Hip replacement surgery is one of the most common surgical procedures performed on Medicare recipients. We give a detailed breakdown of the coverage below. Learn about whats covered, whats excluded and how much your Medicare costs could be. Does Medicare cover outpatient hip replacement? Does Medicare Cover Hip Replacement? The purpose of this communication is the solicitation of insurance. Each year, approximately 300,000 patients have hip replacement surgery. Depending on your plan, you may need to meet a deductible before insurance covers the rest (or part) of the fees. Does Medicare cover hip replacements? The type of replacement you receive depends on the doctors recommendation and your general health. *Disclaimer: SCAN Health Plan is only available in select counties in the state of California. This is done to: The new parts, typically made of stainless steel or titanium, replace the original hip joint surfaces. Medicare Advantage plans (Medicare Part C) can also cover hip replacement. It will use four age categories: less than 65, 65 to 74, 75 to 84 and 85 or more. The price of hip replacement surgery can vary by provider, and your out-of-pocket responsibilities can differ based on how you receive your Medicare benefits. The answer to how much Medicare pays for hip replacement surgery will depend on whether it is medically necessary and what types of coverage you have. Even if you dont have health insurance, you can get a discount from some clinics. The surgery can cost between $30,000 and $40,000, but Medicare can help cover some of the costs. I also agree that I am not required to submit this form or agree to these terms as a condition to receive any property, goods, or services that may be offered, and that I may revoke my consent at any time using reasonable means, including by calling 855-781-8801or emailing revokeconsent@medicarehealthbenefits.com. He doesnt go to the hospital right away because the bruising around his hip looks like one of his routine injuries. We avoid using tertiary references. Hip replacement surgery will fall under Medicare Part B, which covers 80% of your medical costs. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. (2016, February 26). You will be responsible for the remaining 20% of medical care you receive outside of the hospital. First performed in 1960, hip replacement is one of the most successful surgeries in medicine. You'll be responsible for the remaining 20% and other cost-sharing. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. A total hip replacement typically costs between $23,203 and $74,000. To find out how much your hip replacement willcost, talk to your doctor. Medicare part A usually pays 100% percent of the remaining costs after a person meets the deductibles and premium. Submission of this form is subject to Healthgrades, Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion).