South Carolina / Newberry County Memorial Hospital
CMS certification 420053 · Newberry, SC · 5 entries in CMS's price-transparency list
Newberry County Memorial Hospital: charges and Medicare payments
Newberry County Memorial Hospital reported 115 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.4 times what it was paid — among the lower ratios in South Carolina, number 45 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: 23 stays at an average charge of $25,766, 71% below the national average. It also billed 416 outpatient services, charging 3.84 times what Medicare paid.
- 1Medicare inpatient stays 115
- 2Charge ÷ paid, inpatient 2.4×
- 3Rank in SC (highest ratio = 1) 45 of 45
- 4CMS price-transparency actions 5
Inpatient stays
For the 8 DRGs that can be compared with the national average, Newberry County Memorial 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 | 23 | $25,766 | -71% | $17,766 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $20,864 | -57% | $9,206 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $32,323 | -46% | $11,852 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $22,777 | -41% | $7,466 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $49,158 | -51% | $18,644 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $22,104 | -40% | $7,010 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $92,835 | -45% | $32,815 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $17,473 | -54% | $7,240 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 206 | $37,045 | $11,955 |
| Comprehensive Observation Services | 86 | $14,297 | $2,498 |
| Level 6 Musculoskeletal Procedures | 56 | $52,624 | $17,058 |
| Level 1 Laparoscopy and Related Services | 16 | $18,957 | $5,293 |
| Level 4 Musculoskeletal Procedures | 15 | $25,998 | $6,214 |
| Level 3 Musculoskeletal Procedures | 13 | $15,451 | $2,787 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $9,096 | $1,388 |
| Level 2 Musculoskeletal Procedures | 12 | $7,360 | $1,474 |
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newberry County Memorial Hospital charged $25,766 on average, 66% less than the South Carolina average of $76,532, and was paid $17,766 against a state average of $16,014. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Newberry County Memorial Hospital charged $20,864 on average, 53% less than the South Carolina average of $44,459, and was paid $9,206 against a state average of $9,001. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Newberry County Memorial Hospital charged $32,323 on average, 39% less than the South Carolina average of $53,401, and was paid $11,852 against a state average of $11,120. For Simple Pneumonia and Pleurisy with CC (DRG 194), Newberry County Memorial Hospital charged $22,777 on average, 34% less than the South Carolina average of $34,346, and was paid $7,466 against a state average of $7,516. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,045 was 54% below the state average of $80,461. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,297 was 31% below the state average of $20,764. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $52,624 was 53% below the state average of $112,181. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $18,957 was 59% below the state average of $46,306.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Newberry County Memorial Hospital in Newberry, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-09 (CMS case 2790)
- Closure Notice — 2024-11-14 (CMS case 2790)
- Warning Notice — 2026-01-21 (CMS case 6838)
- CAP Request — 2026-04-23 (CMS case 6838)
- Closure Notice — 2026-05-07 (CMS case 6838)
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.