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Spartanburg Medical Center: what a joint replacement costs

Spartanburg, SC 29303 · CMS Certification Number 420007. 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
$8,562
Spartanburg Urology Surgical Center, same ZIP
Outpatient here
$12,433
Medicare allowed amount, 397 cases, APC 5115
Inpatient here
$17,768
Avg total payment (incl. patient share), 36 Medicare stays, MS-DRG 470

Medicare prices at Spartanburg Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,768$75,7924.3×$12,433
Shoulder replacement———$17,493
Hip replacement after a fracture (DRG 522)$19,487$75,4693.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$58,1763.3×$46,328–$65,9245
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$65,9243.7×1
Employer Health Network$58,7353.3×1
Cigna$58,1763.3×1
Preferred Administrators$46,7852.6×1
BCBS South Carolina$46,3282.6×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.9% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 747 beds

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

Open the interactive price tagBuild a reportAll South Carolina hospitals

Questions

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

In 2024 the average total payment to Spartanburg Medical Center for an inpatient hip or knee replacement stay was $17,768 (MS-DRG 470, 36 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,433 per outpatient case (APC 5115, 397 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,792, 4.3× the average total payment for a Medicare stay. 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 Spartanburg Medical Center?

Yes for Medicare facility payments. Spartanburg Urology Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,562 by Medicare for a knee replacement (CPT 27447), $9,206 less than an inpatient stay at Spartanburg Medical Center. Not every patient is a surgery-center candidate.

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

Spartanburg Medical Center's average total payment per Medicare stay is higher than 84% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Spartanburg Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $58,176 across 5 insurers, ranging from $46,328 to $65,924.