Hip or knee replacement (inpatient stay)
Facility: McLeod Loris Hospital
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $13,303 compared to the $19,528 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.68× fair market pricing.
A typical price — 4 charge more and 4 charge less, among the 9 SC hospitals compared.
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 $19,528 (about 1.4× the $14,044 Medicare rate). McLeod Loris Hospital charges insurers about $13,303 — below the fair price — a good deal. Located in Loris, 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 | $12,619 - $52,159 | 90% |
| Blue Cross Blue Shieldmajor | $12,433 - $54,260 | 89% |
| Aetnamajor | $12,744 | 91% |
| Cignamajor | $54,896 | 391% |
| Humanamajor | $12,930 | 92% |
| Ambetter (Centene) | $22,379 | 159% |
| Clover Health | $12,930 | 92% |
| Molina | $13,241 - $24,244 | 94% |
| WellCare | $13,303 | 95% |
| + 3 smaller / regional plans | $13,303 - $51,915 |
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 McLeod Loris 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
- Colleton Medical Center · Walterboro $12,866
- 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.
Audit a Bill or Quote at McLeod Loris Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $11,590
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $11,590).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask McLeod Loris Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,528 Fair BaseRate ($14,044 Medicare)
Your bill ($31,927) is $12,399 above the denoised Fair BaseRate ($19,528) and 2.3× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.