Hoeveel Kost Heupprothese operatie?
Total hip replacement, also known as total hip arthroplasty, is a surgical procedure in which the damaged hip joint is replaced with an artificial implant. It is commonly performed to relieve pain and restore function caused by severe arthritis or hip fractures.
Zonder Verzekering
$32,000
Met Verzekering
$9,600
Medicare
$7,400
Nationaal Gemiddelde
$23,000
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Overzicht
Total hip replacement (total hip arthroplasty) removes the damaged ball-and-socket joint and substitutes a metal femoral stem, a ceramic or metal ball, and a polyethylene or ceramic acetabular liner. The operation usually runs 60 to 120 minutes under spinal or general anesthesia. Most patients stay one to two nights in the hospital — or go home the same day under modern outpatient protocols — and then work with a physical therapist for six to twelve weeks. The total episode of care includes the surgeon, anesthesia, the implant itself, the hospital or ASC facility fee, inpatient therapy, and outpatient PT, so quoted prices should always be compared on a bundled basis. Implant choice (brand, bearing surface, robotic-assisted vs manual technique) and site of service (hospital vs ASC) are the two largest cost levers. Commercial plans almost always require prior authorization, and some offer center-of-excellence programs that pay for travel to a designated high-volume surgeon.
Wat de kosten beïnvloedt
- Site of service: ambulatory surgery centers now handle many healthy outpatient hip replacements and typically bill 25-40% less than a hospital inpatient stay.
- Implant selection: ceramic-on-polyethylene, ceramic-on-ceramic, and dual-mobility cups carry different device prices; branded implants can add thousands over baseline.
- Surgical technique: robotic-assisted or computer-navigated procedures add equipment charges the facility passes through to the patient.
- Anesthesia approach: spinal anesthesia with a nerve block is often less expensive than full general anesthesia and can shorten the hospital stay.
- Length of stay and rehab setting: discharge to home with outpatient PT is far cheaper than a skilled nursing facility or inpatient rehab stay.
- Bundled-payment participation: hospitals in CMS bundled programs often offer more predictable pricing than open fee-for-service billing.
Hoe te Besparen
- Ask whether you qualify for outpatient hip replacement at an ambulatory surgery center; eligibility depends on age, BMI, and comorbidities.
- Request a bundled all-in price from the surgeon's office covering surgeon, facility, anesthesia, implant, and post-operative therapy.
- Check whether your employer or insurer offers a center-of-excellence program — many waive copays and deductibles plus cover travel stipends.
- Confirm the surgeon, anesthesiologist, and any assisting provider are in-network; the No Surprises Act protects you, but proactive verification avoids billing disputes.
- Line up home-based physical therapy rather than a skilled nursing facility if medically appropriate — the cost difference is substantial.
- Use your HSA or FSA for deductible and coinsurance payments, and ask the hospital about prompt-pay discounts before settling the bill.
