Revise hip joint replacement Cost
$14,812Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a revise hip joint replacement costs about $14,812 in total at a hospital outpatient department or about $11,021 at an ambulatory surgery center, counting both the physician and the facility. The physician's own fee is about $1,695 of that, and a ZIP code adjusts every figure to your area.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery center over a hospital saves about $3,791 on the Medicare allowed amount for revise hip joint replacement. Ask whether your procedure can be done at an ambulatory surgery center.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough: no account, no insurance card.
What revise hip joint replacement costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 90001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
How CMS prices CPT 27134
Work is about 58% of the office total RVU; practice expense is about 29%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $1,695.43. Hospital (facility) physician rate: $1,695.43.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible, about $339 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
This code is in the search tool
CPT 27134 is a payable line in the 2026 fee schedule. We write longer explainers only for the 66 featured procedures people look up most. The RVUs and ZIP math above are still the official CMS figures for this code.
Revise hip joint replacement (CPT 27134): questions
Under 2026 Medicare rates, a revise hip joint replacement costs about $14,812 in total at a hospital outpatient department or about $11,021 at an ambulatory surgery center, counting both the physician and the facility. The physician's own fee is about $1,695 of that, and a ZIP code adjusts every figure to your area.
For CPT 27134 the office and hospital physician rates are essentially the same ($1,695.43). The hospital will still usually add a separate facility fee that this page does not show.
CPT 27134 is the Medicare billing code for “Revise hip joint replacement.” The fee schedule assigns work RVU 29.52, office practice-expense RVU 14.96, and malpractice RVU 6.28.
Not on its own. $1,695.43 is the physician allowed amount in a facility. Medicare also pays the facility, which takes the total to about $14,812 in a hospital outpatient department or about $11,021 at an ambulatory surgery center. Anesthesia, pathology and imaging interpretation billed under other codes are separate again. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.