Price AtlasInteractive atlas · All states · techysurgeon.comPrisma Health Oconee Memorial Hospital: what a joint replacement costs
Seneca, SC 29672 · CMS Certification Number 420009. 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.
Medicare prices at Prisma Health Oconee Memorial Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,660 | $91,630 | 5.9× | $11,979 |
| Shoulder replacement | — | — | — | $17,146 |
| Hip replacement after a fracture (DRG 522) | $19,530 | $86,691 | 4.4× | — |
Quality
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 169 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 Prisma Health Oconee Memorial Hospital for a knee or hip replacement?
In 2024 Medicare paid Prisma Health Oconee Memorial Hospital an average of $15,660 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $11,979 per outpatient case (APC 5115, 225 cases).
What is Prisma Health Oconee Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,630, 5.9× 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 Prisma Health Oconee Memorial Hospital?
Yes for Medicare facility payments. Blue Ridge Surgery Center, an orthopedic surgery center 8.1 mi away, is paid about $8,192 by Medicare for a knee replacement (CPT 27447), $7,468 less than an inpatient stay at Prisma Health Oconee Memorial Hospital. Not every patient is a surgery-center candidate.
How does Prisma Health Oconee Memorial Hospital compare with other South Carolina hospitals?
Medicare paid Prisma Health Oconee Memorial Hospital more than 79% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.