Price AtlasInteractive atlas · All states · techysurgeon.comPrisma Health Patewood Hospital: what a joint replacement costs
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.
Medicare prices at Prisma Health Patewood Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,453 | $81,717 | 6.1× | $11,207 |
| Shoulder replacement | $16,691 | $104,301 | 6.2× | $15,682 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,190 | 2.6× | $30,920–$39,398 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $39,398 | 2.9× | 1 |
| Promise Health Plan | $37,614 | 2.8× | 1 |
| Bluechoice | $35,234 | 2.6× | 1 |
| BCBS South Carolina | $35,147 | 2.6× | 1 |
| Preferred Administrators | $34,253 | 2.5× | 1 |
| Bob Jones Univ-Pai | $30,920 | 2.3× | 1 |
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Prisma Health Patewood Hospital for a knee or hip replacement?
In 2024 the average total payment to Prisma Health Patewood Hospital for an inpatient hip or knee replacement stay was $13,453 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,207 per outpatient case (APC 5115, 870 cases).
What is Prisma Health Patewood Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,717, 6.1× the average total payment for a Medicare stay. 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 Prisma Health Patewood Hospital?
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.
How does Prisma Health Patewood Hospital compare with other South Carolina hospitals?
Prisma Health Patewood Hospital's average total payment per Medicare stay is lower than 53% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Prisma Health Patewood Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,190 across 6 insurers, ranging from $30,920 to $39,398.