Hip or knee replacement (inpatient stay)
Facility: Prisma Health Oconee Memorial Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hip or knee replacement (inpatient stay) is about $16,868 (about 1.2× the $14,044 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $15,488, or about $60,717 in cash — about the fair price. Located in Seneca, SC.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $5,652 - $25,847 | 40% |
| Blue Cross Blue Shieldmajor | $12,516 - $28,372 | 89% |
| Aetnamajor | $15,488 | 110% |
| Cignamajor | $14,750 - $39,398 | 105% |
| Humanamajor | $13,221 - $13,480 | 94% |
| Ambetter (Centene) | $41,012 | 292% |
| Molina | $16,226 | 116% |
| MVP Health Care | $39,398 | 281% |
| WellCare | $15,488 | 110% |
| + 16 smaller / regional plans | $12,596 - $48,773 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Prisma Health Oconee Memorial Hospital
Compare: Hip or knee replacement (inpatient stay) at other SC hospitals
- Prisma Health Tuomey Hospital · Sumter $10,535
- Anmed Health · Anderson $11,193
- Cannon Memorial Hospital · Pickens $11,420
- McLeod Loris Hospital · Loris $13,303
- MUSC Health Black River Medical Center · Cades $13,529
- Aiken Regional Medical Center · Aiken $13,642
- Cherokee Medical Center · Gaffney $13,809
- Prisma Health Patewood Hospital · Greenville $14,493
Insurance negotiated median for the same procedure, sorted lowest first.