CPT 27134 Surgery - Musculoskeletal

How Much Does Revise Hip Joint Replacement Cost?

Also known as: Revise hip joint replacement (CPT 27134)

Revision surgery to replace or repair part of a previously implanted hip replacement.

The total estimated cost of Revise Hip Joint Replacement (CPT 27134) is $5,697 to $10,681, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,695.

Total Estimated Cost of Care

$5,697 — $10,681

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

Surgeon/Physician Fee
$1,695
Hospital Facility Fee
$5,086
Anesthesia (est.)
$339
Important: The physician fee of $1,695 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)
$1,695
Physician component only — CMS PFS 2026

Patient Guide: Revise Hip Joint Replacement

What you need to know before your appointment

What to Expect

The surgeon reopens the hip, removes worn or loosened components, and replaces them. This is typically more complex than the original hip replacement.

How Long Does It Take?

2-4 hours of surgery

Common Reasons Doctors Order This

Loosened hip implant, worn-out hip replacement, hip implant dislocation, infection of hip replacement

How to Prepare

Follow all pre-operative instructions. Fast after midnight. This recovery may be longer than your original hip replacement.

Procedures Commonly Done Together

These procedures are frequently performed alongside Revise hip joint replacement

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How to Reduce Your Cost for Revise hip joint 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.

29.52
Work RVU
14.96
Practice Expense RVU
6.28
Malpractice RVU
50.76
Total RVU

Payment = Total RVU (50.76) x CF ($33.40) = $1,695

Frequently Asked Questions

How much does Revise hip joint replacement cost?

The Medicare facility rate for Revise hip joint replacement is $1,695. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Revise hip joint replacement cost without insurance?

Without insurance, the cost of Revise hip joint 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 Revise hip joint replacement?

Most commercial health insurance plans and Medicare cover Revise hip joint 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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