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Pelham Medical Center: what a joint replacement costs

Greer, SC 29651 · CMS Certification Number 420103. 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, 8.8 mi
Outpatient here
$11,292
Medicare allowed amount, 142 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Pelham Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,292
Shoulder replacement———$15,316

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$58,176—$46,785–$65,9245
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$65,924—1
Employer Health Network$58,735—1
Cigna$58,176—1
BCBS South Carolina$50,271—1
Preferred Administrators$46,785—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Government · Acute · 48 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 Pelham Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,292 per outpatient hip or knee replacement case (APC 5115, 142 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Pelham Medical Center?

Yes for Medicare facility payments. Surgery Center at Pelham, an orthopedic surgery center 8.8 mi away, is paid about $8,549 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Pelham Medical Center 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 $58,176 across 5 insurers, ranging from $46,785 to $65,924.