South Carolina / Spartanburg Medical Center
CMS certification 420007 · Spartanburg, SC · 4 entries in CMS's price-transparency list
Spartanburg Medical Center: charges and Medicare payments
Spartanburg Medical Center reported 6,005 Medicare inpatient stays across 166 DRGs in 2024. Across them it charged 3.98 times what it was paid — mid-range in South Carolina, number 29 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 315 stays at an average charge of $41,978, 26% below the national average. It also billed 7,845 outpatient services, charging 7.05 times what Medicare paid.
- 1Medicare inpatient stays 6,005
- 2Charge ÷ paid, inpatient 3.98×
- 3Rank in SC (highest ratio = 1) 29 of 45
- 4CMS price-transparency actions 4
Inpatient stays
For the 166 DRGs that can be compared with the national average, Spartanburg Medical Center charged more than the national average in 11 (7%). 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 | 315 | $41,978 | -26% | $11,876 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 301 | $59,472 | -34% | $17,885 |
| 193 Simple Pneumonia and Pleurisy with MCC | 158 | $48,215 | -19% | $12,320 |
| 177 Respiratory Infections and Inflammations with MCC | 146 | $47,681 | -32% | $15,978 |
| 690 Kidney and Urinary Tract Infections without MCC | 145 | $28,648 | -24% | $7,690 |
| 683 Renal Failure with CC | 113 | $32,467 | -20% | $8,825 |
| 481 Hip and Femur Procedures except Major Joint with CC | 110 | $75,769 | -25% | $19,242 |
| 189 Pulmonary Edema and Respiratory Failure | 108 | $43,365 | -25% | $11,036 |
| 378 Gastrointestinal Hemorrhage with CC | 102 | $37,286 | -23% | $9,034 |
| 689 Kidney and Urinary Tract Infections with MCC | 98 | $35,162 | -31% | $10,956 |
| 194 Simple Pneumonia and Pleurisy with CC | 96 | $31,334 | -18% | $8,235 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 95 | $119,476 | +4% | $22,051 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 93 | $36,735 | -39% | $12,084 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 90 | $29,641 | -20% | $7,568 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 89 | $31,472 | -22% | $7,672 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 85 | $61,352 | -39% | $18,118 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 85 | $40,672 | -27% | $10,062 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 83 | $31,814 | -12% | $7,205 |
| 603 Cellulitis without MCC | 83 | $35,031 | -6% | $8,608 |
| 682 Renal Failure with MCC | 81 | $54,804 | -17% | $13,574 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 76 | $75,469 | -26% | $19,487 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 73 | $255,092 | +15% | $43,356 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 72 | $131,053 | -16% | $32,011 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 68 | $55,144 | -25% | $15,523 |
| 312 Syncope and Collapse | 67 | $31,640 | -31% | $8,500 |
| 552 Medical Back Problems without MCC | 62 | $39,427 | -19% | $9,325 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 61 | $166,054 | -27% | $46,255 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 53 | $61,013 | +8% | $11,667 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $62,428 | -18% | $15,051 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $158,940 | -3% | $30,310 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 49 | $47,586 | -29% | $14,560 |
| 812 Red Blood Cell Disorders without MCC | 49 | $36,483 | -18% | $8,328 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 46 | $79,266 | -42% | $23,199 |
| 164 Major Chest Procedures with CC | 43 | $153,678 | +21% | $29,568 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 43 | $21,512 | -25% | $5,817 |
| 057 Degenerative Nervous System Disorders without MCC | 42 | $46,936 | -17% | $11,944 |
| 330 Major Small and Large Bowel Procedures with CC | 42 | $97,235 | -18% | $25,160 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 42 | $37,260 | -13% | $8,215 |
| 163 Major Chest Procedures with MCC | 41 | $229,408 | +9% | $48,576 |
| 377 Gastrointestinal Hemorrhage with MCC | 41 | $61,777 | -28% | $16,488 |
| 178 Respiratory Infections and Inflammations with CC | 40 | $30,696 | -32% | $8,518 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $42,273 | -14% | $10,150 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 39 | $32,611 | -31% | $9,565 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 38 | $46,818 | -7% | $8,554 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 38 | $89,606 | -25% | $22,930 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $47,331 | -6% | $10,262 |
| 638 Diabetes with CC | 37 | $27,217 | -35% | $9,251 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 36 | $52,507 | -19% | $13,794 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 36 | $75,792 | -19% | $17,768 |
| 811 Red Blood Cell Disorders with MCC | 36 | $47,703 | -30% | $12,556 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 35 | $103,933 | -6% | $20,350 |
| 329 Major Small and Large Bowel Procedures with MCC | 35 | $174,268 | -19% | $41,932 |
| 885 Psychoses | 33 | $28,009 | -36% | $12,406 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 32 | $281,706 | -1% | $54,554 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 32 | $109,616 | -21% | $27,083 |
| 536 Fractures of Hip and Pelvis without MCC | 31 | $28,281 | -25% | $7,928 |
| 884 Organic Disturbances and Intellectual Disability | 31 | $37,090 | -41% | $15,045 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 29 | $57,862 | -9% | $10,823 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 29 | $68,402 | -20% | $17,062 |
| 389 Gastrointestinal Obstruction with CC | 29 | $26,522 | -32% | $7,810 |
Showing the 60 most frequent of 166 DRGs.
Outpatient services
Against the South Carolina average
For Heart Failure and Shock with MCC (DRG 291), Spartanburg Medical Center charged $41,978 on average, 8% less than the South Carolina average of $45,682, and was paid $11,876 against a state average of $10,696. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Spartanburg Medical Center charged $59,472 on average, 22% less than the South Carolina average of $76,532, and was paid $17,885 against a state average of $16,014. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Spartanburg Medical Center charged $48,215 on average, 10% less than the South Carolina average of $53,401, and was paid $12,320 against a state average of $11,120. For Respiratory Infections and Inflammations with MCC (DRG 177), Spartanburg Medical Center charged $47,681 on average, 23% less than the South Carolina average of $62,241, and was paid $15,978 against a state average of $13,455. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,277 was 7% below the state average of $20,764. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $798 was 81% below the state average of $4,262. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $12,171 was 26% below the state average of $16,428. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,777 was 17% below the state average of $11,718.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Spartanburg Medical Center in Spartanburg, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 460)
- CAP Request — 2022-05-04 (CMS case 460)
- Closure Notice — 2022-10-18 (CMS case 460)
- Met Requirements — 2024-03-27 (CMS case 1693)
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.