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East Cooper Medical Center: what a joint replacement costs

Mount Pleasant, SC 29464 · CMS Certification Number 420089. 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, same ZIP
Outpatient here
$10,828
321 Medicare cases, APC 5115
Inpatient here
$11,697
22 Medicare stays, MS-DRG 470

Medicare prices at East Cooper Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$11,697$123,58310.6×$10,828
Shoulder replacement———$15,281
Hip replacement after a fracture (DRG 522)$13,100$123,3339.4×—

Quality

Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 140 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 East Cooper Medical Center for a knee or hip replacement?

In 2024 Medicare paid East Cooper Medical Center an average of $11,697 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $10,828 per outpatient case (APC 5115, 321 cases).

What is East Cooper Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $123,583, 10.6× 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 East Cooper Medical Center?

Yes for Medicare facility payments. The Southeastern Spine Institute ASC, LLC, an orthopedic surgery center same ZIP away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $3,158 less than an inpatient stay at East Cooper Medical Center. Not every patient is a surgery-center candidate.

How does East Cooper Medical Center compare with other South Carolina hospitals?

Medicare paid East Cooper Medical Center less than 95% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.