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South Carolina

Cost of a Hip Replacement Surgery Visit
in South Carolina

Reviewed by Momentary Medical Group West PC

South Carolina's aging population and high rates of joint-related conditions have driven demand for Hip Replacement Surgery services across the state's diverse healthcare landscape. Hip Replacement Surgery patients in South Carolina work with 1,247 active providers, with costs varying significantly based on location and facility type. Residents can browse all Hip Replacement Surgery providers throughout South Carolina to find the right specialist for their orthopedic needs.

Average

$1,477

Median

$1,442

Lowest

$80

Highest

$2,907

Providers

1,247

National avg: $2,015South Carolina: $1,477

27% below national average

Compare Similar Procedures

How does hip replacement compare to related procedures in South Carolina?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,060$1,527$3,1081,028
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$327$647$1,3831,098
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$422$607$1,2661,038
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$483$710$1,5941,072
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$631$1,2901,336
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$975$2,0611,098
Septoplasty

Nasal septum repair

30520$466$679$1,4221,031
Tonsillectomy

Tonsillectomy, primary or secondary

42820$194$307$6441,089
Inguinal Hernia Repair

Inguinal hernia repair

49505$391$554$1,1701,025
Mastectomy

Partial or simple mastectomy

19301$318$696$1,3151,094
Carpal Tunnel Surgery

Open carpal tunnel release

64721$334$467$1,0301,029

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 27130Total hip arthroplasty). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 27130 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27130 (Total hip arthroplasty), as mandated by the CMS Price Transparency Rule.

What CPT 27130 covers: the provider's professional fee for hip replacement. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Hip Replacement Surgery Visit Costs Vary Across South Carolina

South Carolina's Hip Replacement Surgery costs run approximately 1% below national averages, reflecting the state's lower cost of living and moderate healthcare pricing environment. The state's mix of urban medical centers and rural communities creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Charleston, Columbia, and Greenville anchor South Carolina's orthopedic care with multiple Hip Replacement Surgery specialists and advanced surgical facilities, while rural counties often lack local joint replacement expertise. Patients in areas like the Pee Dee region may need to travel significant distances for specialized care, potentially adding transportation costs. This geographic disparity can lead to higher overall treatment expenses for rural residents despite lower base prices.

Facility Type and Overhead Costs

Major health systems like MUSC Health, Prisma Health, and McLeod Health operate hospital-based orthopedic clinics with higher overhead costs reflected in facility fees. Independent Hip Replacement Surgery practices typically offer lower rates but may have more limited surgical facility access. Ambulatory surgery centers throughout South Carolina provide cost-effective alternatives for outpatient procedures compared to hospital outpatient departments.

Insurance Market Competition in South Carolina

BCBS SC maintains the largest market share statewide, with UHC and Aetna providing competitive alternatives primarily in urban areas. This moderate competition helps keep negotiated rates reasonable compared to states with single-payer dominance. Rural areas may have fewer insurer options, potentially limiting provider network choices and negotiating power.

Physician Supply and Demand in South Carolina

With 1,247 active Hip Replacement Surgery providers serving the state's population, South Carolina maintains adequate orthopedic specialist availability in most regions. This supply helps moderate pricing pressure compared to states with severe specialist shortages, though wait times for elective procedures can vary seasonally. The concentration of providers in metropolitan areas means rural patients may face longer delays and higher travel costs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hip Replacement Surgery Costs in South Carolina

What is the average cost of a Hip Replacement Surgery visit in South Carolina without insurance?

Based on negotiated rate data from South Carolina providers, Hip Replacement Surgery visits show significant cost variation with a median rate of $1,442 across 1,247 providers statewide. Uninsured patients may face different pricing structures, as these figures represent insurance negotiated rates rather than cash-pay prices. Many practices offer self-pay discounts of 20-40% off standard rates, making direct payment potentially more affordable than these insurance rates suggest.

Does South Carolina Medicaid cover Hip Replacement Surgery visits?

South Carolina Medicaid covers medically necessary Hip Replacement Surgery consultations and procedures, though the state has not expanded Medicaid eligibility under the ACA. Coverage includes initial consultations, diagnostic imaging, and surgical procedures when conservative treatments have failed to provide adequate relief. Prior authorization may be required for expensive procedures like joint replacement surgery, and patients should verify their provider accepts Medicaid before scheduling.

How do I find an affordable Hip Replacement Surgery near me in South Carolina?

