South Carolina / Piedmont Medical Center

CMS certification 420002 · Rock Hill, SC · 2 entries in CMS's price-transparency list

Piedmont Medical Center: charges and Medicare payments

Piedmont Medical Center reported 2,416 Medicare inpatient stays across 75 DRGs in 2024. Across them it charged 10.13 times what it was paid — among the higher ratios in South Carolina, number 2 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: 273 stays at an average charge of $131,396, 46% above the national average. It also billed 2,182 outpatient services, charging 15.54 times what Medicare paid.

1Medicare inpatient stays 2,416
2Charge ÷ paid, inpatient 10.13×
3Rank in SC (highest ratio = 1) 2 of 45
4CMS price-transparency actions 2

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

Inpatient stays

For the 75 DRGs that can be compared with the national average, Piedmont Medical Center charged more than the national average in 74 (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	273	$131,396	+46%	$13,355
291 Heart Failure and Shock with MCC	133	$83,021	+47%	$8,791
280 Acute Myocardial Infarction, Discharged Alive with MCC	112	$96,652	+27%	$10,827
193 Simple Pneumonia and Pleurisy with MCC	97	$93,455	+56%	$9,410
189 Pulmonary Edema and Respiratory Failure	74	$88,262	+53%	$9,156
177 Respiratory Infections and Inflammations with MCC	70	$127,250	+80%	$10,716
274 Percutaneous and Other Intracardiac Procedures without MCC	64	$245,948	+57%	$19,904
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	61	$127,905	+28%	$13,256
689 Kidney and Urinary Tract Infections with MCC	53	$81,611	+59%	$8,548
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	52	$73,588	+50%	$7,626
281 Acute Myocardial Infarction, Discharged Alive with CC	51	$75,300	+49%	$7,714
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	50	$57,623	+43%	$6,010
322 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$177,839	+55%	$12,722
690 Kidney and Urinary Tract Infections without MCC	46	$55,151	+46%	$6,151
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	44	$80,951	+45%	$7,704
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$55,788	+51%	$5,816
853 Infectious and Parasitic Diseases with O.R. Procedures with...	44	$289,925	+27%	$30,006
682 Renal Failure with MCC	43	$79,071	+20%	$10,760
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$82,988	+38%	$10,304
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$55,876	+55%	$6,373
312 Syncope and Collapse	37	$59,767	+31%	$6,591
683 Renal Failure with CC	37	$58,846	+45%	$6,699
378 Gastrointestinal Hemorrhage with CC	32	$65,930	+36%	$7,199
481 Hip and Femur Procedures except Major Joint with CC	32	$160,848	+60%	$13,646
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	32	$153,853	+50%	$14,760
552 Medical Back Problems without MCC	31	$60,199	+23%	$6,802
377 Gastrointestinal Hemorrhage with MCC	29	$125,053	+46%	$12,868
603 Cellulitis without MCC	29	$59,464	+59%	$8,338
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$78,094	+38%	$8,455
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$253,618	+55%	$16,669
069 Transient Ischemia without Thrombolytic	25	$87,265	+73%	$6,808
480 Hip and Femur Procedures except Major Joint with MCC	23	$200,653	+45%	$18,690
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	22	$76,496	+17%	$8,667
698 Other Kidney and Urinary Tract Diagnoses with MCC	22	$112,192	+53%	$12,087
812 Red Blood Cell Disorders without MCC	22	$53,147	+20%	$7,124
389 Gastrointestinal Obstruction with CC	21	$56,608	+45%	$6,474
551 Medical Back Problems with MCC	20	$97,900	+24%	$11,339
036 Carotid Artery Stent Procedures without CC/MCC	19	$137,428	+55%	$12,319
286 Circulatory Disorders except AMI, with Cardiac...	19	$151,900	+35%	$15,217
194 Simple Pneumonia and Pleurisy with CC	18	$68,159	+78%	$6,293
267 Endovascular Cardiac Valve Replacement and Supplement...	18	$439,197	+99%	$30,436
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$97,667	+60%	$9,253
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$68,523	+62%	$4,927
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	16	$285,034	+32%	$30,264
236 Coronary Bypass without Cardiac Catheterization without MCC	15	$284,672	+35%	$25,211
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$44,591	+55%	$4,217
330 Major Small and Large Bowel Procedures with CC	15	$143,098	+20%	$14,186
884 Organic Disturbances and Intellectual Disability	15	$99,430	+59%	$9,581
176 Pulmonary Embolism without MCC	14	$52,554	+27%	$5,556
208 Respiratory System Diagnosis with Ventilator Support <=96...	14	$159,850	+18%	$16,080
699 Other Kidney and Urinary Tract Diagnoses with CC	14	$62,145	+31%	$9,234
917 Poisoning and Toxic Effects of Drugs with MCC	14	$88,813	+19%	$11,056
070 Other Cerebrovascular Disorders with MCC	13	$76,432	+1%	$10,774
071 Other Cerebrovascular Disorders with CC	13	$84,477	+67%	$5,852
184 Major Chest Trauma with CC	13	$84,784	+53%	$7,942
305 Hypertension without MCC	13	$50,189	+25%	$4,618
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	13	$175,518	+47%	$16,343
638 Diabetes with CC	13	$58,747	+41%	$7,014
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$117,803	+20%	$10,896
082 Traumatic Stupor and Coma >1 Hour with MCC	12	$117,167	+2%	$14,205

