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Prisma 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.

Surgery center nearby
$8,549
Surgery Center at Pelham, 3.6 mi
Outpatient here
$11,207
870 Medicare cases, APC 5115
Inpatient here
$13,453
33 Medicare stays, MS-DRG 470

Medicare prices at Prisma Health Patewood Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,453$81,7176.1×$11,207
Shoulder replacement$16,691$104,3016.2×$15,682

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 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).

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× 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 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?

Medicare paid Prisma Health Patewood Hospital less than 53% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.