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How Much Does Hip Replacement Cost in Texas (2026)

3 verified sources|Last verified 2026-03-30

What you need to know

Hip replacement surgery in Texas costs between $12,000 and $75,000+ depending on your insurance status, the facility you choose, and the type of implant used. With insurance, most patients pay $2,000-$8,000 out of pocket after meeting their deductible and coinsurance. Without insurance, the full cost — surgeon, facility, implant, anesthesia, and post-operative care — ranges from $25,000 to $75,000+.

Texas has over 400 hospitals and surgery centers that perform total hip arthroplasty, and prices vary dramatically even within the same city. A 2025 analysis of Texas hospital charge data shows that the same procedure can cost $20,000 at one facility and $60,000 at another facility 10 miles away. This price transparency gap is exactly why tools like this exist — you deserve to know what you'll pay before you commit.

The procedure itself takes 1-2 hours, with a hospital stay of 1-3 days for traditional surgery or same-day discharge for outpatient approaches. Recovery takes 3-6 months, with physical therapy (2-3 sessions per week) as the critical factor in outcomes. Most patients return to normal activities within 6 weeks and full activity within 3-6 months.

Medicare covers hip replacement for patients 65+ under Part A (hospital) and Part B (surgeon), with typical out-of-pocket costs of $4,000-$10,000 depending on your supplemental coverage. If you're managing medical costs alongside housing expenses, our home affordability calculator can help you plan your overall budget. For comparing the financial impact of delaying surgery, consider the cost of ongoing pain management, physical limitations, and reduced quality of life.

How hip replacement costs break down in Texas

A total hip replacement has four major cost components. Each varies significantly based on your insurance status and the facility you choose.

**Surgeon fees: $4,000-$12,000.** The orthopedic surgeon's fee covers the procedure itself, pre-operative planning, and follow-up visits. Board-certified surgeons in Houston and Dallas charge $8,000-$12,000, while surgeons in smaller Texas cities charge $4,000-$7,000.

**Facility fees: $15,000-$50,000.** The hospital or surgery center charges for the operating room, anesthesia, nursing care, and the hospital stay (typically 1-3 days). Outpatient surgery centers charge $15,000-$25,000, while inpatient hospital stays run $30,000-$50,000+.

**Implant costs: $3,000-$12,000.** The prosthetic hip joint itself varies widely by type — standard polyethylene-on-metal implants cost $3,000-$5,000, while ceramic or custom implants cost $8,000-$12,000. Your surgeon recommends the implant type based on your age, activity level, and anatomy.

**Post-operative care: $2,000-$8,000.** Physical therapy (2-3 months, 2-3 sessions per week), medications, assistive devices (walker, raised toilet seat), and follow-up imaging. Insurance typically covers most physical therapy with a copay.

**Pre-operative costs: $500-$2,000.** Before surgery, you'll need a physical exam, blood work, cardiac clearance (for patients over 50), and imaging (X-rays, possibly MRI). Most insurance plans cover these at standard office visit copays ($20-$50 per visit), but out-of-network providers or additional testing can add up. Pre-operative physical therapy (prehab) is increasingly recommended — 4-6 sessions that strengthen the muscles around the hip to improve surgical outcomes and speed recovery.

What affects your hip replacement cost

Four factors determine where your cost falls in the $12,000-$75,000+ range.

**1. Insurance status.** This is the single biggest factor. With employer insurance, your out-of-pocket cost is typically $2,000-$8,000 (deductible + coinsurance up to your out-of-pocket maximum). Medicare covers 80% after the deductible, leaving you with $4,000-$10,000. Without insurance, the full cost is $25,000-$75,000+.

**2. Facility type.** Outpatient ambulatory surgery centers charge 40-60% less than inpatient hospitals for the same procedure. If you're healthy enough for same-day surgery, choosing an ASC can save $15,000-$25,000. See our home affordability calculator for managing large medical expenses alongside housing costs. Our rent vs buy calculator can also help if you're considering relocating for a more accessible home during recovery.

**3. Geographic location within Texas.** Houston and Dallas facilities charge premium rates. The same procedure in San Antonio, Austin, or smaller cities can cost 20-30% less. Medical tourism within Texas is a real cost-saving strategy.

**4. Implant selection.** Standard implants last 15-20 years and cost $3,000-$5,000. Ceramic-on-ceramic implants last 25+ years and cost $8,000-$12,000. For patients under 60, the longer-lasting implant may be more cost-effective over a lifetime.

Ways to reduce your hip replacement cost

These strategies can save $5,000-$20,000 on your total hip replacement cost.

**Compare facility prices.** Texas hospitals are required to publish their standard charges online. Compare prices for CPT code 27130 (total hip arthroplasty) across facilities in your area. Price differences of 50-100% for the same procedure are common.

**Ask about bundled pricing.** Many Texas surgery centers offer all-inclusive package prices that cover the surgeon, facility, anesthesia, and implant in one price. Bundled prices are typically 30-40% lower than itemized billing.

**Maximize your insurance benefits.** Schedule surgery early in the calendar year after meeting your deductible (from other medical visits). If you haven't met your deductible, consider scheduling necessary pre-operative tests to count toward it.

