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Prisma 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.

Surgery center nearby
$8,399
Columbia Gastrointestinal Endoscopy Center, 5.5 mi
Outpatient here
$11,296
25 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Prisma Health Richland Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,296
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$21,273$106,0345.0×—

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?

Medicare allowed an average of $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.