To produce higher quality of titanium casting at a lower cost, the new titanium casting technology by using a permanent metal mold was developed and applied to fabricate hip joint for biomedical application. The present study was carried out to investigate the reactivity and fluidity of the Ti-6.0 wt%Al-4.0 wt%V alloy with metal mold by applying various ceramic powders coating on the mold surface. The molten titanium for manufacturing hip joint was poured into steel mold. No reaction layer was formed on the surface of specimens fabricated steel mold coated with $Y_2O_3$ powder.