Price AtlasInteractive atlas · All states · techysurgeon.comPrisma Health Richland Hospital: what a joint replacement costs
Columbia, SC 29203 · CMS Certification Number 420018. 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 Richland Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,296 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $21,273 | $106,034 | 5.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,072 | — | $30,920–$57,643 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS South Carolina | $57,643 | — | 1 |
| Bluechoice | $52,538 | — | 1 |
| Cigna | $46,531 | — | 1 |
| Promise Health Plan | $37,614 | — | 1 |
| Preferred Administrators | $34,253 | — | 1 |
| Bob Jones Univ-Pai | $30,920 | — | 1 |
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 649 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 Richland Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,296 per outpatient hip or knee replacement case (APC 5115, 25 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Prisma Health Richland Hospital?
Yes for Medicare facility payments. Columbia Gastrointestinal Endoscopy Center, an orthopedic surgery center 5.5 mi away, is paid about $8,399 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Prisma Health Richland Hospital 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 $42,072 across 6 insurers, ranging from $30,920 to $57,643.