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How much does joint surgery cost?

A new Medibank and Royal Australasian College of Surgeons report sheds light on the cost of hip and knee surgery.

Knee and hip replacement costs

Medibank has teamed up with the Royal Australasian College of Surgeons (RACS) to release the latest data on variations in cost, out-of-pockets and rates of hospital readmission for common orthopaedic procedures.

How much does a hip replacement cost?

The Surgical Variance Report – Orthopaedic revealed that in 2014-15 and 2015-16:

  • The average separation cost (the total cost of the surgery and hospital stay) varied between $19,439 and $42,007 depending on the surgeon.
  • 9,947 hip replacements were funded by Medibank in private hospitals.
  • The average out-of-pocket charged by a surgeon varied between $0 and $5,567, with the average out-of-pocket charged by a surgeon in NSW at $2,673 and the average out-of-pocket charged by a surgeon in Victoria at $1,997. The lowest average out-of-pocket charge from a surgeon by state is in South Australia ($556).

 

How much does a knee replacement cost?

The Surgical Variance Report revealed that in 2014-15 and 2015-16:

  • The average separation cost (the total cost of the surgery and hospital stay) varied between $17,797 and $30,285 depending on the surgeon.
  • 13,807 knee replacements were funded by Medibank in private hospitals.
  • The average out-of-pocket charged by a surgeon varied between $0 and $5,137, with the average out-of-pocket charged by a surgeon in NSW at $2,499 and the average out-of-pocket charged by a surgeon in Victoria at $1,609. The lowest average out-of-pocket charge from a surgeon by state is in South Australia ($397).

How much does Knee cruciate ligament (ACL) repair procedures cost?

The Surgical Variance Report revealed that in 2014-15 and 2015-16:

  • 4,214 knee cruciate ligament (ACL) repair procedures were funded by Medibank in private hospitals.
  • The average separation cost (the total cost of the surgery and hospital stay) varied between $5,076 and $13,950 depending on the surgeon.
  • The average out-of-pocket charged by a surgeon varied between $0 and $2,907, with the average surgeon out-of-pocket in NSW at $2,248 and the average surgeon out-of-pocket in Victoria at $1,671. The lowest average out-of-pocket charge from a surgeon by state is in South Australia ($415).

Medibank Chief Medical Officer Dr Linda Swan said Medibank is committed to improving transparency as a way to improve healthcare outcomes, affordability and experience, and the partnership with RACS is vital to interpreting Medibank’s data.

“From this latest data, we can see there’s a lot of variability in out-of-pocket costs charged by surgeons depending on where you live, which may be the result of factors beyond just the complexity of the surgery or patient.”

“It’s important that patients know to ask their specialist about out-of-pocket costs if they have concerns,” Dr Swan said.


READ MORE about going to hospital and understanding hospital costs


 

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