Price AtlasInteractive atlas · All states · techysurgeon.comPrisma 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.
Medicare prices at Prisma Health Baptist
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,847 | $116,305 | 6.5× | $11,227 |
| Shoulder replacement | — | — | — | $15,981 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,072 | 2.4× | $30,920–$57,805 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Bluechoice | $57,805 | 3.2× | 1 |
| BCBS South Carolina | $57,670 | 3.2× | 1 |
| Cigna | $46,531 | 2.6× | 1 |
| Promise Health Plan | $37,614 | 2.1× | 1 |
| Preferred Administrators | $34,253 | 1.9× | 1 |
| Bob Jones Univ-Pai | $30,920 | 1.7× | 1 |
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Prisma Health Baptist for an inpatient hip or knee replacement stay was $17,847 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Prisma Health Baptist's average total payment per Medicare stay is higher than 89% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Prisma Health Baptist 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 $42,072 across 6 insurers, ranging from $30,920 to $57,805.