CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mount Pleasant Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,950
about 1.4× the $14,044 Medicare rate · typically $15,462–$35,589
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,250
Well above the fair price
about $16,300 over the fair price · 2.6× Medicare
Medicare pays $14,044 Fair price $19,950 This hospital $36,250

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 $36,250

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 $19,950 (about 1.4× the $14,044 Medicare rate). Mount Pleasant Hospital charges insurers about $36,250 — well above the fair price. Located in Mount Pleasant, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,950. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $12,840 - $36,250 91%
Blue Cross Blue Shieldmajor $12,840 - $42,106 91%
Aetnamajor $13,290 95%
Cignamajor $13,482 - $37,955 96%
Humanamajor $13,482 96%
Devoted Health $12,840 91%
SelectHealth $22,470 160%
+ 2 smaller / regional plans $13,482 - $42,106
Government programs also on file: Medicare.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3510 Highway 17 North Suite 140, Mount Pleasant, SC 29466
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals