Greenville, SC 29601 · CMS Certification Number 420023. 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 | $13,074 | $105,355 | 8.1× | $11,175 |
| Shoulder replacement | $16,965 | $147,387 | 8.7× | $15,703 |
| Hip replacement after a fracture (DRG 522) | $14,126 | $88,694 | 6.3× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 245 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid St Francis-Downtown an average of $13,074 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $11,175 per outpatient case (APC 5115, 712 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,355, 8.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Millennium ASC LLC, an orthopedic surgery center 4.9 mi away, is paid about $8,549 by Medicare for a knee replacement (CPT 27447), $4,525 less than an inpatient stay at St Francis-Downtown. Not every patient is a surgery-center candidate.
Medicare paid St Francis-Downtown less than 74% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.