How much does a hip replacement cost?

Surgical replacement of a damaged hip joint with an artificial (prosthetic) hip joint.

Hospital cover

Procedure costs

Specialists & hospitals

Preparing for hospital

Planning your recovery

A hip replacement costs approximately: $24,092 - $29,208

These are approximate costs~ based on claims data by Medibank members with eligible+ hospital cover for a hospital admission at a Medibank Members' Choice Hospitals. They don’t include doctors’ fees and outpatient appointments where you aren’t admitted into hospital.

The chart below shows how costs are typically split between Medibank, Medicare and your out-of-pocket costs:

* Excess is based on your policy and varies from $0 - {{excess_max_cost}}. Some policies may have a Per-Day Payment arrangement. Medibank members can check their cover inclusions in their Cover Summary in My Medibank or call 132 331 to discuss their cover.

^~ This graph was compiled using the median figure for Medibank cost, Medicare cost, Excess, and out-of-pocket costs based on data for eligible⁺ members.

⁺The above costs for a hip replacement reflect MBS item number 49315, 49321, 49318. Medibank pays benefits towards in-hospital medical services based on the MBS.

For Medibank to pay benefits towards this procedure, your hospital cover will need to include Joint Replacements as an Included or Restricted service. For Included services, we pay benefits towards the treatment, but you may still have some out-of-pocket costs. For Restricted services, we pay the minimum amount set by the government, which can mean higher out-of-pocket costs. You must also have served the relevant waiting period(s). Ask your specialist for the MBS item numbers that apply for your treatment. 

Important information

This is not a quote and should be used as a guide only. The graph above shows a median view of costs for procedures (according to Medicare Benefits Schedule (MBS) item numbers, Adjacent Diagnostic Related Groups (DRGs) or International Classification of Diseases (ICD)) undertaken by Medibank members with eligible hospital cover for a hospital admission at a Medibank Members’ Choice hospital, who have served the relevant waiting period claims, data received electronically (between 1/07/2023 and 30/6/2024) for Australian residents.

Typical procedure cost is based on the middle half of claims data.

Out-of-pocket costs and how to reduce them

Whether you’ll pay any out-of-pocket costs depends on whether your treatment is Included, Restricted, or Excluded under your hospital cover.

When there are out-of-pocket medical costs, they’re typically due to charges for:

Ask us about our No Gap Joint Replacement program

Eligible Medibank members with hospital cover¹ could pay no out-of-pocket costs² for included treatments and medical services as part of a hospital admission³ for elective surgery for a knee or hip replacement with participating surgeons at participating hospitals.

Find out more

Ask your specialist/s if they’ll participate in GapCover for your procedure

The GapCover scheme is designed to help reduce or eliminate gap payments. Each specialist involved in your care (for example, your surgeon and your anaesthetist) can choose whether to use GapCover for your procedure, so ask your specialist/s about GapCover before you book your procedure.

Consider if a Members’ Choice hospital is right for you

You can generally get better value at a Members’ Choice hospital than a non-Members’ Choice hospital. We have arrangements with most private hospitals and day surgeries in Australia.

Check your cover

Get a personalised assessment on your upcoming hospital visit based on your admission details and what’s included in your cover by completing a hospital eligbility check. You’ll need the Medicare Benefits Schedule (MBS) item codes from your specialist.

Don't have your codes? You can still check which procedures we pay benefits towards by viewing your cover summary in My Medibank.

Check my hospital eligibility

View my cover summary

Rehab at Home

After surgery a period of rehabilitation may be required to help you recover and optimise your health and independence. Instead of remaining in hospital for rehab, members with eligible hospital cover could receive this treatment in the comfort their own home, where clinically appropriate.⁴

Find out more

Now that you’ve covered

☑ Understanding hospital cover

☑ Out-of-pocket costs

☑ Procedure costs

Looking for something else?

Find more tools and information to support your hospital stay, from planning through to recovery.

Back to Going to hospital

Things you need to know

¹ Must have hospital cover with Joint Replacements listed as Included. Must have served the relevant waiting period.

²An excess or per-day payment may still be payable, depending on the product a member has chosen and whether they are claiming under their hospital cover for the first time in a calendar year. The Medibank Member Guide and Fund Rules set out hospital benefit exclusions, which apply to all hospital admissions for Medibank members. There may be out-of-pocket costs associated with outpatient appointments, such as your initial visit with a participating surgeon in their consulting rooms.

³ Excludes joint replacements resulting from an emergency admission.

⁴ Must hold residential hospital cover that includes Rehabilitation as an Included or Restricted service and have served the relevant waiting period. Admission into Rehab at Home is determined by your treating doctor during your hospital admission and is also subject to other eligibility requirements. Depending on the hospital where you receive treatment, you may need a referral from your doctor or member of the hospital care team. Providers are not located in all areas and may change without notice. Out-of-pocket costs may apply depending on your level of cover, such as hospital excess or per day payments.

While we hope you find this information helpful, please note that it is general in nature. It is not health advice, and is not tailored to meet your individual health needs. You should always consult a trusted health professional before making decisions about your health care. While we have prepared the information carefully, we can’t guarantee that it is accurate, complete or up-to-date. And while we may mention goods or services provided by others, we aren’t specifically endorsing them and can’t accept responsibility for them. For these reasons we are unable to accept responsibility for any loss that may be sustained from acting on this information (subject to applicable consumer guarantees).