Hip replacement: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $1,162.02 in an office (non-facility) setting and $1,162.02 in a facility setting for 27130. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Procedure · Updated Aug 1, 2026

Hip replacement: CPT code and Medicare rate

Total hip arthroplasty, done for advanced hip arthritis or a failed hip that has not responded to non-surgical treatment.

Also called: total hip replacement, hip arthroplasty, thr, new hip.

Usually billed as

27130 Total Hip Replacement

Office (non-facility): $1,162.02
Facility: $1,162.02

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs — open the code page for the locality breakdown.

Common questions

Hip replacement: which code is it?: 27130 — Total Hip Replacement. Total hip arthroplasty, done for advanced hip arthritis or a failed hip that has not responded to non-surgical treatment.
Hip replacement: how much does Medicare pay?: Nationally, the Q3 2026 Physician Fee Schedule pays $1,162.02 in an office (non-facility) setting and $1,162.02 in a facility setting for 27130. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

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This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim — the correct code always depends on what was actually documented and performed.

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