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Musc Health Lancaster Medical Center: what a joint replacement costs

Lancaster, SC 29720 · CMS Certification Number 420036. 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
$8,806
Surgery Center at Edgewater, 18.0 mi
Outpatient here
$11,175
Medicare allowed amount, 48 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Musc Health Lancaster Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,175
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,990$148,8608.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,030—$21,101–$52,9602
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$52,960—1
BCBS South Carolina$21,101—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 217 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 Lancaster Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,175 per outpatient hip or knee replacement case (APC 5115, 48 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Surgery Center at Edgewater, an orthopedic surgery center 18.0 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Musc Health Lancaster Medical Center 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 $37,030 across 2 insurers, ranging from $21,101 to $52,960.