CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Pelham Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,529
about 1.8× the $14,044 Medicare rate · typically $15,864–$30,335
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,456
About the fair price
about $2,927 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $25,529 This hospital $28,456

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 $28,456

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 $25,529 (about 1.8× the $14,044 Medicare rate). Pelham Medical Center charges insurers about $28,456 — about the fair price. Located in Greer, 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 $13,615 - $65,924 97%
Blue Cross Blue Shieldmajor $13,313 - $74,465 95%
Aetnamajor $13,747 98%
Cignamajor $14,144 - $58,176 101%
Humanamajor $13,218 94%
Devoted Health $13,615 97%
Health Net $58,735 418%
Molina $13,879 - $30,862 99%
SelectHealth $13,879 - $30,835 99%
WellCare $13,879 99%
+ 2 smaller / regional plans $13,879 - $46,785

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Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals