Charleston, SC 29406 · CMS Certification Number 420079. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,198 | $200,140 | 14.1× | $11,059 |
| Shoulder replacement | — | — | — | $16,046 |
| Hip replacement after a fracture (DRG 522) | $15,805 | $209,336 | 13.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,589 | 2.3× | $16,085–$61,972 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Select Health | $61,972 | 4.4× | 1 |
| Aetna | $56,986 | 4.0× | 1 |
| Cigna | $43,146 | 3.0× | 1 |
| BCBS South Carolina | $42,366 | 3.0× | 1 |
| MultiPlan/PHCS (rental network) | $34,523 | 2.4× | 1 |
| Absolute Total Care | $32,589 | 2.3× | 1 |
| SC State Employees | $29,092 | 2.0× | 1 |
| Seven Corners | $28,148 | 2.0× | 1 |
| OccuNet | $16,597 | 1.2× | 1 |
| UnitedHealthcare | $16,085 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 497 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Trident Medical Center for an inpatient hip or knee replacement stay was $14,198 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,059 per outpatient case (APC 5115, 172 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $200,140, 14.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Trident Ambulatory Surgery, an orthopedic surgery center 4.0 mi away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $5,659 less than an inpatient stay at Trident Medical Center. Not every patient is a surgery-center candidate.
Trident Medical Center's average total payment per Medicare stay is higher than 63% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $32,589 across 9 insurers, ranging from $16,085 to $61,972.