CPT27130

Total Hip Replacement Cost in Arizona

Total hip arthroplasty

$14,279Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Arizona Medicare physician rate (2026)

-2.7% vs national

Single statewide locality.

Arizona (Hospital)
$1,130.50
Facility physician fee
Private plan est.
$1,470–$2,261
~130–200% of Medicare
Cash / self-pay est.
$904–$1,696
~80–150% of Medicare

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.

Surgery centre, total
$10,776
$1,162 physician + $9,614 facility
Physician fee alone
$1,162
Only 8% of the hospital total

Choosing a surgery centre over a hospital saves about $3,503 on the Medicare allowed amount for total hip replacement. Ask whether your procedure can be done at an ambulatory surgery centre.

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.

Your ZIP in Arizona

Check your ZIP code for local figures across Arizona, from metro Phoenix and Tucson to Flagstaff, Yuma, Prescott, and the rural stretches of the north and southeast.

What total hip replacement costs at hospitals near you

Everything above is a national average. The hospital you pick in Arizona moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 centre 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.

National vs Arizona

National office$1,162.02
National hospital (physician)$1,162.02
Arizona vs national3% below the national office rate of $1,162.02

Where Arizona ranks for this CPT

Rank (lowest physician fee first)#25 of 51
Lowest stateArkansas ($1,041.64)
Highest stateAlaska ($1,445.67)

Total Hip Replacement and how Arizona is priced

CMS prices all of Arizona through one statewide locality, so Phoenix, Tucson, and the rural counties share a single set of geographic adjustment factors. The state's indices land close to the national average, which makes Arizona a useful benchmark when comparing procedure prices across the country. Because the locality is statewide, the rapid growth of metro Phoenix does not by itself change what Medicare approves there relative to Flagstaff or Yuma. Differences patients notice tend to come from the billing setting and local market conditions, not from the fee schedule.

Arizona has one of the largest Medicare populations in the country thanks to decades of retiree migration, and its winter snowbird influx means demand for care swings by season. Phoenix and Tucson offer deep specialist markets, while much of northern and southeastern Arizona relies on smaller hospitals and long drives for advanced care. Competition among large systems in the Valley gives Phoenix-area patients more room to shop than most rural residents have.

This procedure: Total hip replacement removes a worn or damaged hip joint, usually destroyed by arthritis, and replaces it with a metal, ceramic, and plastic implant. It is one of the most successful operations in medicine for relieving pain and restoring walking. The surgery takes one to two hours under general or spinal anesthesia; many patients now go home the same day or after one night, then spend several weeks in physical therapy.

What Is Total Hip Replacement?

Total hip replacement removes a worn or damaged hip joint, usually destroyed by arthritis, and replaces it with a metal, ceramic, and plastic implant. It is one of the most successful operations in medicine for relieving pain and restoring walking. The surgery takes one to two hours under general or spinal anesthesia; many patients now go home the same day or after one night, then spend several weeks in physical therapy.

What Affects the Cost

  • The implant itself is a major cost component, and prices vary widely between manufacturers and hospitals.
  • Same-day discharge at an ambulatory surgery center can cost dramatically less than an inpatient hospital stay.
  • Post-operative physical therapy, whether at home, outpatient, or in a rehab facility, is a significant separate expense over weeks.
  • The anesthesia team bills by time, and spinal versus general anesthesia can affect both cost and recovery.
  • Pre-surgical clearance testing, such as labs, an ECG, and imaging, generates its own set of charges.
  • Robotic-assisted or computer-navigated surgery may carry additional facility charges at some hospitals.

Questions to Ask Before Booking

  • 1.Am I a candidate for same-day or outpatient surgery, and how much would that reduce the facility charge?
  • 2.What implant brand do you use, and does my choice affect what I pay?
  • 3.Has prior authorization been approved, including documentation of the conservative care I already tried?
  • 4.What will physical therapy cost after surgery, and how many visits does my plan cover?
  • 5.Does my insurer have a designated joint replacement center with lower out-of-pocket costs?

Total Hip Replacement in Arizona: questions

Arizona is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 27130 is $1,130.50 in an office and $1,130.50 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Arizona uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $226 for the office physician line or $226 for the hospital physician line in Arizona. Medigap may cover that 20%. This is not the hospital facility fee.

No. $1,130.50 is only the physician's share. Adding Medicare's facility payment brings the total to about $14,279 in a hospital outpatient department, or about $10,776 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Arizona ranks #25 of 51 states on the physician line (3% below the national office rate of $1,162.02).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.