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Prisma Health Baptist: what a joint replacement costs

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.

Surgery center nearby
$8,399
Midlands Orthopaedics Surgery Center, LLC, 1.8 mi
Outpatient here
$11,227
419 Medicare cases, APC 5115
Inpatient here
$17,847
33 Medicare stays, MS-DRG 470

Medicare prices at Prisma Health Baptist

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,847$116,3056.5×$11,227
Shoulder replacement———$15,981

Quality

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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Questions

How much does Medicare pay Prisma Health Baptist for a knee or hip replacement?

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).

What is Prisma Health Baptist's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Prisma Health Baptist?

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.

How does Prisma Health Baptist compare with other South Carolina hospitals?

Medicare paid Prisma Health Baptist more than 89% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.