South Carolina / Carolina Pines Regional Medical Center
CMS certification 420010 · Hartsville, SC · 4 entries in CMS's price-transparency list
Carolina Pines Regional Medical Center: charges and Medicare payments
Carolina Pines Regional Medical Center reported 358 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 6.02 times what it was paid — among the higher ratios in South Carolina, number 10 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 95 stays at an average charge of $78,427, 13% below the national average. It also billed 580 outpatient services, charging 18.13 times what Medicare paid.
- 1Medicare inpatient stays 358
- 2Charge ÷ paid, inpatient 6.02×
- 3Rank in SC (highest ratio = 1) 10 of 45
- 4CMS price-transparency actions 4
Inpatient stays
For the 17 DRGs that can be compared with the national average, Carolina Pines Regional Medical Center charged more than the national average in 6 (35%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 95 | $78,427 | -13% | $14,255 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $77,106 | +9% | $11,422 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $66,917 | +12% | $10,160 |
| 291 Heart Failure and Shock with MCC | 27 | $43,567 | -23% | $9,254 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $32,522 | -34% | $7,566 |
| 683 Renal Failure with CC | 18 | $32,024 | -21% | $6,988 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $70,479 | +22% | $10,151 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $26,895 | -27% | $6,090 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $32,892 | -13% | $6,364 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $111,135 | +10% | $14,490 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $166,978 | +63% | $14,841 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $41,465 | -31% | $9,741 |
| 682 Renal Failure with MCC | 12 | $56,141 | -15% | $10,325 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $70,087 | -30% | $13,124 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $48,190 | +26% | $6,329 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $70,910 | -6% | $9,665 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $21,618 | -25% | $4,611 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 195 | $23,239 | $2,401 |
| Level 5 Urology and Related Services | 72 | $51,727 | $4,601 |
| Level 5 Musculoskeletal Procedures | 55 | $200,226 | $11,505 |
| Level 4 Urology and Related Services | 47 | $45,054 | $3,100 |
| Level 3 Vascular Procedures | 34 | $22,177 | $2,793 |
| Level 4 Musculoskeletal Procedures | 22 | $116,620 | $6,361 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 21 | $85,910 | $3,076 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $38,122 | $1,442 |
| Level 6 Musculoskeletal Procedures | 17 | $237,118 | $15,659 |
| Level 1 Endovascular Procedures | 17 | $28,297 | $2,779 |
| Level 2 Upper GI Procedures | 16 | $13,518 | $1,608 |
| Level 1 Laparoscopy and Related Services | 15 | $172,682 | $4,868 |
| Level 2 Musculoskeletal Procedures | 13 | $23,824 | $1,429 |
| Level 3 Urology and Related Services | 13 | $29,835 | $1,811 |
| Level 2 Vascular Procedures | 12 | $10,310 | $1,424 |
| Level 4 Gynecologic Procedures | 12 | $37,845 | $2,595 |
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carolina Pines Regional Medical Center charged $78,427 on average, 2% more than the South Carolina average of $76,532, and was paid $14,255 against a state average of $16,014. For Respiratory Infections and Inflammations with MCC (DRG 177), Carolina Pines Regional Medical Center charged $77,106 on average, 24% more than the South Carolina average of $62,241, and was paid $11,422 against a state average of $13,455. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Carolina Pines Regional Medical Center charged $66,917 on average, 25% more than the South Carolina average of $53,401, and was paid $10,160 against a state average of $11,120. For Heart Failure and Shock with MCC (DRG 291), Carolina Pines Regional Medical Center charged $43,567 on average, 5% less than the South Carolina average of $45,682, and was paid $9,254 against a state average of $10,696. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,239 was 12% above the state average of $20,764. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $51,727 was 33% above the state average of $38,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $200,226 was 149% above the state average of $80,461. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $45,054 was 49% above the state average of $30,163.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Carolina Pines Regional Medical Center in Hartsville, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-02 (CMS case 2764)
- CAP Request — 2025-01-14 (CMS case 2764)
- Closure Notice — 2025-03-03 (CMS case 2764)
- Met Requirements — 2026-07-21 (CMS case 8296)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.