Total Hip Replacement Cost in Hawaii
Total hip arthroplasty
$14,279Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre 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
Hawaii Medicare physician rate (2026)
+1.5% vs nationalSingle statewide locality.
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 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 Hawaii
Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.
What total hip replacement costs at hospitals near you
Everything above is a national average. The hospital you pick in Hawaii 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.
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 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 Hawaii
Where Hawaii ranks for this CPT
Total Hip Replacement and how Hawaii is priced
Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.
Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.
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?
Other featured procedures in Hawaii
Total Hip Replacement in other states
Total Hip Replacement in Hawaii: questions
Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 27130 is $1,179.27 in an office and $1,179.27 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Hawaii 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 $236 for the office physician line or $236 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.
No. $1,179.27 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. Hawaii ranks #39 of 51 states on the physician line (within 2% of the national office rate of $1,162.02).