CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Prisma Health Tuomey Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,546
about 1.2× the $14,044 Medicare rate · typically $11,873–$30,677
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,535
Below the fair price — a good deal
about $7,011 under the fair price · 0.8× Medicare
Medicare pays $14,044 Fair price $17,546 This hospital $10,535

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Lowest price of the 9 SC hospitals we have prices for — a strong deal.

Cheapest $10,535 Priciest $14,931

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 $17,546 (about 1.2× the $14,044 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $10,535 — below the fair price — a good deal. Located in Sumter, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $10,535 75%
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals