North Carolina / Sampson Regional Medical Center
CMS certification 340024 · Clinton, NC · 3 entries in CMS's price-transparency list
Sampson Regional Medical Center: charges and Medicare payments
Sampson Regional Medical Center reported 205 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 1.47 times what it was paid — among the lower ratios in North Carolina, number 72 of 73 hospitals with at least 100 stays (state median 3.55×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 48 stays at an average charge of $21,367, 62% below the national average. It also billed 210 outpatient services, charging 5.93 times what Medicare paid.
- 1Medicare inpatient stays 205
- 2Charge ÷ paid, inpatient 1.47×
- 3Rank in NC (highest ratio = 1) 72 of 73
- 4CMS price-transparency actions 3
Inpatient stays
For the 9 DRGs that can be compared with the national average, Sampson Regional Medical Center 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 48 | $21,367 | -62% | $15,438 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 44 | $31,592 | -65% | $21,683 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $21,798 | -64% | $15,214 |
| 682 Renal Failure with MCC | 18 | $25,048 | -62% | $16,765 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $21,042 | -63% | $14,858 |
| 683 Renal Failure with CC | 16 | $18,289 | -55% | $11,587 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $27,911 | -60% | $18,852 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $32,150 | -34% | $11,715 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $13,954 | -73% | $14,269 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 104 | $13,266 | $2,327 |
| Level 5 Urology and Related Services | 34 | $15,939 | $4,397 |
| Level 4 Urology and Related Services | 22 | $11,346 | $3,034 |
| Level 3 Vascular Procedures | 20 | $16,038 | $2,663 |
| Level 2 Upper GI Procedures | 18 | $5,348 | $1,656 |
| Level 3 Musculoskeletal Procedures | 12 | $9,572 | $2,817 |
Against the North Carolina average
For Heart Failure and Shock with MCC (DRG 291), Sampson Regional Medical Center charged $21,367 on average, 40% less than the North Carolina average of $35,799, and was paid $15,438 against a state average of $11,305. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sampson Regional Medical Center charged $31,592 on average, 45% less than the North Carolina average of $56,936, and was paid $21,683 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sampson Regional Medical Center charged $21,798 on average, 45% less than the North Carolina average of $39,905, and was paid $15,214 against a state average of $11,523. For Renal Failure with MCC (DRG 682), Sampson Regional Medical Center charged $25,048 on average, 41% less than the North Carolina average of $42,377, and was paid $16,765 against a state average of $12,948. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,266 was 29% below the state average of $18,779. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $15,939 was 43% below the state average of $27,826. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $11,346 was 40% below the state average of $19,065. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $16,038 was 6% below the state average of $17,111.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sampson Regional Medical Center in Clinton, NC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-06 (CMS case 906)
- Warning Notice — 2024-08-20 (CMS case 2441)
- Closure Notice — 2024-11-20 (CMS case 2441)
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.