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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,341 | $59,478 | 4.8× | $11,143 |
| Shoulder replacement | $16,687 | $83,999 | 5.0× | $15,667 |
| Hip replacement after a fracture (DRG 522) | $13,245 | $66,515 | 5.0× | — |
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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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).
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.
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.
Medicare paid Roper Hospital less than 84% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.