Grand Strand Regional Medical Center: charges and Medicare payments

Grand Strand Regional Medical Center reported 6,089 Medicare inpatient stays across 160 DRGs in 2024. Across them it charged 9.35 times what it was paid — among the higher ratios in South Carolina, number 4 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: 599 stays at an average charge of $116,272, 29% above the national average. It also billed 4,020 outpatient services, charging 19.31 times what Medicare paid.

1Medicare inpatient stays 6,089
2Charge ÷ paid, inpatient 9.35×
3Rank in SC (highest ratio = 1) 4 of 45
4CMS price-transparency actions 0

Average charge per stay at Grand Strand Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 160 DRGs that can be compared with the national average, Grand Strand Regional Medical Center charged more than the national average in 158 (99%). 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	599	$116,272	+29%	$16,346
291 Heart Failure and Shock with MCC	289	$69,827	+24%	$10,851
274 Percutaneous and Other Intracardiac Procedures without MCC	158	$319,986	+104%	$25,775
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	142	$71,355	+45%	$9,813
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	115	$57,860	+44%	$7,049
193 Simple Pneumonia and Pleurisy with MCC	112	$83,264	+39%	$11,983
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	110	$124,846	+25%	$16,246
322 Percutaneous Cardiovascular Procedures with Intraluminal...	97	$228,316	+99%	$17,820
312 Syncope and Collapse	94	$61,502	+35%	$7,682
481 Hip and Femur Procedures except Major Joint with CC	94	$176,012	+75%	$16,364
177 Respiratory Infections and Inflammations with MCC	90	$75,945	+8%	$13,441
309 Cardiac Arrhythmia and Conduction Disorders with CC	89	$45,909	+27%	$7,150
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	88	$85,991	+54%	$9,307
552 Medical Back Problems without MCC	87	$89,109	+82%	$8,488
682 Renal Failure with MCC	84	$78,684	+19%	$12,389
069 Transient Ischemia without Thrombolytic	78	$55,259	+10%	$7,085
683 Renal Failure with CC	78	$65,891	+62%	$7,838
321 Percutaneous Cardiovascular Procedures with Intraluminal...	77	$295,639	+81%	$24,430
280 Acute Myocardial Infarction, Discharged Alive with MCC	71	$117,314	+55%	$12,986
690 Kidney and Urinary Tract Infections without MCC	70	$59,073	+56%	$7,789
266 Endovascular Cardiac Valve Replacement and Supplement...	69	$372,165	+31%	$49,102
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	68	$79,359	+32%	$11,156
853 Infectious and Parasitic Diseases with O.R. Procedures with...	63	$391,565	+71%	$38,595
267 Endovascular Cardiac Valve Replacement and Supplement...	61	$349,863	+58%	$39,728
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	61	$35,045	+22%	$5,400
236 Coronary Bypass without Cardiac Catheterization without MCC	60	$467,182	+122%	$36,629
189 Pulmonary Edema and Respiratory Failure	57	$72,294	+26%	$10,554
689 Kidney and Urinary Tract Infections with MCC	57	$63,587	+24%	$9,864
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	55	$58,973	+59%	$8,133
698 Other Kidney and Urinary Tract Diagnoses with MCC	54	$91,205	+24%	$13,549
378 Gastrointestinal Hemorrhage with CC	53	$74,819	+54%	$9,557
287 Circulatory Disorders except AMI, with Cardiac...	49	$105,313	+65%	$9,809
305 Hypertension without MCC	47	$50,287	+25%	$7,028
313 Chest Pain	46	$43,207	+8%	$6,608
208 Respiratory System Diagnosis with Ventilator Support <=96...	45	$169,378	+25%	$23,041
184 Major Chest Trauma with CC	44	$115,997	+109%	$9,976
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	44	$75,176	+76%	$7,799
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	43	$393,531	+94%	$39,984
811 Red Blood Cell Disorders with MCC	43	$73,870	+8%	$11,755
377 Gastrointestinal Hemorrhage with MCC	42	$122,343	+43%	$14,681
023 Craniotomy with Major Device Implant or Acute Complex Cns...	41	$600,704	+114%	$49,166
086 Traumatic Stupor and Coma <1 Hour with CC	39	$134,253	+97%	$12,164
149 Dysequilibrium	39	$51,530	+16%	$6,594
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	39	$168,420	+65%	$18,523
884 Organic Disturbances and Intellectual Disability	39	$80,339	+29%	$13,732
460 Spinal Fusion except Cervical without MCC	38	$323,290	+90%	$35,416
329 Major Small and Large Bowel Procedures with MCC	36	$518,843	+141%	$36,921
472 Cervical Spinal Fusion with CC	36	$214,323	+50%	$24,200
025 Craniotomy and Endovascular Intracranial Procedures with MCC	35	$443,667	+92%	$36,027
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$65,558	+16%	$10,603
101 Seizures without MCC	34	$63,270	+30%	$7,829
286 Circulatory Disorders except AMI, with Cardiac...	34	$128,457	+14%	$17,630
390 Gastrointestinal Obstruction without CC/MCC	34	$39,550	+42%	$5,937
536 Fractures of Hip and Pelvis without MCC	33	$62,883	+67%	$7,070
281 Acute Myocardial Infarction, Discharged Alive with CC	32	$82,841	+64%	$8,696
194 Simple Pneumonia and Pleurisy with CC	31	$55,087	+44%	$7,568
603 Cellulitis without MCC	31	$62,388	+67%	$8,326
057 Degenerative Nervous System Disorders without MCC	30	$89,064	+57%	$11,446
638 Diabetes with CC	30	$61,004	+46%	$7,925
854 Infectious and Parasitic Diseases with O.R. Procedures with...	30	$176,890	+80%	$16,267

