Mount Pleasant, SC 29466 · CMS Certification Number 420104. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,821 | $60,078 | 5.1× | $11,214 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $13,169 | $69,429 | 5.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,030 | 3.4× | $36,250–$42,106 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $42,106 | 3.6× | 1 |
| BCBS South Carolina | $42,106 | 3.6× | 1 |
| Cigna | $37,955 | 3.2× | 1 |
| UnitedHealthcare | $36,250 | 3.1× | 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.
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 85 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Mount Pleasant Hospital for an inpatient hip or knee replacement stay was $11,821 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,214 per outpatient case (APC 5115, 449 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,078, 5.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Southeastern Spine Institute ASC, LLC, an orthopedic surgery center 5.8 mi away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $3,282 less than an inpatient stay at Mount Pleasant Hospital. Not every patient is a surgery-center candidate.
Mount Pleasant Hospital's average total payment per Medicare stay is lower than 89% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,030 across 4 insurers, ranging from $36,250 to $42,106.