Columbia, SC 29204 · CMS Certification Number 420026. 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 | $12,651 | $125,599 | 9.9× | $11,506 |
| Shoulder replacement | — | — | — | $16,536 |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 258 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Musc Health Columbia Medical Center Downtown an average of $12,651 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,506 per outpatient case (APC 5115, 276 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,599, 9.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Columbia Gastrointestinal Endoscopy Center, an orthopedic surgery center same ZIP away, is paid about $8,399 by Medicare for a knee replacement (CPT 27447), $4,252 less than an inpatient stay at Musc Health Columbia Medical Center Downtown. Not every patient is a surgery-center candidate.
Medicare paid Musc Health Columbia Medical Center Downtown less than 79% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.