Opmerkingen over verzekering en dekking
Medicare Part A covers inpatient hip replacement; Medicare Part B covers the surgeon, anesthesia, and outpatient rehab. Since CMS removed total hip arthroplasty from the inpatient-only list, outpatient ASC coverage is also available for appropriate candidates. Commercial plans cover medically necessary hip replacement but almost always require prior authorization, often with documentation of a failed course of conservative therapy such as physical therapy, NSAIDs, weight loss, or injections. Expect to owe your full deductible plus coinsurance — the out-of-pocket maximum is often reached on this single episode. Medicare Advantage plans can impose step therapy. Preoperative medical clearance labs and cardiology visits are billed separately.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $23,500 to $44,000 · 50 states shown
Kosten per Staat
| Staat | Zonder Verzekering | Met Verzekering | Medicare |
|---|---|---|---|
| Mississippi | $23,500 | $7,050 | $5,410 |
| Arkansas | $23,800 | $7,140 | $5,470 |
| West Virginia | $24,000 | $7,200 | $5,520 |
| Oklahoma | $24,500 | $7,350 | $5,640 |
| Alabama | $24,800 | $7,440 | $5,700 |
| Kentucky | $27,000 | $8,100 | $6,210 |
| Louisiana | $27,500 | $8,250 | $6,330 |
| Iowa | $28,000 | $8,400 | $6,440 |
| New Mexico | $28,000 | $8,400 | $6,440 |
| South Carolina | $28,000 | $8,400 | $6,440 |
| South Dakota | $28,000 | $8,400 | $6,440 |
| Kansas | $28,500 | $8,550 | $6,560 |
| North Dakota | $28,500 | $8,550 | $6,560 |
| Idaho | $28,800 | $8,640 | $6,620 |
| Nebraska | $28,800 | $8,640 | $6,620 |
| Tennessee | $29,000 | $8,700 | $6,670 |
| Indiana | $29,800 | $8,940 | $6,850 |
| Missouri | $29,800 | $8,940 | $6,850 |
| Utah | $29,800 | $8,940 | $6,850 |
| Wyoming | $29,800 | $8,940 | $6,850 |
| Georgia | $30,200 | $9,060 | $6,950 |
| Montana | $30,200 | $9,060 | $6,950 |
| North Carolina | $30,200 | $9,060 | $6,950 |
| Michigan | $30,800 | $9,240 | $7,080 |
| Arizona | $31,200 | $9,360 | $7,180 |
| Maine | $31,500 | $9,450 | $7,250 |
| Ohio | $31,500 | $9,450 | $7,250 |
| Wisconsin | $31,500 | $9,450 | $7,250 |
| Texas | $32,000 | $9,600 | $7,360 |
| Florida | $32,500 | $9,750 | $7,480 |
| Minnesota | $32,500 | $9,750 | $7,480 |
| Illinois | $33,000 | $9,900 | $7,590 |
| Pennsylvania | $33,000 | $9,900 | $7,590 |
| Delaware | $33,500 | $10,050 | $7,710 |
| Nevada | $33,500 | $10,050 | $7,710 |
| Vermont | $33,500 | $10,050 | $7,710 |
| Virginia | $33,500 | $10,050 | $7,710 |
| Colorado | $34,000 | $10,200 | $7,820 |
| New Hampshire | $34,000 | $10,200 | $7,820 |
| Oregon | $34,500 | $10,350 | $7,930 |
| Maryland | $35,200 | $10,560 | $8,100 |
| Rhode Island | $35,800 | $10,740 | $8,230 |
| Washington | $35,800 | $10,740 | $8,230 |
| Connecticut | $38,500 | $11,550 | $8,860 |
| New Jersey | $38,500 | $11,550 | $8,860 |
| California | $42,000 | $12,600 | $9,660 |
| Massachusetts | $42,500 | $12,750 | $9,780 |
| Alaska | $43,200 | $12,960 | $9,940 |
| New York | $43,500 | $13,050 | $10,010 |
| Hawaii | $44,000 | $13,200 | $10,120 |
Veelgestelde Vragen
Hoeveel kost heupprothese operatie zonder verzekering?
De gemiddelde kosten van heupprothese operatie zonder verzekering in de VS zijn $32,000. Kosten variëren aanzienlijk per staat.
Dekt de verzekering heupprothese operatie?
De meeste zorgverzekeringen dekken heupprothese operatie wanneer medisch noodzakelijk. Met verzekering zijn de gemiddelde eigen kosten $9,600.
Dekt Medicare heupprothese operatie?
Medicare Deel B dekt doorgaans heupprothese operatie op voorschrift van een arts. Het gemiddelde door Medicare goedgekeurde bedrag is $7,400.
Beoordeeld door Elena Bellini · Laatst beoordeeld: 2026-04-21
Gegevens afkomstig van CMS Medicare Provider Utilization and Payment Data 2025. Laatst bijgewerkt: 2026-03-01. Deze informatie is uitsluitend voor educatieve doeleinden en vormt geen medisch advies. Deze website is uitsluitend bedoeld voor informatieve doeleinden en vormt geen medisch advies. Raadpleeg altijd een gekwalificeerde zorgverlener.