray & 501(r) Calculator
501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%
Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)
Fair BaseRate™ $13,192
Medicare Rate $7,651
Self-Pay Cash Request Quote
Insurer Median $13,413
Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check
501(r) AGB Cap: $11,685 (274% FPL)
Statutory 501(r) AGB Cap Limits Bill to $11,685
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $11,685).
Step 2 · Cash vs. Insurance Arbitrage
Request Prompt-Pay Quote
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Step 3 · Fair BaseRate Target
+$18,999 Above Fair BaseRate
Negotiate Toward $13,192 Fair BaseRate ($7,651 Medicare)
Your bill ($32,191) is $18,999 above the denoised Fair BaseRate ($13,192) and 4.2× the $7,651 Medicare rate.
1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Inpatient MS-DRG vs. Outpatient CPT Care-Setting Savings
Total Hip Arthroplasty (Replacement)DRG 470 vs CPT 27130
Inpatient: $43,053Outpatient: $9,116
Save $33,937 outpatient
Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.