South Carolina / Prisma Health Patewood Hospital
CMS certification 420102 · Greenville, SC
Prisma Health Patewood Hospital: charges and Medicare payments
Prisma Health Patewood Hospital reported 89 Medicare inpatient stays across 4 DRGs in 2024. Across them it charged 5.92 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 33 stays at an average charge of $81,717, 12% below the national average. It also billed 2,908 outpatient services, charging 7.8 times what Medicare paid.
- 1Medicare inpatient stays 89
- 2Charge ÷ paid, inpatient 5.92×
- 3Rank in SC (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 4 DRGs that can be compared with the national average, Prisma Health Patewood Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 33 | $81,717 | -12% | $13,453 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 28 | $104,301 | -17% | $16,691 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 17 | $107,778 | -13% | $20,254 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $114,262 | -28% | $19,448 |
Outpatient services
Against the South Carolina average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Prisma Health Patewood Hospital charged $81,717 on average, 14% less than the South Carolina average of $95,420, and was paid $13,453 against a state average of $14,497. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), Prisma Health Patewood Hospital charged $104,301 on average, 20% less than the South Carolina average of $129,918, and was paid $16,691 against a state average of $20,418. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Prisma Health Patewood Hospital charged $107,778 on average, 16% less than the South Carolina average of $127,996, and was paid $20,254 against a state average of $20,818. For Revision of Hip or Knee Replacement with CC (DRG 467), Prisma Health Patewood Hospital charged $114,262 on average, 26% less than the South Carolina average of $153,441, and was paid $19,448 against a state average of $28,095. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,154 was 12% below the state average of $80,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,722 was 26% below the state average of $11,718. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,032 was 19% below the state average of $13,627. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $47,903 was 7% below the state average of $51,243.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.