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Procedure price report · Other OR therapeutic procedures on joints

Complicated removal of an artificial hip joint

CPT 27091the billing code this page is about

More involved removal of a hip implant, including cases with bone cement or removal of the entire implant, and any needed spacer placement.

Hospitals typically charge $3,832 cash for this outpatient procedure — the median across 315 hospitals that filed a usable cash price; the average of the middle 60% is $4,897. Most fall between $2,433 and $10,284 (20th–80th percentile).

Hospitals
315
States
45
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 315 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,654$2,599$3,832$7,783$13,760

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($1,654 vs $13,760).

How the prices are spread

$930 – $1,240: 11 hospitals$930$1,240 – $1,653: 5 hospitals$1,653 – $2,203: 21 hospitals$1,653$2,203 – $2,937: 60 hospitals$2,937 – $3,916: 50 hospitals$2,937$3,916 – $5,221: 27 hospitals$5,221 – $6,960: 36 hospitals$5,221$6,960 – $9,278: 21 hospitals$9,278 – $12,369: 30 hospitals$9,278$12,369 – $16,490: 25 hospitals$12,369median $3,832price bands are equal on a log scale
Hospitals per price band (286 of 315 — the bands cover the 5th to 95th percentile)
FromToHospitals
$930$1,24011
$1,240$1,6535
$1,653$2,20321
$2,203$2,93760
$2,937$3,91650
$3,916$5,22127
$5,221$6,96036
$6,960$9,27821
$9,278$12,36930
$12,369$16,49025

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$3,832
Cash as a multiple of Medicare0.29×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,832.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $9,686 across 17 hospitalsMN$9,686Illinois: median $3,719 across 15 hospitalsIL$3,719Wisconsin: median $10,284 across 30 hospitalsWI$10,284Michigan: median $3,819 across 28 hospitalsMI$3,819New York: median $4,870 across 25 hospitalsNY$4,870Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $4,839 across 12 hospitalsOR$4,839Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 7 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,020 across 12 hospitalsOH$5,020Pennsylvania: median $892 across 16 hospitalsPA$892New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,306 across 10 hospitalsCA$3,306Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,615 across 12 hospitalsOK$2,615Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,832. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI30$10,284+168%$7,783 – $16,181
Minnesota MN17$9,686+153%$6,170 – $11,364
New Jersey NJ14$5,339+39%$4,350 – $6,839
Ohio OH12$5,020+31%$2,551 – $6,331
New York NY25$4,870+27%$2,599 – $13,117
Oregon OR12$4,839+26%$2,932 – $5,230
Michigan MI28$3,8190%$2,713 – $10,284
Illinois IL15$3,719−3%$2,433 – $6,858
California CA10$3,306−14%$656 – $5,093
Oklahoma OK12$2,615−32%$2,615 – $2,615
Pennsylvania PA16$892−77%$759 – $2,184
Indiana IN9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Iowa IA7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,832.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care220$3,819$2,406 – $9,282
Children’s7fewer than 20 hospitals
Critical access87$5,230$2,593 – $10,284
Ownership
For-profit30$5,020$2,433 – $16,199
Government57$3,317$2,575 – $6,801
Non-profit227$3,832$2,382 – $10,284
System affiliation
Part of a system229$3,920$2,433 – $10,284
Independent86$3,413$2,457 – $7,709

Cash price vs list price

Median list price (chargemaster)$5,093
Median cash price$3,832
Cash as a share of list, median hospital66%

At the typical hospital, asking for the cash price cuts the list price by about 34%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

171 hospitals filed a usable inpatient cash price for this code. The median is $2,923 and the average of the middle 60% is $3,260; most fall between $1,906 and $6,419.

Cash price percentiles, inpatient, across 171 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,535$2,356$2,923$5,393$10,284

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($1,535 vs $10,284).

Of the 204 hospitals that filed this code inpatient, 171 gave a usable cash price; 19 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

315 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 366 hospitals that filed this code at all gave us
Usable cash price — counted315
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded10
Hospitals that filed this code366

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on joints family.

Hospitals file this code under descriptions such as Rmvl Hip Prosth Comp W/Tot Hip Prosth Mma.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Complicated removal of an artificial hip joint (CPT 27091) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27091-complicated-removal-of-an-artificial-hip-joint