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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Mount Pleasant Hospital an average of $11,821 per inpatient hip or knee replacement stay (MS-DRG 470, 37 stays) and $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× what Medicare paid. 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.
Medicare paid Mount Pleasant Hospital less than 89% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.