The cost of hip replacement surgery varies significantly across European Union countries and Serbia due to factors such as healthcare systems, economic conditions, surgeon experience, type of prosthesis, and included services [1] [2] [3] [4]. As of October 27, 2025, obtaining an exact, universally fixed price for hip replacement in every EU country and Serbia is challenging because costs are often estimates and can fluctuate based on individual patient needs and specific clinic offerings [2] [3].

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However, based on available data and recent estimates, here is a breakdown of hip replacement costs in various European countries, including some EU members and Serbia:

Estimated Hip Replacement Costs in Europe (as of 2022-2024 estimates, converted to USD/EUR where applicable):

• Poland: Approximately $5,000 - $6,814 (€4,600 - €6,270). Poland is noted for having some of the lowest costs in Europe, offering comprehensive packages [2] [4].
• Latvia: Hip joint replacement surgery at facilities like ORTO Clinic, facilitated by services such as AlfaMedStar, starts from €6,000. This typically includes the surgery, anesthesia, endoprosthesis, a 5-day hospital stay with meals, medications, and 2-5 days of postoperative rehabilitation procedures [1]. Additional costs for preoperative examinations (around €290) and extended hospital stays (€130 per day) may apply [1].
• Turkey: Costs range from $7,500 to $12,000 (€6,900 - €11,000), with some sources citing around $10,765 (€9,900) [3] [4]. Turkey is a popular medical tourism destination due to its competitive pricing, advanced technology, and experienced specialists [3].
• Germany: Hip replacement can start from $7,979 (€7,340) [4]. Germany is recognized for its high-quality orthopedic treatments [4].
• Spain: Hip replacement surgery can be found from as low as $7,865 (€7,230) [4].
• France: Costs start from $11,748 (€10,800) [4].
• Italy: While a specific starting price for hip replacement isn't explicitly stated, Italy is mentioned as a location for orthopedic clinics [1]. Reimbursement data for periprosthetic joint infection (PJI) treatments in Italy indicate higher costs compared to lower-income countries, with two-stage revisions for hip PJI costing around €16,605 [5].
• Serbia: Although not explicitly listed with a direct hip replacement cost, Serbia is mentioned as a location for orthopedic clinics [1]. Based on the economic modeling for periprosthetic joint infection (PJI) reimbursement, Serbia falls into the category of lower-income European countries. Reimbursement for PJI treatments in lower-income countries (which included Croatia, Lithuania, Portugal, Slovenia, and Turkey for averaging) ranged from approximately €1,331 to €13,918 for DAIR procedures, €3,667 to €14,893 for one-stage exchanges, and €3,667 to €28,936 for two-stage treatments for hip PJI [5]. While these are not direct hip replacement costs, they indicate a lower cost structure for complex orthopedic procedures compared to higher-income EU nations.
• United Kingdom: Reimbursement for PJI treatments in the UK for DAIR procedures was around €7,028 for hip PJI [5]. Direct hip septic revision costs were reported at €25,545 [5].
• Switzerland: Known for high costs, reimbursement for PJI treatments ranged from €31,229 for hip DAIR procedures to €62,834 for two-stage hip revisions [5].
• Croatia, Lithuania, Portugal, Slovenia: These countries, categorized as lower-income in a study on PJI reimbursement, generally have lower costs for orthopedic procedures compared to Western European nations [5]. For instance, hip PJI DAIR procedures in Slovenia were around €13,918, and two-stage treatments up to €28,936 [5].

Factors Influencing Cost:

Several factors contribute to the variation in hip replacement costs:

1. Geographic Location and Economic Factors: Countries with higher GDPs and more developed healthcare systems, like the United States and some Western European nations, tend to have higher costs [2] [5]. Conversely, Eastern and Central European countries often offer more affordable options [2] [4].
2. Type of Surgery: Total hip replacement, partial hip replacement, and hip revision surgery have different cost structures [3].
3. Prosthesis Type: The material (metal, ceramic, hard plastic) and origin of the artificial joint can affect the price, with implants from countries like Germany and the U.S. often being more expensive [3].
4. Surgeon's Experience and Reputation: Highly experienced and renowned surgeons typically command higher fees [3] [4].
5. Hospital or Clinic Type: The prestige and facilities of the medical center, including whether it's a private or public institution, influence costs [3] [4].
6. Length of Hospitalization and Aftercare: The duration of the hospital stay, the extent of postoperative rehabilitation, and any additional services like physiotherapy, medications, and specialist equipment (e.g., crutches) contribute to the overall expense [1] [3] [4].
7. Preoperative Examinations: Tests, consultations, X-rays, and electrocardiograms are additional costs [1].
8. Medical Tourism Packages: Many clinics, especially in popular medical tourism destinations like Turkey, offer comprehensive packages that might include transfers, accommodation, and translation services, which can affect the quoted price [3] [4].
9. Insurance Coverage: The presence and extent of health insurance significantly impact the out-of-pocket cost for patients [2].

It is crucial for patients to obtain detailed quotes that outline all inclusions and potential additional costs when considering hip replacement surgery, especially when traveling abroad for treatment [3] [4].

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