Hip or knee replacement (inpatient stay)
Facility: Prisma Health Patewood Hospital
Billing Code: 470 (MS-DRG)
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.
⚠ 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 $16,265 (about 1.2× the $14,044 Medicare rate). Prisma Health Patewood Hospital charges insurers about $14,493, or about $54,217 in cash — below the fair price — a good deal. Located in Greenville, 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 | $13,176 - $35,147 | 94% |
| Aetnamajor | $13,834 | 99% |
| Cignamajor | $13,176 - $39,398 | 94% |
| Humanamajor | $13,385 - $13,647 | 95% |
| Ambetter (Centene) | $35,815 | 255% |
| Molina | $14,493 | 103% |
| MVP Health Care | $39,398 | 281% |
| WellCare | $13,834 | 99% |
| + 16 smaller / regional plans | $8,752 - $39,398 |
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 Patewood 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
- Shriners Hospitals for Children · Greenville $14,931
Insurance negotiated median for the same procedure, sorted lowest first.