CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: McLeod Loris Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,030
about 1.3× the $14,044 Medicare rate · typically $12,558–$20,710
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,303
Below the fair price — a good deal
about $4,727 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $18,030 This hospital $13,303

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 5 charge more and 3 charge less, among the 9 SC hospitals compared.

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 $18,030 (about 1.3× 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

✓ 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 $12,619 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
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 3655 Mitchell Street, Loris, SC 29569
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals