facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in South Carolina: 19 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in South Carolina

What 19 hospitals in South Carolina charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $92,947 Hospital list price billed
Average payment $14,217 Medicare + patient + other payers
Medicare paid $11,777 Average per stay
State rank #10 of 48 1 = lowest average payment

Hospitals in South Carolina billed an average of $92,947 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 6.5 times the average total payment of $14,217. That payment is 18% below the U.S. average of $17,318.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $14,217Billed $92,947

About 15¢ was paid for every $1 hospitals in South Carolina billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Carolina:

South Carolina hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

Every South Carolina hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Roper HospitalCharleston 89 $59,478 $12,341 $10,170
St Francis-DowntownGreenville 49 $105,355 $13,074 $11,456
Mount Pleasant HospitalMount Pleasant 37 $60,078 $11,821 $10,277
Spartanburg Regional Medical CenterSpartanburg 36 $75,792 $17,768 $14,533
MUSC Health Columbia Medical Center DowntownColumbia 33 $125,599 $12,651 $11,464
Palmetto Health BaptistColumbia 33 $116,305 $17,847 $13,505
Patewood Memorial HospitalGreenville 33 $81,717 $13,453 $10,616
McLeod Loris HospitalLoris 31 $92,797 $13,984 $10,455
Grand Strand Reg Med CenterMyrtle Beach 26 $145,409 $15,418 $13,556
MUSC Medical CenterCharleston 24 $112,343 $19,935 $15,681
East Cooper Reg Med CenterMt Pleasant 22 $123,583 $11,697 $10,065
Waccamaw Community HospitalMurrells Inlet 22 $60,039 $13,748 $11,768
Oconee Medical CenterSeneca 21 $91,630 $15,660 $14,012
McLeod Regional Medical CenterFlorence 21 $82,021 $13,421 $11,732
Roper St Francis Hospital-Berkeley INCSummerville 20 $72,209 $13,220 $10,586
Trident Medical CenterCharleston 19 $200,140 $14,198 $12,598
Lexington Medical CenterWest Columbia 18 $98,560 $13,339 $11,762
Self Regional HealthcareGreenwood 14 $70,020 $18,052 $14,546
KershawhealthCamden 11 $75,425 $15,527 $9,011
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Lowest and highest payments in South Carolina

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

East Cooper Reg Med CenterMt Pleasant, SC$11,697
Mount Pleasant HospitalMount Pleasant, SC$11,821
Roper HospitalCharleston, SC$12,341
MUSC Health Columbia Medical Center DowntownColumbia, SC$12,651
St Francis-DowntownGreenville, SC$13,074

Highest

MUSC Medical CenterCharleston, SC$19,935
Self Regional HealthcareGreenwood, SC$18,052
Palmetto Health BaptistColumbia, SC$17,847
Spartanburg Regional Medical CenterSpartanburg, SC$17,768
Oconee Medical CenterSeneca, SC$15,660

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 19 hospitals in South Carolina was billed at $92,947 on average, while the average total payment was $14,217, of which Medicare paid $11,777. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in South Carolina, average charges were 6.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.