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 paid | List price | List ÷ paid | Outpatient 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× | — |
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
In 2024 Medicare paid Spartanburg Medical Center an average of $17,768 per inpatient hip or knee replacement stay (MS-DRG 470, 36 stays) and $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× what Medicare paid. 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.
Medicare paid Spartanburg Medical Center more than 84% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.