Revision of Hip or Knee Replacement Without Cc/Mcc in South Carolina
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$116,976typical hospital bill
$19,936typical amount paid
$16,742–$25,823range paid across 14 hospitals
South Carolina hospitals billed Medicare a typical $116,976 for this stay in 2024, about 5.9 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 | 17 | $121,364 | $16,742 | |
| Roper Hospital | Charleston | 13 | $65,616 | $16,845 | |
| Lexington Medical Center | West Columbia | 25 | $111,839 | $18,359 | |
| McLeod Loris Hospital | Loris | 12 | $113,524 | $18,451 | |
| Tidelands Waccamaw Community Hospital | Murrells Inlet | 12 | $71,459 | $18,854 | |
| St Francis-Downtown | Greenville | 25 | $198,643 | $19,090 | |
| Trident Medical Center | Charleston | 13 | $223,063 | $19,618 | |
| Prisma Health Patewood Hospital | Greenville | 17 | $107,778 | $20,254 | |
| Conway Medical Center | Conway | 16 | $91,956 | $20,391 | |
| Prisma Health Baptist | Columbia | 16 | $120,427 | $20,982 | |
| Musc Health Columbia Medical Center Downtown | Columbia | 16 | $159,298 | $21,982 | |
| Grand Strand Regional Medical Center | Myrtle Beach | 29 | $159,570 | $24,761 | |
| Musc Medical Center | Charleston | 12 | $122,647 | $25,595 | |
| Spartanburg Medical Center | Spartanburg | 16 | $79,970 | $25,823 |
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.