North Carolina / Haywood Regional Medical Center
CMS certification 340184 · Clyde, NC · 3 entries in CMS's price-transparency list
Haywood Regional Medical Center: charges and Medicare payments
Haywood Regional Medical Center reported 846 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.6 times what it was paid — among the higher ratios in North Carolina, number 19 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: 109 stays at an average charge of $52,014, 42% below the national average. It also billed 1,736 outpatient services, charging 8.39 times what Medicare paid.
- 1Medicare inpatient stays 846
- 2Charge ÷ paid, inpatient 4.6×
- 3Rank in NC (highest ratio = 1) 19 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 34 DRGs that can be compared with the national average, Haywood Regional Medical Center charged more than the national average in 1 (3%). 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 | 109 | $52,014 | -42% | $13,352 |
| 291 Heart Failure and Shock with MCC | 80 | $32,662 | -42% | $9,107 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $51,065 | -15% | $9,513 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $44,846 | -36% | $11,964 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $41,439 | -18% | $8,203 |
| 683 Renal Failure with CC | 32 | $33,250 | -18% | $6,925 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $40,864 | -16% | $7,336 |
| 460 Spinal Fusion except Cervical without MCC | 27 | $142,502 | -16% | $24,852 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $34,518 | -30% | $7,511 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $29,396 | -22% | $6,175 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $36,349 | -37% | $9,045 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $14,127 | -51% | $4,611 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $54,724 | -25% | $12,291 |
| 603 Cellulitis without MCC | 20 | $28,725 | -23% | $6,733 |
| 682 Renal Failure with MCC | 20 | $33,594 | -49% | $10,032 |
| 389 Gastrointestinal Obstruction with CC | 19 | $31,322 | -20% | $6,265 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $33,389 | -35% | $8,199 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $73,016 | -28% | $14,353 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $77,517 | -24% | $14,558 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $41,091 | -26% | $7,502 |
| 390 Gastrointestinal Obstruction without CC/MCC | 17 | $19,416 | -31% | $4,597 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $30,520 | -20% | $6,447 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $40,122 | -47% | $10,936 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $142,229 | +15% | $18,614 |
| 536 Fractures of Hip and Pelvis without MCC | 14 | $21,764 | -42% | $5,959 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $110,846 | -52% | $29,783 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $63,777 | -25% | $12,721 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $139,283 | -12% | $22,356 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $79,413 | -15% | $13,289 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $33,041 | -49% | $9,805 |
| 069 Transient Ischemia without Thrombolytic | 11 | $26,457 | -48% | $6,191 |
| 312 Syncope and Collapse | 11 | $31,181 | -32% | $6,639 |
| 313 Chest Pain | 11 | $25,025 | -37% | $5,657 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $26,635 | -28% | $6,088 |
Outpatient services
Against the North Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Haywood Regional Medical Center charged $52,014 on average, 9% less than the North Carolina average of $56,936, and was paid $13,352 against a state average of $16,444. For Heart Failure and Shock with MCC (DRG 291), Haywood Regional Medical Center charged $32,662 on average, 9% less than the North Carolina average of $35,799, and was paid $9,107 against a state average of $11,305. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Haywood Regional Medical Center charged $51,065 on average, 28% more than the North Carolina average of $39,905, and was paid $9,513 against a state average of $11,523. For Respiratory Infections and Inflammations with MCC (DRG 177), Haywood Regional Medical Center charged $44,846 on average, 6% less than the North Carolina average of $47,554, and was paid $11,964 against a state average of $14,260. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,474 was 42% below the state average of $2,536. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,009 was 1% above the state average of $61,166. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,023 was 39% above the state average of $18,779. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,477 was 23% above the state average of $10,153.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Haywood Regional Medical Center in Clyde, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-31 (CMS case 524)
- Met Requirements — 2025-04-17 (CMS case 3919)
- Met Requirements — 2025-06-20 (CMS case 5256)
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.