A Guide to Hip Replacement Costs in 2025

Hip replacement surgery can dramatically improve quality of life for people living with chronic pain, stiffness, and mobility issues. But before moving forward with surgery, one of the most common questions people ask is: how much does a hip replacement cost in Australia?

The answer isn’t straightforward—it depends on whether you’re treated in the public or private system, whether you hold private health insurance, and the extent of your out-of-pocket costs. In this guide, we’ll break down every aspect of hip replacement pricing in Australia so you can make an informed decision.

Public vs Private Hip Replacement Surgery in Australia

Australia’s healthcare system offers two distinct pathways for hip replacement surgery: public hospitals under Medicare, or private hospitals, which may be funded by private health insurance or out-of-pocket payments.

Public System (Medicare)

If you are treated in a public hospital as a public patient, your hip replacement surgery is covered under Medicare. That means:

  • No direct cost for the surgery
  • No private health insurance required
  • No surgeon selection—you are assigned a specialist
  • Longer wait times are common

See specific hip replacement items in the Medicare Benefits Schedule (MBS)

According to recent data from the Australian Institute of Health and Welfare, the median wait time for a total hip replacement in the public system is around 153 days, with some patients waiting more than 12 months, particularly in regional or rural areas.

Advantages:

  • Free under Medicare
  • Access to quality surgical care

Disadvantages:

  • Long waiting lists
  • Limited choice of hospital or surgeon
  • Fewer private recovery options (e.g. shared rooms, limited rehab)

Private System (With or Without Insurance)

In the private healthcare system, you’ll have:

  • Your choice of surgeon
  • The ability to schedule surgery quickly, often within 2 to 6 weeks
  • Private hospital rooms (where available)
  • Better continuity of care and sometimes access to enhanced rehab

However, these benefits come at a financial cost.

Hip Replacement Cost in Australia (Private System)

The total cost of a hip replacement in a private hospital in Australia typically ranges from $20,000 to $35,000, depending on your location, surgeon, insurance coverage, and any complications.

1. Hospital & Theatre Fees

This is usually the biggest component of your bill and includes:

  • Operating theatre use
  • Hospital accommodation (typically 3–5 nights)
  • Nursing care and post-operative monitoring
  • Medications
  • The hip implant (prosthesis) itself

Estimated cost: $18,000 – $25,000

2. Surgeon’s Fees

The cost of the procedure also includes the orthopaedic surgeon’s fee for:

  • The operation itself
  • Pre-surgical consultation(s)
  • Post-operative follow-up

Estimated cost: $3,000 – $6,000

3. Anaesthetist Fees

This depends on the length and complexity of the surgery.

Estimated cost: $1,000 – $2,500

4. Additional Imaging and Pathology

You may also be billed for X-rays, MRIs, blood tests and post-surgery reviews.

Estimated cost: $500 – $1,000 (sometimes included in hospital package)

What Does Private Health Insurance Cover?

If you have private hospital cover, your insurer may cover a significant portion of your hip replacement cost. However, the out-of-pocket cost still varies depending on:

  • The level of cover (e.g. Basic vs Gold)
  • Whether your surgeon participates in a no-gap or known-gap scheme
  • Your excess and any co-payments

Compare private health insurance policies on PrivateHealth.gov.au

Gold-Tier Policies

Gold-tier hospital cover typically includes joint replacements like hips and knees. Some policies offer no-gap joint replacement programs, where the insurer has pre-negotiated fees with surgeons and hospitals to cap or eliminate out-of-pocket costs.

More about gap cover and no-gap arrangements

Out-of-Pocket Costs

Even with full insurance, you may still pay between $500 and $5,000 out-of-pocket. This can include:

Waiting Periods

Most insurers impose a 12-month waiting period for pre-existing conditions like osteoarthritis. If you’ve recently taken out or upgraded your policy, confirm this before booking surgery.

What If You Don’t Have Insurance?

If you don’t have private health insurance, you can still access private surgery by paying the full amount yourself. This is referred to as self-funding.

Total self-funded cost: $25,000 – $35,000

Some private hospitals offer bundled surgery packages or payment plans to help make this option more accessible.

Get a Hip Replacement estimate from St Vincents Hospital

Cost Comparison: Public vs Private

How Much Does a Hip Replacement Cost in Australia? (2025)

Additional Costs to Keep in Mind

Rehabilitation & Physiotherapy

Rehab is an essential part of recovery. Some private hospitals include rehab in your stay, but many patients also need ongoing outpatient physiotherapy.

  • Physio sessions: $80–$150 per visit
  • Rehab programs: May include hydrotherapy, strength training, or home visits

Check if your health insurance includes extras cover for physiotherapy.

Travel & Accommodation

If you live in a regional area, such as Griffith NSW, and travel to Sydney for your surgery:

  • You may need to pay for transport, hotel accommodation, or support services
  • IPTAAS (Isolated Patients Travel and Accommodation Assistance Scheme) may reimburse eligible costs

Why Wait Times Matter

While public surgery is free, long delays can have a serious impact:

  • Reduced quality of life
  • Increased risk of falls or joint deterioration
  • Reduced work capacity or independence

If you’re struggling with daily tasks, or in constant pain, the faster turnaround in the private system may be worth the investment.

Final Thoughts

Choosing between public and private hip replacement surgery in Australia comes down to balancing cost, wait time, personal preferences, and available resources.

If cost is your top priority and you can wait several months, the public system is a good option. If you need surgery sooner or want more control over your care, private surgery—especially with insurance—can be a more comfortable path.

Either way, it’s important to:

  • Speak to your GP
  • Review your health insurance cover
  • Understand all costs upfront before making a decision

If you're looking for a specialist who consults in both metro and regional areas, or need help navigating the private system, make sure you choose a team that can guide you through every step—from paperwork to rehab.

Disclaimer: This article is for informational purposes only and does not constitute medical or financial advice. Always consult your doctor or surgeon for personalised guidance

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