CPT27130

Total Hip Replacement Cost in Louisiana

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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Louisiana Medicare physician rate (2026)

-2.4% vs national

Average of 2 localities. Office range $1,111.66–$1,157.50.

Louisiana (Hospital)
$1,134.58
Facility physician fee
Private plan est.
$1,475–$2,269
~130–200% of Medicare
Cash / self-pay est.
$908–$1,702
~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 Louisiana

Check your ZIP code to see whether New Orleans locality pricing or rest-of-state pricing applies, from the metro area to Baton Rouge, Lafayette, Shreveport, and the rural parishes.

What total hip replacement costs at hospitals near you

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

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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 Louisiana

National office$1,162.02
National hospital (physician)$1,162.02
Louisiana vs national2% below the national office rate of $1,162.02

Where Louisiana ranks for this CPT

Rank (lowest physician fee first)#26 of 51
Lowest stateArkansas ($1,041.64)
Highest stateAlaska ($1,445.67)

CPT 27130 by Louisiana locality

LocalityOffice
new orleans$1,157.50
rest of louisiana$1,111.66

PE GPCI ranges from 0.885 to 0.941 in Louisiana. That index is why the same CPT is not one price statewide.

Total Hip Replacement and how Louisiana is priced

Louisiana is one of the states CMS splits: the New Orleans area has its own payment locality, and the rest of the state, including Baton Rouge, Shreveport, and Lafayette, shares a second. New Orleans carries somewhat higher geographic adjustments, so identical procedures are approved at higher amounts there than elsewhere in the state. The two-locality structure has been stable for years and mirrors the metro's higher wage and rent levels. Everywhere outside greater New Orleans prices off the same rest-of-state factors.

New Orleans remains the state's medical center of gravity, with academic medicine and the deepest specialist bench, while Baton Rouge, Shreveport, Lafayette, and Lake Charles anchor their own regions. Rural parishes, especially in the north and along the coast, have limited hospital capacity and refer heavily into the cities. Louisiana's high rates of chronic disease keep demand for procedures strong across the state.

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 Louisiana: questions

The 2026 Medicare physician office rate for CPT 27130 averages $1,134.58 across 2 Louisiana localities, from $1,111.66 in REST OF LOUISIANA to $1,157.50 in NEW ORLEANS. The hospital physician rate averages $1,134.58. Enter a ZIP for the exact locality.

Yes. CMS splits Louisiana into 2 payment localities. For this CPT the office physician fee spans $45.84 from the lowest to highest locality. Check your ZIP code to see whether New Orleans locality pricing or rest-of-state pricing applies, from the metro area to Baton Rouge, Lafayette, Shreveport, and the rural parishes.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $227 for the office physician line or $227 for the hospital physician line in Louisiana. Medigap may cover that 20%. This is not the hospital facility fee.

No. $1,134.58 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. Louisiana ranks #26 of 51 states on the physician line (2% 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.