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Mount Pleasant Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,539
The Southeastern Spine Institute ASC, LLC, 5.8 mi
Outpatient here
$11,214
Medicare allowed amount, 449 cases, APC 5115
Inpatient here
$11,821
Avg total payment (incl. patient share), 37 Medicare stays, MS-DRG 470

Medicare prices at Mount Pleasant Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$11,821$60,0785.1×$11,214
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$13,169$69,4295.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$40,0303.4×$36,250–$42,1064
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$42,1063.6×1
BCBS South Carolina$42,1063.6×1
Cigna$37,9553.2×1
UnitedHealthcare$36,2503.1×1

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.

Quality

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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Questions

How much does Medicare pay Mount Pleasant Hospital for a knee or hip replacement?

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).

What is Mount Pleasant Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Mount Pleasant Hospital?

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.

How does Mount Pleasant Hospital compare with other South Carolina hospitals?

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.

What do commercial insurers pay Mount Pleasant 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 $40,030 across 4 insurers, ranging from $36,250 to $42,106.