facebook tracking Revision of hip or knee replacement with complications cost in South Carolina: 12 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in South Carolina

What 12 hospitals in South Carolina charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $149,562 Hospital list price billed
Average payment $28,610 Medicare + patient + other payers
Medicare paid $23,051 Average per stay
State rank #24 of 41 1 = lowest average payment

Hospitals in South Carolina billed an average of $149,562 for revision of hip or knee replacement with complications, about 5.2 times the average total payment of $28,610. That payment is 7% below the U.S. average of $30,673.

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 $28,610Billed $149,562

About 19¢ was paid for every $1 hospitals in South Carolina billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in South Carolina:

South Carolina hospitals: revision of hip or knee replacement with 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
MUSC Medical CenterCharleston 48 $143,099 $34,280 $26,057
Spartanburg Regional Medical CenterSpartanburg 22 $104,214 $29,486 $27,617
East Cooper Reg Med CenterMt Pleasant 22 $194,552 $27,183 $17,133
Palmetto Health BaptistColumbia 21 $150,536 $29,520 $22,058
McLeod Loris HospitalLoris 16 $206,850 $23,641 $22,060
Oconee Medical CenterSeneca 14 $176,746 $38,446 $30,996
Lexington Medical CenterWest Columbia 14 $173,488 $22,143 $18,017
McLeod Regional Medical CenterFlorence 13 $141,981 $25,727 $18,655
Greenville Memorial HospitalGreenville 12 $186,937 $30,335 $26,763
Roper HospitalCharleston 11 $89,222 $21,354 $19,732
Waccamaw Community HospitalMurrells Inlet 11 $92,070 $24,118 $22,162
Patewood Memorial HospitalGreenville 11 $114,262 $19,448 $17,612
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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

Patewood Memorial HospitalGreenville, SC$19,448
Roper HospitalCharleston, SC$21,354
Lexington Medical CenterWest Columbia, SC$22,143
McLeod Loris HospitalLoris, SC$23,641
Waccamaw Community HospitalMurrells Inlet, SC$24,118

Highest

Oconee Medical CenterSeneca, SC$38,446
MUSC Medical CenterCharleston, SC$34,280
Greenville Memorial HospitalGreenville, SC$30,335
Palmetto Health BaptistColumbia, SC$29,520
Spartanburg Regional Medical CenterSpartanburg, SC$29,486

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 12 hospitals in South Carolina was billed at $149,562 on average, while the average total payment was $28,610, of which Medicare paid $23,051. 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 5.2 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.