South Carolina / South Carolina Coastal Medical Center LLC
CMS certification 420101 · Hardeeville, SC
South Carolina Coastal Medical Center LLC: charges and Medicare payments
South Carolina Coastal Medical Center LLC reported 422 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 7.64 times what it was paid — among the higher ratios in South Carolina, number 7 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: 119 stays at an average charge of $80,623, 11% below the national average. It also billed 1,760 outpatient services, charging 17.22 times what Medicare paid.
- 1Medicare inpatient stays 422
- 2Charge ÷ paid, inpatient 7.64×
- 3Rank in SC (highest ratio = 1) 7 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, South Carolina Coastal Medical Center LLC charged more than the national average in 13 (76%). 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 | 119 | $80,623 | -11% | $11,184 |
| 291 Heart Failure and Shock with MCC | 32 | $54,798 | -3% | $9,981 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $77,393 | +10% | $8,815 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $55,869 | +9% | $6,894 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $158,104 | +33% | $14,121 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $56,988 | +2% | $7,605 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $119,915 | +19% | $12,095 |
| 683 Renal Failure with CC | 19 | $48,074 | +18% | $6,459 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $52,132 | +6% | $7,242 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $44,817 | +12% | $6,789 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $76,731 | +4% | $9,473 |
| 951 Other Factors Influencing Health Status | 17 | $30,686 | +20% | $4,803 |
| 682 Renal Failure with MCC | 16 | $57,851 | -12% | $8,764 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $62,915 | +5% | $7,639 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $152,578 | -33% | $24,166 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $51,570 | +36% | $5,838 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $100,533 | +2% | $13,735 |
Outpatient services
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South Carolina Coastal Medical Center LLC charged $80,623 on average, 5% more than the South Carolina average of $76,532, and was paid $11,184 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), South Carolina Coastal Medical Center LLC charged $54,798 on average, 20% more than the South Carolina average of $45,682, and was paid $9,981 against a state average of $10,696. For Respiratory Infections and Inflammations with MCC (DRG 177), South Carolina Coastal Medical Center LLC charged $77,393 on average, 24% more than the South Carolina average of $62,241, and was paid $8,815 against a state average of $13,455. For Kidney and Urinary Tract Infections with MCC (DRG 689), South Carolina Coastal Medical Center LLC charged $55,869 on average, 33% more than the South Carolina average of $42,045, and was paid $6,894 against a state average of $9,870. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $23,192 was 41% above the state average of $16,428. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,694 was 10% above the state average of $4,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,608 was 76% above the state average of $11,718. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $55,253 was 42% above the state average of $38,828.
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.