Hip or knee replacement in South Carolina
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$91,630typical hospital bill
$13,748typical amount paid
$11,697–$19,935range paid across 19 hospitals
South Carolina hospitals billed Medicare a typical $91,630 for this stay in 2024, about 6.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Novant Health East Cooper Medical Center | Mount Pleasant | 22 | $123,583 | $11,697 | |
| Mount Pleasant Hospital | Mount Pleasant | 37 | $60,078 | $11,821 | |
| Roper Hospital | Charleston | 89 | $59,478 | $12,341 | |
| Musc Health Columbia Medical Center Downtown | Columbia | 33 | $125,599 | $12,651 | |
| St Francis-Downtown | Greenville | 49 | $105,355 | $13,074 | |
| Roper St Francis Hospital-Berkeley Inc | Summerville | 20 | $72,209 | $13,220 | |
| Lexington Medical Center | West Columbia | 18 | $98,560 | $13,339 | |
| McLeod Regional Medical Center-Pee Dee | Florence | 21 | $82,021 | $13,421 | |
| Prisma Health Patewood Hospital | Greenville | 33 | $81,717 | $13,453 | |
| Tidelands Waccamaw Community Hospital | Murrells Inlet | 22 | $60,039 | $13,748 | |
| McLeod Loris Hospital | Loris | 31 | $92,797 | $13,984 | |
| Trident Medical Center | Charleston | 19 | $200,140 | $14,198 | |
| Grand Strand Regional Medical Center | Myrtle Beach | 26 | $145,409 | $15,418 | |
| Kershawhealth | Camden | 11 | $75,425 | $15,527 | |
| Prisma Health Oconee Memorial Hospital | Seneca | 21 | $91,630 | $15,660 | |
| Spartanburg Medical Center | Spartanburg | 36 | $75,792 | $17,768 | |
| Prisma Health Baptist | Columbia | 33 | $116,305 | $17,847 | |
| Self Regional Healthcare | Greenwood | 14 | $70,020 | $18,052 | |
| Musc Medical Center | Charleston | 24 | $112,343 | $19,935 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.