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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,768 | $75,792 | 4.3× | $12,433 |
| Shoulder replacement | — | — | — | $17,493 |
| Hip replacement after a fracture (DRG 522) | $19,487 | $75,469 | 3.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $58,176 | 3.3× | $46,328–$65,924 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $65,924 | 3.7× | 1 |
| Employer Health Network | $58,735 | 3.3× | 1 |
| Cigna | $58,176 | 3.3× | 1 |
| Preferred Administrators | $46,785 | 2.6× | 1 |
| BCBS South Carolina | $46,328 | 2.6× | 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.
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.
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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).
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.
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.
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.
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.