Loris, SC 29569 · CMS Certification Number 420105. 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 | $13,984 | $92,797 | 6.6× | $11,085 |
| Shoulder replacement | — | — | — | $15,618 |
| Hip replacement after a fracture (DRG 522) | $13,693 | $94,810 | 6.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $52,037 | 3.7× | $26,077–$54,896 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $54,896 | 3.9× | 1 |
| UnitedHealthcare | $52,159 | 3.7× | 1 |
| Promise Health | $51,915 | 3.7× | 1 |
| BCBS South Carolina | $26,077 | 1.9× | 1 |
From the hospital's price-transparency file (2026-07-20); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-20); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 105 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 McLeod Loris Hospital for an inpatient hip or knee replacement stay was $13,984 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,085 per outpatient case (APC 5115, 387 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,797, 6.6× 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. Carolina Bone and Joint Surgery Center, an orthopedic surgery center 18.4 mi away, is paid about $8,324 by Medicare for a knee replacement (CPT 27447), $5,660 less than an inpatient stay at McLeod Loris Hospital. Not every patient is a surgery-center candidate.
McLeod Loris Hospital's average total payment per Medicare stay is higher than 58% 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 $52,037 across 4 insurers, ranging from $26,077 to $54,896.