How much does hip replacement surgery cost and is it covered by insurance? 

Hip Replacement Surgery

How much does hip replacement surgery cost and is it covered by insurance? , Knee and Shoulder InstituteHip replacement surgery is a major procedure, which should only be performed a qualified and experienced surgeon. At the time of initial consultation, the surgeon will explain all aspects of the hip replacement surgery, and inform you about the estimated costs.  

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides hip replacement surgery to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.  

Insurance Coverage 

Hip replacement surgery is usually covered under most health plans, including Medicaid and Medicare. If this surgery is covered under your insurance plan, your surgeon and their staff will help establish that the procedure is a medical necessity for you. It is best to speak to your insurer and ask about your coverage.  

You should check whether your policy covers only specific types of hip implants. Find out from your insurer if you require pre-authorization or any other documentation.  

Expenses Covered under Insurance 

Health insurance policies typically cover the following costs for hip replacement surgery:  

  • Appointment with the orthopedic surgeon  
  • Additional pre-surgery appointments  
  • Lab tests and other diagnostic evaluations  
  • Surgery costs, including the surgeon’s fee, anesthesia costs, operating room expenses, and hip implant costs  
  • Post-surgical hospitalization  
  • Post-op recovery preparation at home, including safety bars and any other necessary medical equipment  
  • Physical therapy and rehab appointments  

It is important to understand any limits on your insurance coverage, so that you have a clear idea of how much of the cost will be covered.  

Out-of-Pocket Expenses 

Your out-of-pocket costs related to your hip replacement surgery will depend on the terms of your insurance policy. Even if hip replacement is covered under your policy, you may have to pay a certain part of the cost on your own.  

Speak to your insurer about your costs, including deductibles, co-pays, and co-insurance that are related to your surgery. Supplement insurance might be able to save you a significant amount. You could also be eligible to apply health savings account (HAS), flexible spending account (FSA) and health reimbursement account (HRA) funds to any out-of-pocket costs.  

Costs without Insurance Coverage 

If your health plan does not cover hip replacement surgery or you do not have insurance coverage, you should discuss the costs during the initial consultation with your orthopedic surgeon. Hip replacement costs can vary from one practice to another and even from one patient to another depending on several factors.  

The skill and experience of the operating surgeon, the kind of facilities and services they are able to provide, and the quality of the hospital or surgery center where the procedure is performed will make a difference to the overall costs. Make sure that while choosing an orthopedic surgeon, you do not automatically go with the one that offers the lowest cost.  

Carefully consider the surgeon’s expertise, experience and whether they are board certified in orthopedic surgery. These aspects will make a critical difference to your final resultsBoard certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for hip replacement surgery. 

For More Information

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

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9499 West Charleston, Suite 200
Las Vegas, NV 89117