CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: MUSC Health Marion Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,460

about 1.3× the $14,044 Medicare rate · typically $15,086–$25,086

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,751

Below the fair price — a good deal

about $2,709 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $18,460 This hospital $15,751

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $10,535 Priciest $15,751

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 $18,460 (about 1.3× the $14,044 Medicare rate). MUSC Health Marion Medical Center charges insurers about $15,751 — below the fair price — a good deal. Located in Mullins, 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	$15,442 - $16,986	110%
Blue Cross Blue Shieldmajor	$10,545 - $24,342	75%
Aetnamajor	$15,751	112%
Cignamajor	$15,751	112%
Humanamajor	$15,442	110%
Molina	$15,751 - $16,986	112%
WellCare	$15,751	112%
+ 1 smaller / regional plan	$16,600

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, 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 MUSC Health Marion Medical Center 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 MUSC Health Marion 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
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.