North Carolina / Harris Regional Hospital
CMS certification 340016 · Sylva, NC · 2 entries in CMS's price-transparency list
Harris Regional Hospital: charges and Medicare payments
Harris Regional Hospital reported 322 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 4.68 times what it was paid — among the higher ratios in North Carolina, number 17 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: 97 stays at an average charge of $67,604, 25% below the national average. It also billed 1,234 outpatient services, charging 7.77 times what Medicare paid.
- 1Medicare inpatient stays 322
- 2Charge ÷ paid, inpatient 4.68×
- 3Rank in NC (highest ratio = 1) 17 of 73
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Harris Regional 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 97 | $67,604 | -25% | $14,740 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $40,360 | -32% | $10,494 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $50,998 | -28% | $11,837 |
| 291 Heart Failure and Shock with MCC | 22 | $43,619 | -23% | $10,417 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $35,550 | -28% | $8,346 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $87,426 | -6% | $14,666 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $94,418 | -6% | $15,814 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $91,888 | -10% | $16,470 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $157,428 | -31% | $35,445 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $30,675 | -45% | $8,170 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $52,055 | -10% | $9,777 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $41,077 | -19% | $8,812 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $37,168 | -2% | $7,052 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Harris Regional Hospital charged $67,604 on average, 19% more than the North Carolina average of $56,936, and was paid $14,740 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Harris Regional Hospital charged $40,360 on average, 1% more than the North Carolina average of $39,905, and was paid $10,494 against a state average of $11,523. For Respiratory Infections and Inflammations with MCC (DRG 177), Harris Regional Hospital charged $50,998 on average, 7% more than the North Carolina average of $47,554, and was paid $11,837 against a state average of $14,260. For Heart Failure and Shock with MCC (DRG 291), Harris Regional Hospital charged $43,619 on average, 22% more than the North Carolina average of $35,799, and was paid $10,417 against a state average of $11,305. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,764 was 30% below the state average of $2,536. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,148 was 29% above the state average of $10,153. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $17,250 was 45% above the state average of $11,910. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,735 was 75% above the state average of $11,289.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Harris Regional Hospital in Sylva, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-18 (CMS case 5255)
- Warning Notice — 2026-07-06 (CMS case 8198)
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.