North Carolina / Caromont Regional Medical Center
CMS certification 340032 · Gastonia, NC · 3 entries in CMS's price-transparency list
Caromont Regional Medical Center: charges and Medicare payments
Caromont Regional Medical Center reported 3,627 Medicare inpatient stays across 106 DRGs in 2024. Across them it charged 4.85 times what it was paid — among the higher ratios in North Carolina, number 15 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 350 stays at an average charge of $81,545, 10% below the national average. It also billed 2,790 outpatient services, charging 7.85 times what Medicare paid.
- 1Medicare inpatient stays 3,627
- 2Charge ÷ paid, inpatient 4.85×
- 3Rank in NC (highest ratio = 1) 15 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 106 DRGs that can be compared with the national average, Caromont Regional Medical Center charged more than the national average in 13 (12%). 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 | 350 | $81,545 | -10% | $15,571 |
| 291 Heart Failure and Shock with MCC | 297 | $46,756 | -17% | $10,608 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 111 | $26,038 | -28% | $6,570 |
| 690 Kidney and Urinary Tract Infections without MCC | 97 | $29,114 | -23% | $7,164 |
| 177 Respiratory Infections and Inflammations with MCC | 85 | $68,272 | -3% | $12,967 |
| 885 Psychoses | 68 | $36,154 | -18% | $11,444 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 65 | $30,746 | -23% | $6,925 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $50,915 | -16% | $10,247 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $42,934 | -12% | $8,293 |
| 689 Kidney and Urinary Tract Infections with MCC | 62 | $42,837 | -17% | $9,104 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $38,710 | +4% | $6,917 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 59 | $52,236 | +3% | $9,103 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 58 | $53,292 | -6% | $10,227 |
| 682 Renal Failure with MCC | 52 | $50,574 | -23% | $11,825 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 51 | $71,950 | -28% | $15,629 |
| 683 Renal Failure with CC | 51 | $36,137 | -11% | $7,473 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $41,817 | -15% | $8,558 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 50 | $81,108 | -13% | $14,038 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 47 | $53,635 | -4% | $7,910 |
| 194 Simple Pneumonia and Pleurisy with CC | 47 | $32,393 | -16% | $6,862 |
| 481 Hip and Femur Procedures except Major Joint with CC | 47 | $75,938 | -25% | $15,894 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $47,831 | -35% | $12,614 |
| 312 Syncope and Collapse | 45 | $33,685 | -26% | $7,357 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 44 | $161,236 | -30% | $34,927 |
| 178 Respiratory Infections and Inflammations with CC | 41 | $41,390 | -9% | $8,330 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 41 | $43,799 | +11% | $7,434 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $50,885 | -15% | $10,103 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $112,555 | -2% | $16,266 |
| 812 Red Blood Cell Disorders without MCC | 41 | $44,255 | 0% | $7,734 |
| 305 Hypertension without MCC | 36 | $30,579 | -24% | $6,896 |
| 811 Red Blood Cell Disorders with MCC | 36 | $64,802 | -5% | $12,223 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 34 | $177,155 | +13% | $24,342 |
| 638 Diabetes with CC | 34 | $35,181 | -16% | $7,698 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 33 | $92,381 | -18% | $19,543 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $55,602 | -13% | $8,643 |
| 603 Cellulitis without MCC | 33 | $34,395 | -8% | $8,496 |
| 637 Diabetes with MCC | 32 | $47,831 | -28% | $11,938 |
| 202 Bronchitis and Asthma with CC/MCC | 31 | $33,355 | -28% | $7,865 |
| 552 Medical Back Problems without MCC | 31 | $43,975 | -10% | $8,067 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 31 | $31,148 | -34% | $8,717 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 29 | $183,209 | -17% | $38,263 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 29 | $47,357 | 0% | $9,021 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $67,168 | +17% | $9,789 |
| 330 Major Small and Large Bowel Procedures with CC | 26 | $75,238 | -37% | $18,638 |
| 313 Chest Pain | 25 | $27,676 | -31% | $6,480 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $97,065 | -5% | $18,071 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 25 | $44,850 | -34% | $12,911 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $168,606 | +3% | $24,934 |
| 057 Degenerative Nervous System Disorders without MCC | 23 | $47,323 | -16% | $10,305 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $81,653 | -4% | $13,632 |
| 389 Gastrointestinal Obstruction with CC | 23 | $31,190 | -20% | $7,154 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 22 | $134,504 | -34% | $35,108 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $136,827 | -36% | $31,984 |
| 388 Gastrointestinal Obstruction with MCC | 20 | $49,769 | -27% | $10,964 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 20 | $51,921 | +6% | $9,268 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 19 | $58,454 | -32% | $13,476 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 18 | $34,342 | -19% | $6,319 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $83,771 | +29% | $11,073 |
| 176 Pulmonary Embolism without MCC | 18 | $43,178 | +4% | $7,416 |
| 253 Other Vascular Procedures with CC | 18 | $63,887 | -52% | $19,363 |
Showing the 60 most frequent of 106 DRGs.
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Caromont Regional Medical Center charged $81,545 on average, 43% more than the North Carolina average of $56,936, and was paid $15,571 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Caromont Regional Medical Center charged $46,756 on average, 31% more than the North Carolina average of $35,799, and was paid $10,608 against a state average of $11,305. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Caromont Regional Medical Center charged $26,038 on average, 5% more than the North Carolina average of $24,688, and was paid $6,570 against a state average of $7,153. For Kidney and Urinary Tract Infections without MCC (DRG 690), Caromont Regional Medical Center charged $29,114 on average, 9% more than the North Carolina average of $26,784, and was paid $7,164 against a state average of $7,680. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,300 was 24% above the state average of $18,779. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,123 was 13% above the state average of $61,166. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,968 was 5% below the state average of $9,423. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $36,167 was 7% below the state average of $38,985.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Caromont Regional Medical Center in Gastonia, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-23 (CMS case 4002)
- Closure Notice — 2025-05-13 (CMS case 4002)
- Met Requirements — 2026-07-06 (CMS case 8194)
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.