Hip Replacement Surgery Cost in Hawaii (2026)

If you're researching hip replacement surgery costs in Hawaii, you'll find significant price differences between providers — even those just miles apart.

Surgical costs for hip replacement surgery in Hawaii are influenced by operating room fees, anesthesia, surgeon fees, and any implants or specialized equipment. Academic medical centers and large health systems often charge more than community hospitals or ambulatory surgery centers.

Based on data from 13 hospitals in Hawaii, hip replacement surgery prices range from $3,200 to $36,641 — a 11.5x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hip replacement surgery in Hawaii can be performed in different settings depending on clinical complexity: hospital inpatient, hospital outpatient, or ambulatory surgery center (ASC).

ASCs typically offer lower prices because they have lower overhead and specialize in efficient, high-volume outpatient procedures. For eligible patients, ASCs can save 30–60% compared to hospital outpatient departments.

Not all patients are candidates for outpatient surgery. Your surgeon will determine the appropriate setting based on your health history, the procedure's complexity, and anticipated recovery needs.

Self-pay patients in Hawaii often have access to significantly discounted rates for hip replacement surgery. Under federal price transparency rules (45 CFR § 180.50), hospitals must publish their discounted cash prices alongside standard charges.

In Hawaii, the average cash price for hip replacement surgery is $16,058, which is 31% lower than the average list price of $23,123. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

Insured patients should check their plan's Summary of Benefits and contact their insurer for a pre-authorization cost estimate. Your out-of-pocket cost depends on your deductible, copay or coinsurance, and whether the provider is in-network. Even with insurance, comparing hospitals can help you choose a provider where your plan negotiates the best rates.