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Complicated Removal of a Hip Replacement

Iowa rates for HCPCS 27091

Takes out an artificial hip in a situation that makes removal difficult, such as cement that has to be chipped out of the thigh bone piece by piece without cracking it. A temporary spacer, often loaded with antibiotic, may be set into the empty joint to hold the space and treat infection until a new hip can be fitted. It is a longer and more demanding operation than a straightforward removal.

Rates data updated July 2026.

How much does Complicated Removal of a Hip Replacement cost?

$3,981

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $3,388 to $6,457.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,512 to $9,772Professionalmedian $2,951 · 10th to 90th $1,479 to $6,310
$200$500$1K$2K$5K$10K$20Kfacility $4,898professional $2,951

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,897.79
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$7,079.46
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$16,218.10
Typical High
$33,884.42

Where Iowa sits

The same service costs 16.6 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 21st of 50

$3,981

ME $26,303WV $1,585

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.