CPT27130

Total Hip Replacement Cost in Oregon

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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Oregon Medicare physician rate (2026)

-1.0% vs national

Average of 2 localities. Office range $1,120.29–$1,180.72.

Oregon (Hospital)
$1,150.51
Facility physician fee
Private plan est.
$1,496–$2,301
~130–200% of Medicare
Cash / self-pay est.
$920–$1,726
~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 Oregon

Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.

What total hip replacement costs at hospitals near you

Everything above is a national average. The hospital you pick in Oregon 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 Oregon

National office$1,162.02
National hospital (physician)$1,162.02
Oregon vs nationalwithin 2% of the national office rate of $1,162.02

Where Oregon ranks for this CPT

Rank (lowest physician fee first)#30 of 51
Lowest stateArkansas ($1,041.64)
Highest stateAlaska ($1,445.67)

CPT 27130 by Oregon locality

LocalityOffice
portland$1,180.72
rest of oregon$1,120.29

PE GPCI ranges from 0.996 to 1.111 in Oregon. That index is why the same CPT is not one price statewide.

Total Hip Replacement and how Oregon is priced

Oregon splits into a Portland metro locality and a rest-of-state locality, so the fee schedule prices the Willamette Valley's biggest market above Eugene, Bend, Medford, and the rural east. Portland's higher wages and office costs justify the premium, while the rest-of-state locality covers everything from the coast to the high desert at lower adjustments. The two-tier structure means an identical procedure is approved at different amounts on either side of the metro boundary. Oregon's overall indices sit somewhat above the national midpoint, led by the Portland side.

Portland concentrates the state's academic medicine and subspecialty care, drawing patients from all of Oregon and southwest Washington. Bend has grown into a notable central Oregon hub, and Medford serves the southern counties, but the eastern two thirds of the state remains sparsely served, with some residents closer to Boise than to Portland. Coastal communities also face limited local procedure options.

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 Oregon: questions

The 2026 Medicare physician office rate for CPT 27130 averages $1,150.51 across 2 Oregon localities, from $1,120.29 in REST OF OREGON to $1,180.72 in PORTLAND. The hospital physician rate averages $1,150.51. Enter a ZIP for the exact locality.

Yes. CMS splits Oregon into 2 payment localities. For this CPT the office physician fee spans $60.43 from the lowest to highest locality. Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $230 for the office physician line or $230 for the hospital physician line in Oregon. Medigap may cover that 20%. This is not the hospital facility fee.

No. $1,150.51 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. Oregon ranks #30 of 51 states on the physician line (within 2% of 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.