Hip or knee replacement (inpatient stay)
Facility: Cherokee Medical Center
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $13,809 compared to the $16,361 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.84× fair market pricing.
On the higher side — 7 of 8 other SC hospitals charge less.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $16,361 (about 1.2× the $14,044 Medicare rate). Cherokee Medical Center charges insurers about $13,809 — below the fair price — a good deal. Located in Gaffney, 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 | $13,293 - $65,924 | 95% |
| Blue Cross Blue Shieldmajor | $12,906 - $49,166 | 92% |
| Aetnamajor | $13,422 | 96% |
| Cignamajor | $13,809 - $58,176 | 98% |
| Humanamajor | $12,906 | 92% |
| Devoted Health | $13,293 | 95% |
| Health Net | $58,735 | 418% |
| Molina | $13,551 - $30,862 | 96% |
| SelectHealth | $13,551 | 96% |
| WellCare | $13,551 | 96% |
| + 1 smaller / regional plan | $13,551 |
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 Cherokee Medical Center
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
- Colleton Medical Center · Walterboro $12,866
- McLeod Loris Hospital · Loris $13,303
- MUSC Health Black River Medical Center · Cades $13,529
- Aiken Regional Medical Center · Aiken $13,642
- Prisma Health Patewood Hospital · Greenville $14,493
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cherokee Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $12,031
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $12,031).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Cherokee Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $16,361 Fair BaseRate ($14,044 Medicare)
Your bill ($33,142) is $16,781 above the denoised Fair BaseRate ($16,361) and 2.4× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.