CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Cannon Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,346

about 1.2× the $14,044 Medicare rate · typically $11,273–$17,068

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,420

Below the fair price — a good deal

about $4,926 under the fair price · 0.8× Medicare

Medicare pays $14,044 Fair price $16,346 This hospital $11,420 Cash price $47,717 Hospital's list price $95,434

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 6 of 8 other SC hospitals charge more for the same procedure.

Cheapest $10,535 Priciest $14,931

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 $16,346 (about 1.2× the $14,044 Medicare rate). Cannon Memorial Hospital charges insurers about $11,420, or about $47,717 in cash — below the fair price — a good deal. Located in Pickens, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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	$11,193 - $11,420	80%
Blue Cross Blue Shieldmajor	$11,420 - $40,633	81%
Aetnamajor	$11,420	81%
Cignamajor	$11,193	80%
Humanamajor	$11,420	81%
Ambetter (Centene)	$11,420	81%
Bright Health	$11,420 - $28,282	81%
Devoted Health	$11,420	81%
Molina	$11,420	81%
+ 11 smaller / regional plans	$11,193 - $11,420

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 47,717), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Cannon Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cannon 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
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
Shriners Hospitals for Children · Greenville $14,931

Insurance negotiated median for the same procedure, sorted lowest first.