Summerville, SC 29486 · CMS Certification Number 420110. 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 | $13,220 | $72,209 | 5.5× | $11,393 |
| Shoulder replacement | — | — | — | $16,118 |
| Hip replacement after a fracture (DRG 522) | $14,133 | $74,031 | 5.2× | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 50 beds
South Carolina has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Roper St Francis Hospital-Berkely Inc an average of $13,220 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,393 per outpatient case (APC 5115, 96 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,209, 5.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Charleston Surgery Center, LP, an orthopedic surgery center same ZIP away, is paid about $8,539 by Medicare for a knee replacement (CPT 27447), $4,681 less than an inpatient stay at Roper St Francis Hospital-Berkely Inc. Not every patient is a surgery-center candidate.
Medicare paid Roper St Francis Hospital-Berkely Inc less than 68% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.