Columbia, SC 29220 · CMS Certification Number 420086. 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 | $17,847 | $116,305 | 6.5× | $11,227 |
| Shoulder replacement | — | — | — | $15,981 |
Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 352 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Prisma Health Baptist an average of $17,847 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,227 per outpatient case (APC 5115, 419 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,305, 6.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Midlands Orthopaedics Surgery Center, LLC, an orthopedic surgery center 1.8 mi away, is paid about $8,399 by Medicare for a knee replacement (CPT 27447), $9,448 less than an inpatient stay at Prisma Health Baptist. Not every patient is a surgery-center candidate.
Medicare paid Prisma Health Baptist more than 89% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.