What Medicare pays South Carolina hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
South Carolina has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| East Cooper Medical Center | Mount Pleasant | $11,697 | $123,583 | $10,828 |
| Mount Pleasant Hospital | Mount Pleasant | $11,821 | $60,078 | $11,214 |
| Roper Hospital | Charleston | $12,341 | $59,478 | $11,143 |
| Musc Health Columbia Medical Center Downtown | Columbia | $12,651 | $125,599 | $11,506 |
| St Francis-Downtown | Greenville | $13,074 | $105,355 | $11,175 |
| Roper St Francis Hospital-Berkely Inc | Summerville | $13,220 | $72,209 | $11,393 |
| Lexington Medical Center | West Columbia | $13,339 | $98,560 | $11,143 |
| McLeod Regional Medical Center-Pee Dee | Florence | $13,421 | $82,021 | $10,839 |
| Prisma Health Patewood Hospital | Greenville | $13,453 | $81,717 | $11,207 |
| Tidelands Waccamaw Community Hospital | Murrells Inlet | $13,748 | $60,039 | $11,259 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Musc Medical Center | Charleston | $19,935 | $112,343 | $10,721 |
| Self Regional Healthcare | Greenwood | $18,052 | $70,020 | $11,953 |
| Prisma Health Baptist | Columbia | $17,847 | $116,305 | $11,227 |
| Spartanburg Medical Center | Spartanburg | $17,768 | $75,792 | $12,433 |
| Prisma Health Oconee Memorial Hospital | Seneca | $15,660 | $91,630 | $11,979 |
| Kershaw Medical Center | Camden | $15,527 | $75,425 | $10,728 |
| Grand Strand Regional Medical Center | Myrtle Beach | $15,418 | $145,409 | $11,182 |
| Trident Medical Center | Charleston | $14,198 | $200,140 | $11,059 |
| McLeod Loris Hospital | Loris | $13,984 | $92,797 | $11,085 |
| Tidelands Waccamaw Community Hospital | Murrells Inlet | $13,748 | $60,039 | $11,259 |
In 2024 Medicare paid South Carolina hospitals a median $13,748 per inpatient hip or knee replacement stay (MS-DRG 470, 19 hospitals) and a median $11,207 per outpatient case. An orthopedic surgery center is paid about $8,399 for a knee.
East Cooper Medical Center ($11,697), Mount Pleasant Hospital ($11,821), Roper Hospital ($12,341).
The median list (chargemaster) price is $91,630, about 6.7× what Medicare pays.
South Carolina has a certificate-of-need program that does not cover surgery centers. A 2023 law (S.164) removed ASCs and most facilities from CON immediately; hospital CON ends January 1, 2027 and nursing homes stay covered.