**Consider outpatient surgery.** If your surgeon and insurance approve, same-day hip replacement at an ambulatory surgery center saves $15,000-$25,000 compared to a 2-3 day hospital stay. Recovery outcomes are comparable for healthy patients under 75 with no significant comorbidities. Learn more about how we verify our medical cost data.

**Negotiate your bill.** Even with insurance, you can often negotiate a 10-20% reduction on your out-of-pocket costs by asking the hospital's billing department for a prompt-pay discount or a payment plan with no interest. Learn more about how we verify our medical cost data.

**Time your surgery strategically.** If you've already met your annual insurance deductible from other medical expenses, scheduling hip replacement in the same calendar year means lower out-of-pocket costs. Conversely, if your surgery is early in the year, the deductible payment counts toward the full year's out-of-pocket maximum.

State-specific note

Texas has no state-mandated health insurance requirements beyond federal law, and insurance coverage varies widely. Texas has 420+ hospitals performing hip replacement, and the same procedure can cost 2-3x more at one facility vs. another in the same metro area. The Texas Department of State Health Services publishes hospital discharge data that can help patients compare facility costs.

How we calculate this

This calculator estimates total hip replacement costs in Texas by combining four components: surgeon fees, facility fees, implant costs, and post-operative care. Cost estimates are sourced from CMS Medicare reimbursement data for CPT code 27130 (total hip arthroplasty), adjusted for geographic practice cost indices (GPCI) specific to Texas metro and rural areas.

Insurance out-of-pocket estimates are calculated using average deductible ($2,000-$4,000), coinsurance (20% after deductible), and out-of-pocket maximum ($6,000-$8,000) data from Kaiser Family Foundation employer benefit surveys. Medicare estimates use the standard Part A deductible ($1,632 for 2026) plus 20% Part B coinsurance on surgeon fees.

Uninsured costs reflect hospital chargemaster rates, which are typically 2-3x higher than Medicare reimbursement rates. The calculator applies range multipliers to account for facility type (outpatient ASC vs inpatient hospital), implant selection (standard vs ceramic), and geographic variation within Texas.

Key takeaways

  • With private insurance, most Texas patients pay $4,000-10,000 out-of-pocket for hip replacement after deductibles and coinsurance.
  • Medicare covers hip replacement under Part A and Part B, leaving typical out-of-pocket costs of $1,500-3,500.
  • Uninsured patients face $25,000-45,000 in total costs, but most hospitals offer self-pay discounts of 30-50% — always ask.
  • Outpatient hip replacement at ambulatory surgery centers can cost 30-50% less than inpatient hospital stays, with comparable outcomes for appropriate candidates.
  • Rehabilitation is a significant cost component — physical therapy typically runs $1,500-9,000 depending on whether you need minimal, standard, or extensive rehab.
Step 1 of 3

Insurance is the biggest factor in your out-of-pocket cost

Insurance is the biggest factor in your out-of-pocket cost for hip replacement.

Insurance status

Private insurance typically covers 70-80% after deductible. Medicare Part A covers hospital stays; Part B covers the surgeon.

Frequently Asked Questions

How much does hip replacement cost in Texas without insurance?
Without insurance, hip replacement in Texas typically costs $25,000-45,000 for the full procedure. This includes the surgeon's fee ($5,000-8,000), anesthesia ($2,000-4,000), hospital facility fee ($15,000-25,000), and the implant ($3,000-12,000). Self-pay patients should always ask for the hospital's self-pay or cash discount — most Texas hospitals offer 30-50% off billed charges for upfront payment. Most plans also cover physical therapy with a $20-$50 copay per session, though some limit the number of covered sessions per year.
How much does hip replacement cost with insurance in Texas?
With private insurance, your out-of-pocket cost for hip replacement in Texas is typically $4,000-10,000. This includes your annual deductible ($1,500-3,000 for most plans), plus 20-30% coinsurance on the remaining balance up to your out-of-pocket maximum. Many plans have an out-of-pocket max of $6,000-8,000 for in-network care, which effectively caps your total cost.
Does Medicare cover hip replacement?
Yes. Medicare covers hip replacement as a medically necessary procedure. Part A covers the hospital stay, and Part B covers the surgeon's fee and outpatient services. Your out-of-pocket costs include the Part A deductible ($1,632 in 2026), plus 20% coinsurance on Part B services. Total out-of-pocket for Medicare patients is typically $1,500-3,500. Medigap (supplemental insurance) can cover most or all of these costs.
How long is recovery from hip replacement?
Most patients can walk with assistance the same day as surgery. Typical recovery milestones: walking without a walker (2-4 weeks), driving (4-6 weeks), return to desk work (4-6 weeks), full recovery (3-6 months). Physical therapy is critical — most patients do PT 2-3 times per week for 6-8 weeks. About 90% of patients report significant pain relief within 3 months.
Is outpatient hip replacement safe?
Yes, for appropriate candidates. About 30% of hip replacements in Texas are now performed as outpatient (same-day) procedures. Candidates are typically under 75, at a healthy weight, have no major medical conditions, and have a caregiver at home. Studies show outpatient hip replacement has comparable outcomes and lower infection rates than inpatient, while costing 30-50% less in facility fees.

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