Greenville, SC 29615 · CMS Certification Number 420102. 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 | $13,453 | $81,717 | 6.1× | $11,207 |
| Shoulder replacement | $16,691 | $104,301 | 6.2× | $15,682 |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 72 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Prisma Health Patewood Hospital an average of $13,453 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,207 per outpatient case (APC 5115, 870 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,717, 6.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center at Pelham, an orthopedic surgery center 3.6 mi away, is paid about $8,549 by Medicare for a knee replacement (CPT 27447), $4,904 less than an inpatient stay at Prisma Health Patewood Hospital. Not every patient is a surgery-center candidate.
Medicare paid Prisma Health Patewood Hospital less than 53% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.