Understanding the True Cost of Hip Replacement
The Ministry of Health (MOH) publishes benchmark costs for hip replacement surgery in Singapore, giving patients a useful reference point. What the figures don't always make clear is how the total bill is actually composed.
Subsidised vs. Private Rates
Direct comparisons between subsidised and private costs are not meaningful. Private rates most closely reflect the true cost of surgery. Subsidised rates vary widely depending on ward class, Medisave usage, MediShield Life coverage, and Integrated Shield Plan (ISP) entitlements.
In the public system, subsidised patients receive qualified care, though not necessarily from a certified specialist — senior oversight is standard practice. Patients on Special Assistance Plans may qualify for heavily subsidised procedures based on household means-testing.
Breaking Down the True Costs
1. Hospitalisation A typical stay is 4–5 days. At private hospitals, the median all-in bill for a primary total hip replacement is approximately SGD 47,875, with a typical range of SGD 42,857 to SGD 55,244. Ministry of Health At Mount Elizabeth Novena Hospital specifically, the median bill is SGD 53,663, ranging from SGD 46,892 to SGD 60,077. Ministry of Health
2. Implant Costs The implant component at private hospitals typically accounts for around SGD 8,500 of the total bill. Ministry of Health Premium implants — such as uncemented stems with ceramic-on-ceramic articulations — will cost more than standard cemented designs. Implant selection should reflect the patient's age, activity level, and anatomy, not price alone. For revision surgery, implants typically cost twice those used in primary procedures.
3. Surgeon and Anaesthetist Fees MOH fee benchmarks for a primary total hip replacement (TOSP SB839H) set surgeon fees at SGD 10,464–15,696 (inclusive of GST), and anaesthetist fees at SGD 2,289–3,706. Ministry of Health These are benchmarks, not caps — complex cases may reasonably exceed them, and patients must be informed before surgery. All fees must be disclosed during financial counselling, as required by law.
MOH Benchmark Figures (2025)
Based on MOH published data (TOSP code SB839H), for a standard primary total hip replacement:
Subsidised public hospital (Ward C): ~SGD 8,946 after subsidies
Unsubsidised public hospital (Ward A): ~SGD 29,317
Private hospital: ~SGD 47,875 (median), ranging up to SGD 55,000+
Revision arthroplasty is not captured in these benchmarks. It is a more complex procedure performed by a small number of specialists in Singapore, and costs should be discussed directly with your surgeon.
Medisave and Insurance
Hip replacement surgery is classified under TOSP category 6B, with a Medisave withdrawal limit of SGD 3,610 for the surgical procedure. Integrated Shield Plans cover a significant portion of costs at private hospitals, though a minimum 5% co-payment applies under MOH guidelines. Speak with your insurer before surgery to understand your out-of-pocket exposure.
Our View
Cost transparency is valuable, but it is rarely the deciding factor for a patient who genuinely needs surgery. The more important considerations remain clinical need and the patient-surgeon relationship — particularly for revision cases where experience and surgical judgment matter most. The surgical techniques utilized at this practice are the result of over 25 years of frontline execution in Arthroplasty and Limb Salvage. Having served as an International Trainer and Chairman of the Clinical Competency Committee, we mentored the current generation of surgeons on the strict mechanical principles of precision and soft-tissue balancing. We apply these exact, uncompromising standards to your reconstruction. Learn more about our Academic Distinctions here. Uncompromising care requires clinical independence. We operate outside standard network panels to ensure your treatment is tailored entirely to your clinical needs, not corporate quotas. Verify your coverage here.
Note: All figures exclude 9% GST. For the most current benchmarks, refer directly to the MOH fee benchmark portal.
Correct as of March 2026
Figure 2. The top of the line implants with ceramic articulation and ingrowth stems (a) can be implemented in all hip arthritis cases (b). By putting them in specially designed minimally invasive methods (MIS) such patients can have very high levels of function (c). This patient from Myanmar actually returned to have the other side done by the author at considerable cost (d).
Figure 3. You don't always get what you pay for. In all the joint registries of the world, cemented hips out-perform uncemented hips despite being nearly 40% cheaper. Nevertheless, as is shown in Figure 3 there are certain advantages of uncemented designs over cemented designs. We strongly believe that the joint replacement that is best is the one matched for the patient's needs. Hence, at Limb Salvage and Revision Arthroplasty we offer all options to the patients.