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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid McLeod Loris Hospital an average of $13,984 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $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× what Medicare paid. 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.
Medicare paid McLeod Loris Hospital more than 58% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.