Total Hip Replacement Cost in Maryland
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
Maryland Medicare physician rate (2026)
+3.0% vs nationalAverage of 2 localities. Office range $1,161.97–$1,232.65.
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 Maryland
A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
What total hip replacement costs at hospitals near you
Everything above is a national average. The hospital you pick in Maryland 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 Maryland
Where Maryland ranks for this CPT
CPT 27130 by Maryland locality
| Locality | Office |
|---|---|
| baltimore/surr. cntys | $1,232.65 |
| rest of maryland | $1,161.97 |
PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.
Total Hip Replacement and how Maryland is priced
Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.
Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.
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 Maryland
Total Hip Replacement in other states
Total Hip Replacement in Maryland: questions
The 2026 Medicare physician office rate for CPT 27130 averages $1,197.31 across 2 Maryland localities, from $1,161.97 in REST OF MARYLAND to $1,232.65 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $1,197.31. Enter a ZIP for the exact locality.
Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $70.68 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $239 for the office physician line or $239 for the hospital physician line in Maryland. Medigap may cover that 20%. This is not the hospital facility fee.
No. $1,197.31 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. Maryland ranks #42 of 51 states on the physician line (3% above the national office rate of $1,162.02).