Showing the 60 most frequent of 75 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	270	$33,947	$2,155
Level 1 Endovascular Procedures	232	$52,988	$2,598
Level 5 Musculoskeletal Procedures	185	$120,969	$10,600
Level 2 Excision/ Biopsy/ Incision and Drainage	174	$18,636	$1,182
Level 5 Urology and Related Services	145	$45,917	$4,324
Level 1 Laparoscopy and Related Services	135	$49,230	$4,604
Level 3 Endovascular Procedures	107	$113,193	$8,491
Level 4 Musculoskeletal Procedures	105	$69,407	$5,655
Level 4 Urology and Related Services	87	$36,046	$2,767
Level 3 Vascular Procedures	68	$28,110	$2,562
Level 3 Electrophysiologic Procedures	59	$252,203	$18,038
Level 3 Urology and Related Services	53	$28,498	$1,748
Level 1 Nerve Procedures	51	$6,179	$1,464
Level 3 Pacemaker and Similar Procedures	48	$122,205	$8,926
Level 3 Musculoskeletal Procedures	45	$39,933	$2,445
Level 3 Excision/ Biopsy/ Incision and Drainage	43	$32,696	$2,086
Level 2 Vascular Procedures	43	$13,673	$1,253
Level 5 Neurostimulator and Related Procedures	33	$250,170	$23,060
Level 6 Musculoskeletal Procedures	31	$161,881	$13,306
Level 4 Endovascular Procedures	28	$149,124	$13,150
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$33,821	$2,834
Level 2 Upper GI Procedures	24	$13,230	$1,504
Level 2 Laparoscopy and Related Services	24	$97,853	$7,024
Level 2 Neurostimulator and Related Procedures	24	$26,541	$5,333
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$34,007	$2,595

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Medical Center charged $131,396 on average, 72% more than the South Carolina average of $76,532, and was paid $13,355 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Piedmont Medical Center charged $83,021 on average, 82% more than the South Carolina average of $45,682, and was paid $8,791 against a state average of $10,696. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Piedmont Medical Center charged $96,652 on average, 37% more than the South Carolina average of $70,461, and was paid $10,827 against a state average of $12,591. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Piedmont Medical Center charged $93,455 on average, 75% more than the South Carolina average of $53,401, and was paid $9,410 against a state average of $11,120. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,947 was 63% above the state average of $20,764. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $52,988 was 67% above the state average of $31,661. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,969 was 50% above the state average of $80,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,636 was 59% above the state average of $11,718.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Piedmont Medical Center in Rock Hill, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2025-03-07 (CMS case 3207)
Closure Notice — 2025-06-09 (CMS case 3207)

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.