South Carolina / Hilton Head Regional Medical Center
CMS certification 420080 · Hilton Head Island, SC
Hilton Head Regional Medical Center: charges and Medicare payments
Hilton Head Regional Medical Center reported 1,438 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 5.32 times what it was paid — among the higher ratios in South Carolina, number 13 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: 203 stays at an average charge of $70,077, 22% below the national average. It also billed 1,848 outpatient services, charging 15.08 times what Medicare paid.
- 1Medicare inpatient stays 1,438
- 2Charge ÷ paid, inpatient 5.32×
- 3Rank in SC (highest ratio = 1) 13 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 48 DRGs that can be compared with the national average, Hilton Head Regional Medical Center charged more than the national average in 29 (60%). 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 | 203 | $70,077 | -22% | $19,870 |
| 291 Heart Failure and Shock with MCC | 97 | $55,699 | -1% | $12,549 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $58,759 | -2% | $11,952 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $75,238 | +7% | $15,978 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $57,851 | +18% | $9,997 |
| 682 Renal Failure with MCC | 42 | $66,925 | +1% | $13,945 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $66,872 | -12% | $14,566 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 38 | $144,833 | +42% | $19,460 |
| 460 Spinal Fusion except Cervical without MCC | 36 | $316,600 | +86% | $32,524 |
| 690 Kidney and Urinary Tract Infections without MCC | 36 | $44,875 | +19% | $7,683 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $54,245 | -3% | $10,772 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $54,381 | +12% | $9,328 |
| 481 Hip and Femur Procedures except Major Joint with CC | 35 | $130,920 | +30% | $19,602 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $158,123 | +38% | $17,184 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $50,561 | -1% | $11,368 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $189,668 | -17% | $56,383 |
| 683 Renal Failure with CC | 30 | $45,864 | +13% | $8,487 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $59,312 | -19% | $15,534 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $63,440 | +12% | $11,060 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 25 | $201,441 | +29% | $28,842 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $32,049 | +12% | $6,497 |
| 039 Extracranial Procedures without CC/MCC | 24 | $99,568 | +56% | $10,328 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $56,376 | -2% | $13,411 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $41,727 | +16% | $6,986 |
| 552 Medical Back Problems without MCC | 23 | $45,032 | -8% | $9,215 |
| 603 Cellulitis without MCC | 21 | $42,419 | +14% | $8,267 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $44,854 | +21% | $7,622 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $49,003 | +22% | $7,623 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $113,389 | +14% | $21,345 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $41,631 | +8% | $7,574 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $161,763 | +36% | $26,398 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $48,147 | -20% | $12,027 |
| 069 Transient Ischemia without Thrombolytic | 17 | $62,060 | +23% | $7,753 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $54,773 | +8% | $8,558 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $35,417 | -25% | $10,953 |
| 312 Syncope and Collapse | 16 | $51,154 | +12% | $8,084 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $179,946 | +30% | $28,399 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $63,405 | -3% | $12,810 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $43,406 | +2% | $8,704 |
| 389 Gastrointestinal Obstruction with CC | 13 | $37,432 | -4% | $7,296 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 12 | $209,465 | +66% | $24,466 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $32,341 | -14% | $7,626 |
| 215 Other Heart Assist System Implant | 11 | $445,749 | -5% | $90,840 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $75,684 | +74% | $6,494 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $200,469 | +22% | $27,795 |
| 394 Other Digestive System Diagnoses with CC | 11 | $44,108 | -6% | $8,418 |
| 643 Endocrine Disorders with MCC | 11 | $57,025 | -23% | $16,071 |
| 813 Coagulation Disorders | 11 | $59,856 | -25% | $13,867 |
Outpatient services
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hilton Head Regional Medical Center charged $70,077 on average, 8% less than the South Carolina average of $76,532, and was paid $19,870 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Hilton Head Regional Medical Center charged $55,699 on average, 22% more than the South Carolina average of $45,682, and was paid $12,549 against a state average of $10,696. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hilton Head Regional Medical Center charged $58,759 on average, 10% more than the South Carolina average of $53,401, and was paid $11,952 against a state average of $11,120. For Respiratory Infections and Inflammations with MCC (DRG 177), Hilton Head Regional Medical Center charged $75,238 on average, 21% more than the South Carolina average of $62,241, and was paid $15,978 against a state average of $13,455. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $121,928 was 52% above the state average of $80,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,456 was 15% above the state average of $11,718. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,565 was 62% above the state average of $20,764. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $93,515 was 82% above the state average of $51,243.
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.