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Musc Health Columbia Medical Center Downtown: what a joint replacement costs

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.

Surgery center nearby
$8,399
Columbia Gastrointestinal Endoscopy Center, same ZIP
Outpatient here
$11,506
276 Medicare cases, APC 5115
Inpatient here
$12,651
33 Medicare stays, MS-DRG 470

Medicare prices at Musc Health Columbia Medical Center Downtown

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,651$125,5999.9×$11,506
Shoulder replacement———$16,536

Quality

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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Questions

How much does Medicare pay Musc Health Columbia Medical Center Downtown for a knee or hip replacement?

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).

What is Musc Health Columbia Medical Center Downtown's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Musc Health Columbia Medical Center Downtown?

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.

How does Musc Health Columbia Medical Center Downtown compare with other South Carolina hospitals?

Medicare paid Musc Health Columbia Medical Center Downtown less than 79% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.