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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,697 | $123,583 | 10.6× | $10,828 |
| Shoulder replacement | — | — | — | $15,281 |
| Hip replacement after a fracture (DRG 522) | $13,100 | $123,333 | 9.4× | — |
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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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).
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.
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.
Medicare paid East Cooper Medical Center less than 95% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.