Elbow replacement Cost by Hospital

Elbow replacement is a surgical procedure. Prices are from 1087 US hospitals across 50 states, from their machine-readable files.

$7,376median cash price · 1087 hospitals, 50 statestypically $1,738–$34,412 depending on the hospital
≈ 5.7× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$8,962
Cash / self-pay
$7,376
Insurer-negotiated
$15,362
Medicare pays
$1,301
$1,738$34,412
Median cash $7,376  ·  Medicare $1,301  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $7,376 — about 5.7× the Medicare rate ($1,301). High vs Medicare. A fair cash price is usually within ~2× Medicare ($2,601).

💡 Asking for the cash price instead of the $8,962 list price could save about $1,586 (18%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
O'connor Hospital Delhi, NY $1,134 $1,528 — 95 min —
Little Falls Hospital Little Falls, NY $1,134 $1,264 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $1,134 $1,438 ★ 4/5 111 min —
Livingston Hospital and Healthcare Services, Inc Salem, KY $1,409 $1,281 ★ 4/5 106 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,416 $2,482 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,416 $2,287 ★ 3/5 168 min —
Bayside Community Hospital Anahuac, TX $1,529 $880 — 106 min —
Hugh Chatham Memorial Hospital Elkin, NC $1,628 $1,858 ★ 3/5 168 min —
Baylor Surgical Hospital at Las Colinas Irving, TX $1,676 $7,048 — 71 min —
Hospital Pavia Caguas Caguas, PR $1,800 $945 — — —
Artesia General Hospital Artesia, NM $1,802 $2,763 — 99 min —
Cedar-Sinai Marina Del Rey Hospital Marina Del Rey, CA $1,807 $12,329 ★ 4/5 180 min —
Red Bud Regional Hospital Red Bud, IL $1,834 $3,143 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $1,834 $1,773 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $1,834 $1,958 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $1,834 $2,098 ★ 2/5 127 min —
Baylor Scott and White Orthopedic and Spine Hospi Arlington, TX $1,912 $6,734 — 130 min —
Huggins Hospital Wolfeboro, NH $1,922 — ★ 4/5 169 min —
University Medical Center Las Vegas, NV $1,986 $2,251 ★ 2/5 238 min —
Baylor Medical Center at Trophy Club Trophy Club, TX $2,018 $6,734 — 87 min —
Children's Mercy South Overland Park, KS $2,061 $2,368 — — —
The Children's Mercy Hospital Kansas City, MO $2,061 $2,368 — — —
Ellis Hospital Schenectady, NY $2,151 $2,030 ★ 3/5 232 min —
Southwestern Vermont Medical Center Bennington, VT $2,308 — ★ 3/5 202 min —
Huntington Hospital Pasadena, CA $2,472 $10,820 — 268 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Elbow replacement

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $7,376; Medicare pays $1,301.

InsurerHospitalsNegotiated median
Medicaid 80
$468
$468 – $11,908
Univera 7
$929
$154 – $1,540
AmeriHealth 106
$1,359
$250 – $19,447
Geisinger 23
$1,359
$272 – $26,634
Priority Health 23
$2,340
$984 – $17,471
Sanford Health Plan 21
$4,171
$1,317 – $32,565
Medica 41
$4,602
$1,314 – $19,329
Bright Health 35
$4,943
$3,280 – $8,846
SelectHealth 26
$5,307
$3,078 – $30,130
MVP Health Care 31
$6,293
$823 – $45,823
HealthPartners 64
$6,767
$1,396 – $32,524
Centene / Ambetter 403
$6,819
$948 – $22,585
Aetna 615
$7,062
$1,554 – $21,338
Molina Healthcare 307
$7,266
$1,307 – $19,033
Cigna 413
$7,321
$2,191 – $35,535
AvMed 27
$8,253
$4,163 – $14,963
MultiPlan / PHCS network 128
$8,513
$1,669 – $29,884
Oscar Health 128
$8,769
$6,070 – $16,248
Humana 508
$9,251
$1,361 – $18,612
Harvard Pilgrim 12
$9,667
$1,692 – $35,734
Healthcare Highways 31
$10,536
$9,733 – $12,401
Amerigroup 102
$10,580
$4,156 – $18,494
UnitedHealthcare 697
$12,360
$1,450 – $23,366
Security Health Plan 20
$13,221
$1,317 – $18,416
Coventry 27
$15,117
$1,581 – $19,861
Highmark 52
$16,365
$1,786 – $38,214
Tricare / VA 102
$16,394
$1,219 – $21,762
UPMC Health Plan 37
$17,078
$1,367 – $50,695
Medicare 163
$17,205
$678 – $21,761
Anthem 280
$17,239
$1,505 – $44,089
UCare 30
$18,409
$991 – $32,547
Blue Cross Blue Shield 578
$18,420
$1,361 – $44,330
Health Net 65
$19,402
$1,235 – $38,232
Devoted Health 167
$20,683
$16,588 – $22,053
Independent Health 9
$21,762
$4,127 – $30,174
EmblemHealth 40
$21,762
$4,127 – $138,327
Kaiser Permanente 98
$22,347
$2,068 – $69,590
Workers' Comp / No-Fault 18
$28,676
$1,275 – $30,742

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Kentucky$1,621
New Mexico$1,802
Indiana$1,834
Tennessee$2,637
Arkansas$2,697
North Dakota$2,970

Prices by city

Chicago, ILAustin, TXDallas, TXHouston, TXNew York, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CAPlano, TXSan Antonio, TXArlington, TXNashville, TNRochester, NYSacramento, CAAurora, COBronx, NYBrooklyn, NYColorado Springs, COKnoxville, TNMilwaukee, WIOmaha, NESan Francisco, CATacoma, WA

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkPennsylvaniaMinnesotaIllinoisColoradoNorth CarolinaTennesseeLouisianaMichiganNew JerseyIndianaGeorgiaWashingtonMaineIowaKansasOklahomaVirginiaKentuckyNebraskaIdahoSouth CarolinaUtahArizonaMissouriArkansasAlabamaNew HampshireWest VirginiaMontanaMassachusettsWyomingNevadaNorth DakotaMississippiNew MexicoSouth DakotaConnecticutOregon

Does Medicare cover Elbow replacement?

Yes — Medicare generally covers Elbow replacement. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,301. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1087 US hospitals across 50 states, the typical (median) cash price is $7,376, versus a chargemaster (list) price around $8,962, a median insurer-negotiated rate of $15,362, a Medicare rate of about $1,301. Most cash prices fall between $1,738 and $34,412 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Elbow replacement cost without insurance?
The median cash (self-pay) price across 1087 US hospitals is $7,376. Most hospitals fall between $1,738 and $34,412. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Elbow replacement?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,301). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Elbow replacement?
Medicare pays about $1,301. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Elbow replacement prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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