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Procedure price report · Hip replacement, total and partial

Revision of a hip replacement, thigh bone part only

CPT 27138the billing code this page is about

Surgery that removes and replaces only the thigh bone (stem and ball) component of an existing hip replacement, with or without bone graft.

Hospitals typically charge $4,281 cash for this outpatient procedure — the median across 484 hospitals that filed a usable cash price; the average of the middle 60% is $4,919. Most fall between $2,342 and $11,533 (20th–80th percentile).

Hospitals
484
States
46
Filings dated
Mar 2023 – 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 484 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
$1,612$2,578$4,281$7,900$17,649

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,612 vs $17,649).

How the prices are spread

$937 – $1,329: 9 hospitals$937$1,329 – $1,887: 28 hospitals$1,887 – $2,679: 72 hospitals$1,887$2,679 – $3,802: 90 hospitals$3,802 – $5,397: 63 hospitals$3,802$5,397 – $7,660: 62 hospitals$7,660 – $10,873: 37 hospitals$7,660$10,873 – $15,434: 32 hospitals$15,434 – $21,908: 34 hospitals$15,434$21,908 – $31,096: 9 hospitals$21,908median $4,281price bands are equal on a log scale
Hospitals per price band (436 of 484 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,3299
$1,329$1,88728
$1,887$2,67972
$2,679$3,80290
$3,802$5,39763
$5,397$7,66062
$7,660$10,87337
$10,873$15,43432
$15,434$21,90834
$21,908$31,0969

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$4,281
Cash as a multiple of Medicare0.33×

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 $4,281.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,575 across 10 hospitalsME$1,575Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,964 across 10 hospitalsNH$1,964Washington: median $3,474 across 13 hospitalsWA$3,474Idaho: median $5,600 across 14 hospitalsID$5,600Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $7,994 across 27 hospitalsMN$7,994Illinois: median $2,799 across 16 hospitalsIL$2,799Wisconsin: median $7,900 across 39 hospitalsWI$7,900Michigan: median $3,552 across 36 hospitalsMI$3,552New York: median $6,282 across 30 hospitalsNY$6,282Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,421 across 19 hospitalsOR$4,421Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $3,768 across 27 hospitalsIA$3,768Indiana: median $2,184 across 12 hospitalsIN$2,184Ohio: median $5,833 across 16 hospitalsOH$5,833Pennsylvania: median $9,117 across 10 hospitalsPA$9,117New Jersey: median $5,157 across 21 hospitalsNJ$5,157Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,200 across 16 hospitalsCA$3,200Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $5,071 across 11 hospitalsNE$5,071Missouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $3,090 across 12 hospitalsWV$3,090Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,714 across 12 hospitalsKS$2,714Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,500 across 13 hospitalsOK$2,500Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,945 across 10 hospitalsTX$4,945Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,281. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA10$9,117+113%$534 – $11,348
Minnesota MN27$7,994+87%$3,181 – $13,532
Wisconsin WI39$7,900+85%$5,774 – $9,901
New York NY30$6,282+47%$1,804 – $15,239
Ohio OH16$5,833+36%$3,100 – $6,890
Idaho ID14$5,600+31%$2,896 – $19,343
New Jersey NJ21$5,157+20%$3,786 – $6,311
Nebraska NE11$5,071+18%$3,720 – $6,255
Texas TX10$4,945+16%$3,236 – $6,440
Oregon OR19$4,421+3%$2,799 – $4,990
Iowa IA27$3,768−12%$3,330 – $4,392
Michigan MI36$3,552−17%$2,304 – $7,900
Washington WA13$3,474−19%$2,799 – $5,637
California CA16$3,200−25%$2,659 – $6,504
West Virginia WV12$3,090−28%$1,613 – $7,654
Illinois IL16$2,799−35%$2,184 – $4,359
Kansas KS12$2,714−37%$1,792 – $14,947
Oklahoma OK13$2,500−42%$2,500 – $6,159
Indiana IN12$2,184−49%$1,643 – $3,632
New Hampshire NH10$1,964−54%$1,494 – $3,596
Maine ME10$1,575−63%$810 – $2,567
Florida FL9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $4,281.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care308$4,490$2,439 – $13,532
Children’s7fewer than 20 hospitals
Critical access168$3,721$2,247 – $7,900
Ownership
For-profit48$8,451$2,602 – $28,604
Government90$3,955$2,618 – $9,894
Non-profit345$3,986$2,259 – $8,680
System affiliation
Part of a system351$4,350$2,336 – $12,866
Independent133$4,029$2,442 – $8,920

Cash price vs list price

Median list price (chargemaster)$5,279
Median cash price$4,281
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

263 hospitals filed a usable inpatient cash price for this code. The median is $3,672 and the average of the middle 60% is $4,129; most fall between $2,166 and $7,994.

Cash price percentiles, inpatient, across 263 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
$1,494$2,280$3,672$7,900$13,532

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($1,494 vs $13,532).

Of the 317 hospitals that filed this code inpatient, 263 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

484 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 577 hospitals that filed this code at all gave us
Usable cash price — counted484
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded34
Hospitals that filed this code577

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 Hip replacement, total and partial family.

Hospitals file this code under descriptions such as Revj Tot Hip Arthrp Fem Only W/WO Algrft.

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, “Revision of a hip replacement, thigh bone part only (CPT 27138) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27138-revision-of-a-hip-replacement-thigh-bone-part-only