Hip or knee replacement (inpatient stay)
Facility: Roper St Francis Hospital-Berkeley Inc
Billing Code: 470 (MS-DRG)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
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 $19,267 (about 1.4× the $14,044 Medicare rate). Roper St Francis Hospital-Berkeley Inc charges insurers about $24,126 — above the fair price. Located in Summerville, 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 $19,267. 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
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 | $1,980 - $19,079 | 14% |
| Blue Cross Blue Shieldmajor | $24,003 - $41,937 | 171% |
| Aetnamajor | $15,083 | 107% |
| Cignamajor | $15,302 - $37,955 | 109% |
| Humanamajor | $14,991 | 107% |
| Devoted Health | $14,573 | 104% |
| SelectHealth | $14,573 | 104% |
| + 2 smaller / regional plans | $15,302 - $41,937 |
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 Roper St Francis Hospital-Berkeley Inc
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
- Prisma Health Patewood Hospital · Greenville $14,493
Insurance negotiated median for the same procedure, sorted lowest first.