Hip replacement - total
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Hip replacement - total Standard Service Package (SSP MS002). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS C1713 | Facility Fee | Implantable Anchor/Screw for Bone-to-bone/soft Tissue-to-bone Fixation |
| HCPCS C1776 | Facility Fee | Implantable Joint Device for Motion Restoration |
| HCPCS 86901 | Facility Fee | Serologic testing to determine RhD antigen blood type |
| HCPCS 97161 | Facility Fee | Standardized Evaluation of Body Structures, Activity, and Function with Low Complexity Decision-making |
| HCPCS A6212 | Facility Fee | Adhesive-bordered Foam Dressing, Sterile, 16in2 or Less |
| HCPCS 27130 | Professional Fee | Total Hip Replacement with Optional Grafting Surgeries |
| HCPCS 85025 | Facility Fee | Complete blood count (CBC) with differential WBC |
| HCPCS J0690 | Facility Fee | Intramuscular injection cefazolin sodium, 500mg |
| HCPCS 73502 | Facility Fee | X-ray of hip with pelvis on 1 side, 2-3 images |
| HCPCS 86920 | Facility Fee | Immediate Spin Compatibility Tests of Individual Units |
| HCPCS 27130 | Facility Fee | Total Hip Replacement with Optional Grafting Surgeries |
| HCPCS J1100 | Facility Fee | Intramuscular injection of 1mg dexamethasone sodium phosphate |
| HCPCS G0378 | Facility Fee | Hospital observation service rendered hourly |
| HCPCS J2795 | Facility Fee | Injection, Ropivacaine Hydrochloride, 1 MG Dose |
| HCPCS 86900 | Facility Fee | Serologic test to determine abo blood type |
| HCPCS 97165 | Facility Fee | Low Complexity Ot Eval Including Occupational Profile, Medical/Therapy History, Assessment(s), and Decision Making |
| HCPCS 80053 | Facility Fee | Comprehensive metabolic panel also includes albumin, total protein, ALP, ALT, AST and bilirubin |
| HCPCS 86850 | Facility Fee | Antibody screening of red blood cells in serum sample |
| Revenue Code 250 | Facility Fee | Pharmacy (Also see 063X, an extension of 250X) - General |