CPT 27130 Procedures

Total Hip Replacement

What should this cost?

Medicare Pays

$1300

National benchmark

Typical Range

$15000–$50000

What hospitals charge

Markup

25×

Above Medicare rate

What this code means on your bill

Major surgery to replace a damaged hip joint with an artificial joint.

Commonly billed for

Severe hip arthritis, hip fracture, avascular necrosis

What to watch for

Upcoding

If your visit seemed straightforward but you see a high-level code, the provider may have billed for a more complex service than what was performed. Compare the code level to the time you actually spent with the doctor.

Duplicate charges

Check if this code appears more than once on the same date of service. Unless you had the same procedure performed twice (rare), a duplicate is likely a billing error.

Price check

If you're being charged more than 60,000 for this service, it's significantly above the typical range. Request an itemized bill and compare against the Medicare rate of $1300.

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