North Carolina / Southeastern Regional Medical Center
CMS certification 340050 · Lumberton, NC
Southeastern Regional Medical Center: charges and Medicare payments
Southeastern Regional Medical Center reported 1,008 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 2.06 times what it was paid — among the lower ratios in North Carolina, number 67 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: 102 stays at an average charge of $22,982, 59% below the national average. It also billed 719 outpatient services, charging 6.48 times what Medicare paid.
- 1Medicare inpatient stays 1,008
- 2Charge ÷ paid, inpatient 2.06×
- 3Rank in NC (highest ratio = 1) 67 of 73
- 4CMS price-transparency actions 0
Inpatient stays
For the 40 DRGs that can be compared with the national average, Southeastern 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 | 102 | $22,982 | -59% | $13,722 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 101 | $41,304 | -54% | $20,737 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $32,771 | -45% | $14,438 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $21,894 | -57% | $13,194 |
| 885 Psychoses | 46 | $24,534 | -44% | $16,500 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $39,124 | -45% | $18,262 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $24,971 | -51% | $12,401 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $31,969 | -58% | $17,164 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $26,052 | -35% | $10,099 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $18,341 | -52% | $9,883 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $26,217 | -57% | $13,916 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $18,749 | -49% | $9,271 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $27,868 | -52% | $13,903 |
| 683 Renal Failure with CC | 24 | $23,729 | -42% | $10,818 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $21,510 | -44% | $10,555 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $24,300 | -50% | $12,103 |
| 682 Renal Failure with MCC | 21 | $32,722 | -50% | $16,306 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $30,638 | -58% | $18,064 |
| 812 Red Blood Cell Disorders without MCC | 21 | $19,462 | -56% | $10,614 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $29,131 | -41% | $11,701 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $33,927 | -40% | $12,945 |
| 312 Syncope and Collapse | 17 | $20,962 | -54% | $9,705 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $49,639 | -50% | $22,566 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $28,300 | -44% | $12,515 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $24,153 | -47% | $11,162 |
| 637 Diabetes with MCC | 16 | $38,438 | -42% | $16,028 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $62,885 | -43% | $23,118 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $18,776 | -48% | $8,919 |
| 811 Red Blood Cell Disorders with MCC | 15 | $31,400 | -54% | $16,606 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $89,376 | -61% | $45,611 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $70,906 | -38% | $18,090 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $22,307 | -63% | $14,189 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $18,758 | -53% | $9,946 |
| 070 Other Cerebrovascular Disorders with MCC | 12 | $33,064 | -57% | $18,480 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $38,150 | -24% | $11,666 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $100,439 | -39% | $31,672 |
| 092 Other Disorders of Nervous System with CC | 11 | $21,839 | -58% | $11,173 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $55,209 | -59% | $27,372 |
| 603 Cellulitis without MCC | 11 | $25,480 | -32% | $11,530 |
| 638 Diabetes with CC | 11 | $21,715 | -48% | $9,858 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 283 | $12,573 | $2,521 |
| Level 1 Intraocular Procedures | 105 | $10,314 | $2,140 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 66 | $6,534 | $1,404 |
| Level 3 Vascular Procedures | 40 | $16,655 | $2,912 |
| Level 1 Endovascular Procedures | 37 | $25,632 | $3,042 |
| Level 2 Upper GI Procedures | 24 | $6,530 | $1,773 |
| Level 3 Pacemaker and Similar Procedures | 22 | $35,702 | $9,944 |
| Level 3 Endovascular Procedures | 18 | $52,118 | $10,244 |
| Level 3 Urology and Related Services | 18 | $12,465 | $1,898 |
| Level 5 Urology and Related Services | 17 | $23,823 | $4,822 |
| Level 4 ENT Procedures | 15 | $14,758 | $2,842 |
| Level 4 Urology and Related Services | 15 | $17,063 | $3,077 |
| Level 3 Musculoskeletal Procedures | 13 | $16,990 | $2,841 |
| Level 2 Vascular Procedures | 12 | $10,175 | $1,493 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $23,037 | $3,224 |
| Level 4 Musculoskeletal Procedures | 11 | $30,558 | $5,702 |
| Level 5 Musculoskeletal Procedures | 11 | $72,247 | $12,249 |
Against the North Carolina average
For Heart Failure and Shock with MCC (DRG 291), Southeastern Regional Medical Center charged $22,982 on average, 36% less than the North Carolina average of $35,799, and was paid $13,722 against a state average of $11,305. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southeastern Regional Medical Center charged $41,304 on average, 27% less than the North Carolina average of $56,936, and was paid $20,737 against a state average of $16,444. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Southeastern Regional Medical Center charged $32,771 on average, 18% less than the North Carolina average of $39,905, and was paid $14,438 against a state average of $11,523. For Kidney and Urinary Tract Infections with MCC (DRG 689), Southeastern Regional Medical Center charged $21,894 on average, 35% less than the North Carolina average of $33,503, and was paid $13,194 against a state average of $10,237. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,573 was 33% below the state average of $18,779. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,314 was 2% above the state average of $10,153. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,534 was 31% below the state average of $9,423. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $16,655 was 3% below the state average of $17,111.
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.