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Self-pay joint replacement in Honolulu — the short answer
Self-pay joint replacement is hip or knee replacement paid directly, without insurance, under one written all-inclusive price. Dr. Paul Norio Morton, MD, FAAOS, FAAHKS offers it through Pacific Bone & Joint in Honolulu: robotic-assisted surgery with surgeon, facility, anesthesia, implant and a year of follow-up bundled into a single quote that typically runs about half of hospital list pricing.
- One written figure before you commit — no separate surgeon, facility, or anesthesia bills
- Same surgeon, same robotic platforms, same implants as insured patients
- Same-day outpatient surgery with the rapid-recovery protocol; candidacy depends on your health, not your age
- Used by uninsured, high-deductible, fly-in, and international patients
- Quotes by phone at (808) 439-6201 or when you schedule online
Why self-pay surgery can cost half as much
Hospital list prices for hip and knee replacement in the US average around $40,000 and can exceed $100,000 — numbers inflated by facility overhead and opaque billing. Dr. Morton's self-pay program takes a different route: same-day outpatient surgery instead of an inpatient stay, a negotiated implant price, and every component bundled into one written figure. The result typically runs about half of hospital list pricing — for the same surgeon, the same robotic technology, and arguably a better patient experience. The cost guide breaks down where every dollar goes.
What the package includes — and what it doesn't
A self-pay package is a fixed, written price for the expected course of a hip or knee replacement: the consultation, the operation and facility fee, anesthesia, the implant, and a year of follow-up visits. Items that vary by patient — clearance testing, therapy near home, travel — are quoted separately so nothing is hidden inside the number. Transparency means defining both sides:
- Included: surgical consultation, surgeon's fee, facility fee, anesthesia, the implant, and one year of post-operative follow-up visits
- Included: same-day outpatient stay with the rapid-recovery protocol
- Quoted separately when needed: pre-operative medical clearance and labs, physical therapy near your home, and travel and lodging for fly-in patients — coordination of the travel side can be arranged through the Rapid Recovery Concierge
- Complications: the package covers the expected course of care. A rare complication that requires hospital admission is not part of the outpatient package and is addressed separately — exactly how is explained to you in writing before you commit
Who uses the self-pay program
Four groups, mostly: patients without insurance; patients with high-deductible plans who'd pay more through insurance than the package price; international and fly-in patients from the Philippines, Japan, Korea, Australia, and the Pacific who need a fixed USD figure; and patients who simply want speed and certainty — a date on the calendar without authorization delays. If you're weighing options, we'll happily run both numbers: your insurance route versus the package.
Request your written quote through the consultation page (mention that you're requesting a self-pay quote) or call (808) 439-6201. Local patients are seen at the Honolulu (Ala Moana), Kunia, Hilo or Kona clinics; fly-in patients start remotely.
- Step 1
Send records
Recent standing X-rays — taken near home if you're traveling — plus a short medical history.
- Step 2
Review and visit
In clinic, or by telehealth when an in-person visit isn't practical; candidacy for outpatient surgery is confirmed.
- Step 3
Written quote
One all-inclusive figure, plus a list of anything quoted separately — before you book travel.
- Step 4
Surgery date
A date on the calendar without an authorization queue; fly-in patients can have travel and lodging coordination arranged.
Same surgeon, same robots, same standards
Self-pay is a payment path, not a care tier. A self-pay hip replacement is the same robotic anterior operation, and a self-pay knee replacement the same robotic, quad-sparing procedure, that every other patient receives. Your operation uses the same robotic platforms, the same muscle-sparing techniques, the same opioid-sparing anesthesia, and the same implants Dr. Morton uses for every patient — with the same lifetime surveillance philosophy afterward. Smaller procedures work the same way: see self-pay knee arthroscopy.
Medically reviewed by Paul N. Morton, MD, FAAOS, FAAHKS — board-certified orthopedic surgeon, fellowship-trained in adult hip & knee reconstruction and orthopedic trauma. Last reviewed: .
This page is for education only and isn’t a substitute for an exam and personalized advice — schedule a consultation to discuss your situation.