CPT 27125 Surgery - Musculoskeletal

How Much Does Partial Hip Replacement Cost?

Also known as: Partial hip replacement (CPT 27125)

Surgery to replace the ball of the hip joint with an artificial implant, used when only part of the hip is damaged.

The total estimated cost of Partial Hip Replacement (CPT 27125) is $3,480 to $6,525, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,036.

Total Estimated Cost of Care

$3,480 — $6,525

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$1,036
Hospital Facility Fee
$3,107
Anesthesia (est.)
$207
Important: The physician fee of $1,036 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$1,036
Physician component only — CMS PFS 2026

Patient Guide: Partial Hip Replacement

What you need to know before your appointment

What to Expect

Under general or spinal anesthesia, the surgeon replaces the ball (femoral head) of your hip joint with a metal prosthesis. You will typically stay 1-3 days in the hospital and begin physical therapy soon after surgery.

How Long Does It Take?

1-2 hours of surgery

Common Reasons Doctors Order This

Hip fracture (especially in elderly patients), severe arthritis affecting only the femoral head, avascular necrosis

How to Prepare

Stop blood thinners as directed. Fast after midnight. Arrange help at home for recovery. Pre-operative physical therapy can improve outcomes.

Procedures Commonly Done Together

These procedures are frequently performed alongside Partial hip replacement

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How to Reduce Your Cost for Partial hip replacement

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

16.22
Work RVU
11.36
Practice Expense RVU
3.43
Malpractice RVU
31.01
Total RVU

Payment = Total RVU (31.01) x CF ($33.40) = $1,036

People Also Ask

Common questions people search for about this procedure

How much is a partial hip replacement?
Source: www.carecredit.com See our data-backed answer →
Is it better to have a partial or full hip replacement?
How much will Medicare pay for a hip replacement?
How many hours is a partial hip replacement surgery?

Frequently Asked Questions

How much does Partial hip replacement cost?

The Medicare facility rate for Partial hip replacement is $1,036. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Partial hip replacement cost without insurance?

Without insurance, the cost of Partial hip replacement can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Partial hip replacement?

Most commercial health insurance plans and Medicare cover Partial hip replacement when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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