Showing the 60 most frequent of 160 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	803	$32,865	$2,328
Level 1 Endovascular Procedures	437	$69,950	$2,782
Level 5 Musculoskeletal Procedures	405	$128,362	$11,182
Level 2 Excision/ Biopsy/ Incision and Drainage	253	$20,606	$1,389
Level 3 Endovascular Procedures	183	$171,682	$9,333
Level 3 Electrophysiologic Procedures	155	$413,597	$19,983
Level 1 Laparoscopy and Related Services	145	$99,269	$4,915
Level 4 Urology and Related Services	137	$50,670	$2,986
Level 5 Urology and Related Services	119	$99,412	$4,343
Level 4 Musculoskeletal Procedures	117	$98,176	$6,086
Level 4 Endovascular Procedures	96	$248,330	$14,851
Level 3 Pacemaker and Similar Procedures	83	$133,825	$9,141
Level 3 Urology and Related Services	80	$26,088	$1,734
Level 2 Laparoscopy and Related Services	78	$155,907	$8,721
Level 6 Musculoskeletal Procedures	75	$199,421	$15,739
Level 2 ICD and Similar Procedures	74	$414,845	$28,096
Level 3 Vascular Procedures	60	$36,996	$2,730
Level 4 Pacemaker and Similar Procedures	49	$351,431	$16,654
Level 2 Upper GI Procedures	47	$29,779	$1,630
Level 3 Excision/ Biopsy/ Incision and Drainage	46	$36,393	$2,404
Level 3 Musculoskeletal Procedures	45	$74,324	$2,772
Level 2 Pacemaker and Similar Procedures	41	$81,526	$7,277
Level 5 Airway Endoscopy	40	$102,683	$5,862
Level 2 Breast/Lymphatic Surgery and Related Procedures	39	$78,450	$5,585
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$70,284	$2,899

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grand Strand Regional Medical Center charged $116,272 on average, 52% more than the South Carolina average of $76,532, and was paid $16,346 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Grand Strand Regional Medical Center charged $69,827 on average, 53% more than the South Carolina average of $45,682, and was paid $10,851 against a state average of $10,696. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Grand Strand Regional Medical Center charged $319,986 on average, 71% more than the South Carolina average of $186,698, and was paid $25,775 against a state average of $25,978. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Grand Strand Regional Medical Center charged $71,355 on average, 60% more than the South Carolina average of $44,459, and was paid $9,813 against a state average of $9,001. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,865 was 58% above the state average of $20,764. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $69,950 was 121% above the state average of $31,661. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $128,362 was 60% above the state average of $80,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,606 was 76% above the state average of $11,718.

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.