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Roper Hospital: what a joint replacement costs

Charleston, SC 29401 · CMS Certification Number 420087. 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
$8,539
The Southeastern Spine Institute ASC, LLC, 5.2 mi
Outpatient here
$11,143
340 Medicare cases, APC 5115
Inpatient here
$12,341
89 Medicare stays, MS-DRG 470

Medicare prices at Roper Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,341$59,4784.8×$11,143
Shoulder replacement$16,687$83,9995.0×$15,667
Hip replacement after a fracture (DRG 522)$13,245$66,5155.0×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 368 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 Roper Hospital for a knee or hip replacement?

In 2024 Medicare paid Roper Hospital an average of $12,341 per inpatient hip or knee replacement stay (MS-DRG 470, 89 stays) and $11,143 per outpatient case (APC 5115, 340 cases).

What is Roper Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,478, 4.8× 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 Roper Hospital?

Yes for Medicare facility payments. The Southeastern Spine Institute ASC, LLC, an orthopedic surgery center 5.2 mi away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $3,802 less than an inpatient stay at Roper Hospital. Not every patient is a surgery-center candidate.

How does Roper Hospital compare with other South Carolina hospitals?

Medicare paid Roper Hospital less than 84% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.