Hip Replacement Cost in South Carolina (2026): Average Prices & What You'll Pay
What does a hip replacement cost in South Carolina?
A typical hip replacement in South Carolina costs $4,617–$18,073 for a commercially insured patient, including facility and physician fees. The median reported facility price across 33 hospitals is $11,259. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
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Where hip replacement costs vary in South Carolina
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.
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Cheapest Hip Replacement Providers in South Carolina
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | MUSC Health - Orangeburg | Orangeburg, SC | $2,165 | -$9,094 |
| 2 | MUSC Medical Center | Charleston, SC | $2,165 | -$9,094 |
| 3 | Kershaw Medical Center | Camden, SC | $2,165 | -$9,094 |
| 4 | MUSC Health Black River Medical Center | Cades, SC | $2,165 | -$9,094 |
| 5 | MUSC Chester Regional Medical Center | Chester, SC | $2,165 | -$9,094 |
| 6 | MUSC Health Marion Medical Center | Mullins, SC | $2,165 | -$9,094 |
| 7 | MUSC Health Florence Medical Center | Florence, SC | $2,165 | -$9,094 |
| 8 | MUSC Lancaster Medical Center | Lancaster, SC | $2,165 | -$9,094 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- MUSC Health - Orangeburg is the lowest-cost option at $2,165 - $9,094 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $11,338, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for hip replacement
The same hip replacement bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,174–$21,721
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,174–$21,721
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
Prisma Health (formed from Palmetto Health and Greenville Health System) and Roper St. Francis are the two largest health systems, anchoring the Midlands and Lowcountry respectively. South Carolina's delayed Medicaid expansion maintained a higher uninsured population for years, influencing charity care structures and cash price policies at many facilities. Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $11,259 versus $2,165 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$15,347 |
| Deductible met - 20% coinsurance | ~$3,069 |
| Out-of-network provider | $33,763+ |
Frequently asked questions: hip replacement costs in South Carolina
How much does a hip replacement cost in South Carolina?
The typical insurer-negotiated rate is $921, with most facilities between $893 and $1,103 (based on 22 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $689 to $37,221 across all 33 South Carolina hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hip replacement in South Carolina?
Based on declared prices, the lowest-cost facility in our South Carolina data is Beaufort Memorial Hospital in Beaufort at about $1,174. By metro, Greenville has the lowest median ($11,384). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a hip replacement so much cheaper at some South Carolina hospitals?
Prices vary up to 54× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Carolina, the median cash (self-pay) price is $11,338 versus a median negotiated rate of $921 - about 12.3× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hip replacement in South Carolina?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read an EOB line by line
Other procedures in South Carolina
Hip Replacement, elsewhere
What matters before you schedule
What's on your bill
A hip replacement involves multiple providers who bill separately - typically Drg Facility Stay, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hip replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Hip Replacement is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hip replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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