facebook tracking Revision of hip or knee replacement without complications cost in South Carolina: 14 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in South Carolina

What 14 hospitals in South Carolina charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $129,522 Hospital list price billed
Average payment $20,665 Medicare + patient + other payers
Medicare paid $17,202 Average per stay
State rank #11 of 42 1 = lowest average payment

Hospitals in South Carolina billed an average of $129,522 for revision of hip or knee replacement without complications, about 6.3 times the average total payment of $20,665. That payment is 14% below the U.S. average of $23,925.

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 $20,665Billed $129,522

About 16¢ 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 without 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
Grand Strand Reg Med CenterMyrtle Beach 29 $159,570 $24,761 $17,542
St Francis-DowntownGreenville 25 $198,643 $19,090 $16,193
Lexington Medical CenterWest Columbia 25 $111,839 $18,359 $16,732
East Cooper Reg Med CenterMt Pleasant 17 $121,364 $16,742 $15,206
Patewood Memorial HospitalGreenville 17 $107,778 $20,254 $14,907
Spartanburg Regional Medical CenterSpartanburg 16 $79,970 $25,823 $20,657
MUSC Health Columbia Medical Center DowntownColumbia 16 $159,298 $21,982 $17,977
Conway Medical CenterConway 16 $91,956 $20,391 $18,596
Palmetto Health BaptistColumbia 16 $120,427 $20,982 $17,122
Trident Medical CenterCharleston 13 $223,063 $19,618 $17,886
Roper HospitalCharleston 13 $65,616 $16,845 $15,196
MUSC Medical CenterCharleston 12 $122,647 $25,595 $22,324
Waccamaw Community HospitalMurrells Inlet 12 $71,459 $18,854 $17,070
McLeod Loris HospitalLoris 12 $113,524 $18,451 $14,588
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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$16,742
Roper HospitalCharleston, SC$16,845
Lexington Medical CenterWest Columbia, SC$18,359
McLeod Loris HospitalLoris, SC$18,451
Waccamaw Community HospitalMurrells Inlet, SC$18,854

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$25,823
MUSC Medical CenterCharleston, SC$25,595
Grand Strand Reg Med CenterMyrtle Beach, SC$24,761
MUSC Health Columbia Medical Center DowntownColumbia, SC$21,982
Palmetto Health BaptistColumbia, SC$20,982

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 14 hospitals in South Carolina was billed at $129,522 on average, while the average total payment was $20,665, of which Medicare paid $17,202. 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 6.3 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.