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Musc Medical Center: what a joint replacement costs

Charleston, SC 29425 · CMS Certification Number 420004. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,539
The Southeastern Spine Institute ASC, LLC, 5.8 mi
Outpatient here
$10,721
388 Medicare cases, APC 5115
Inpatient here
$19,935
24 Medicare stays, MS-DRG 470

Medicare prices at Musc Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,935$112,3435.6×$10,721
Shoulder replacement$27,604$152,4175.5×$15,776
Hip replacement after a fracture (DRG 522)$23,554$91,5483.9×—

Quality

Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 713 beds

South Carolina has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Musc Medical Center for a knee or hip replacement?

In 2024 Medicare paid Musc Medical Center an average of $19,935 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $10,721 per outpatient case (APC 5115, 388 cases).

What is Musc Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,343, 5.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Musc Medical Center?

Yes for Medicare facility payments. The Southeastern Spine Institute ASC, LLC, an orthopedic surgery center 5.8 mi away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $11,396 less than an inpatient stay at Musc Medical Center. Not every patient is a surgery-center candidate.

How does Musc Medical Center compare with other South Carolina hospitals?

Medicare paid Musc Medical Center more than 100% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.