Compare costs among the 1,247 Hip Replacement Surgery providers across South Carolina, focusing on independent practices which often charge less than hospital-owned clinics. Ask about cash-pay discounts if you're uninsured, and consider ambulatory surgery centers for procedures rather than hospital outpatient departments. Community health centers in larger cities may offer sliding-scale orthopedic services for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Hip Replacement Surgery consultations typically cost significantly more than follow-up visits due to the comprehensive evaluation, review of imaging studies, and treatment planning involved. New patient visits often include detailed medical history review and physical examination, while established patient visits focus on treatment progress and shorter assessments. The specific cost difference varies by provider and insurance plan, but initial consultations commonly cost 50-100% more than routine follow-ups.

Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in South Carolina?

Yes, Hip Replacement Surgery consultations and treatments qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes consultation fees, diagnostic imaging, surgical procedures, and prescribed medical equipment related to your orthopedic care. Keep detailed receipts and documentation for reimbursement, as these accounts may require itemized statements showing the medical nature of expenses.

How does telemedicine affect the cost of seeing a Hip Replacement Surgery in South Carolina?

Telemedicine consultations with Hip Replacement Surgery specialists in South Carolina typically cost 20-30% less than in-person visits, though physical examination limitations make virtual visits most suitable for follow-ups and initial screenings. Many orthopedic practices expanded telehealth options during the pandemic and continue offering remote consultations for appropriate cases. However, diagnostic imaging review and post-operative care often still require in-person visits for optimal treatment outcomes.

Click a state to compare costs

Average Visit Cost

$734
$4,747

Office visit (CPT 27130)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$10,565
$4,747
2Alaska
Range: $1,137$6,292
$3,083
3Connecticut
Range: $807$6,060
$2,863
4New York
Range: $900$6,060
$2,750
5Georgia
Range: $1,115$5,088
$2,741
6Massachusetts
Range: $80$6,060
$2,717
7Wyoming
Range: $1,632$4,245
$2,717
8Rhode Island
Range: $80$6,060
$2,706
9New Hampshire
Range: $1,435$4,083
$2,653
10Montana
Range: $80$6,442
$2,639
11Delaware
Range: $80$6,060
$2,571
12Nebraska
Range: $1,627$3,012
$2,526
13Pennsylvania
Range: $80$6,060
$2,506
14Washington
Range: $1,500$3,707
$2,415
15Iowa
Range: $91$3,950
$2,326
16New Jersey
Range: $953$4,590
$2,322
17Maine
Range: $1,585$2,639
$2,238
18New Mexico
Range: $1,203$3,377
$2,225
19District of Columbia
Range: $1,045$3,311
$2,214
20West Virginia
Range: $90$4,590
$2,119
21Colorado
Range: $940$3,328
$2,082
22Utah
Range: $90$2,909
$1,936
23North Carolina
Range: $90$3,786
$1,919
24Vermont
Range: $959$3,289
$1,902
25Oregon
Range: $90$3,637
$1,883
26Mississippi
Range: $1,040$3,084
$1,819
27Illinois
Range: $85$3,707
$1,819
28Missouri
Range: $1,274$2,249
$1,813
29Kentucky
Range: $386$3,244
$1,804
30Tennessee
Range: $1,095$2,579
$1,792
31Indiana
Range: $85$3,549
$1,751
32Nevada
Range: $1,115$2,360
$1,717
33California
Range: $80$3,012
$1,704
34Kansas
Range: $1,274$2,226
$1,700
35Maryland
Range: $1,124$2,667
$1,694
36Virginia
Range: $920$2,659
$1,684
37Louisiana
Range: $960$2,505
$1,674
38Idaho
Range: $90$3,023
$1,652
39Hawaii
Range: $90$2,947
$1,644
40South Dakota
Range: $90$3,012
$1,624
41Michigan
Range: $80$2,869
$1,566
42Arizona
Range: $1,097$2,279
$1,504
43Arkansas
Range: $90$2,535
$1,488
44South Carolina
Range: $80$2,907
$1,477
45Alabama
Range: $80$2,767
$1,453
46Ohio
Range: $85$2,491
$1,331
47Oklahoma
Range: $85$2,536
$1,298
48Texas
Range: $90$2,602
$1,277
49Minnesota
Range: $91$3,227
$1,136
50Florida
Range: $35$2,391
$827
51North Dakota
Range: $91$2,019
$734
Hip Replacement in Other States