Total Hip Replacement Cost in South Carolina
Total hip arthroplasty
$14,279Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
South Carolina Medicare physician rate (2026)
-4.3% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $3,503 on the Medicare allowed amount for total hip replacement. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in South Carolina
Check your ZIP code for your region of South Carolina, whether Charleston and the Lowcountry, Columbia and the Midlands, Greenville-Spartanburg in the Upstate, or Myrtle Beach and the Grand Strand.
What total hip replacement costs at hospitals near you
Everything above is a national average. The hospital you pick in South Carolina moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs South Carolina
Where South Carolina ranks for this CPT
Total Hip Replacement and how South Carolina is priced
South Carolina prices through one statewide locality with indices a bit below the national average, so Charleston, Columbia, Greenville, and the rural Pee Dee share the same Medicare-approved amounts. Rapid coastal growth has not led CMS to break out a separate locality, keeping the fee schedule uniform from the mountains to the sea islands. The single set of adjustments makes the statewide figures here directly usable anywhere in the state. Facility fees at hospital-owned locations remain the largest source of price variation for patients.
The state's medical firepower splits three ways: an academic medical center and strong hospital market in Charleston, the capital-region systems in Columbia, and a large Upstate network centered on Greenville. Retiree-heavy coastal areas like Hilton Head and Myrtle Beach have booming demand for Medicare-age care, while the rural I-95 corridor faces some of the state's worst access gaps. Some border residents use Charlotte or Augusta providers.
This procedure: Total hip replacement removes a worn or damaged hip joint, usually destroyed by arthritis, and replaces it with a metal, ceramic, and plastic implant. It is one of the most successful operations in medicine for relieving pain and restoring walking. The surgery takes one to two hours under general or spinal anesthesia; many patients now go home the same day or after one night, then spend several weeks in physical therapy.
What Is Total Hip Replacement?
Total hip replacement removes a worn or damaged hip joint, usually destroyed by arthritis, and replaces it with a metal, ceramic, and plastic implant. It is one of the most successful operations in medicine for relieving pain and restoring walking. The surgery takes one to two hours under general or spinal anesthesia; many patients now go home the same day or after one night, then spend several weeks in physical therapy.
What Affects the Cost
- –The implant itself is a major cost component, and prices vary widely between manufacturers and hospitals.
- –Same-day discharge at an ambulatory surgery center can cost dramatically less than an inpatient hospital stay.
- –Post-operative physical therapy, whether at home, outpatient, or in a rehab facility, is a significant separate expense over weeks.
- –The anesthesia team bills by time, and spinal versus general anesthesia can affect both cost and recovery.
- –Pre-surgical clearance testing, such as labs, an ECG, and imaging, generates its own set of charges.
- –Robotic-assisted or computer-navigated surgery may carry additional facility charges at some hospitals.
Questions to Ask Before Booking
- 1.Am I a candidate for same-day or outpatient surgery, and how much would that reduce the facility charge?
- 2.What implant brand do you use, and does my choice affect what I pay?
- 3.Has prior authorization been approved, including documentation of the conservative care I already tried?
- 4.What will physical therapy cost after surgery, and how many visits does my plan cover?
- 5.Does my insurer have a designated joint replacement center with lower out-of-pocket costs?
Other featured procedures in South Carolina
Total Hip Replacement in other states
Total Hip Replacement in South Carolina: questions
South Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 27130 is $1,112.20 in an office and $1,112.20 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. South Carolina uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $222 for the office physician line or $222 for the hospital physician line in South Carolina. Medigap may cover that 20%. This is not the hospital facility fee.
No. $1,112.20 is only the physician's share. Adding Medicare's facility payment brings the total to about $14,279 in a hospital outpatient department, or about $10,776 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Carolina ranks #19 of 51 states on the physician line (4% below the national office rate of $1,162.02).