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Hilton Head Regional Medical Center

Hilton Head Regional Medical Center, a nonprofit hospital in Hilton Head Island, SC, charges 6.5x the Medicare reimbursement rate across 53 analyzed procedures.

Hilton Head Island, SC 29926 · Acute Care Hospitals · CMS Rating: 3/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

53 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.6x2.6x15.0x
6.5x
Medicare markup ratio
SC lowestHilton Head Regional M...SC highest
6.5x
Avg markup ratio
6.2x
Median markup
53
Procedures
6%
Outlier procedures
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Pricing grade

D

High

Avg markup vs Medicare

6.55x

Charge / Medicare rate

Max markup

12.65x

Worst procedure

Procedures analyzed

53

With pricing data

Outlier procedures

5.7%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$622,983$311,49212.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$82,262$41,13111.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$38,631$19,31611.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$55,972$27,98610.9x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$105,367$52,68410.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$317,438$158,7199.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$140,336$70,1689x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$143,570$71,7858.9x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$50,497$25,2488.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$66,799$33,4008.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$45,309$22,6547.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$107,342$53,6717.4x
SEIZURES WITHOUT MCC101$50,815$25,4087.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$131,709$65,8557.4x
GASTROINTESTINAL HEMORRHAGE WITH CC378$57,181$28,5917.1x
GASTROINTESTINAL OBSTRUCTION WITH CC389$43,820$21,9107x
SYNCOPE AND COLLAPSE312$46,010$23,0057x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$57,839$28,9206.9x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$42,698$21,3496.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$41,513$20,7576.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$122,022$61,0116.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$36,067$18,0336.6x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$42,730$21,3656.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$53,755$26,8776.5x
OTHER VASCULAR PROCEDURES WITH CC253$145,429$72,7146.2x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$74,328$37,1646.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$133,384$66,6926.2x
RENAL FAILURE WITH CC683$41,938$20,9696x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$32,461$16,2305.7x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$164,283$82,1425.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$56,846$28,4235.6x
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$87,916$43,9585.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$52,148$26,0745.6x
CELLULITIS WITHOUT MCC603$38,473$19,2365.6x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$42,302$21,1515.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$58,741$29,3715.3x
MEDICAL BACK PROBLEMS WITHOUT MCC552$41,341$20,6705.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$100,244$50,1225.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$51,478$25,7395.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$68,232$34,1165.1x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$46,868$23,4344.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$198,483$99,2414.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$76,732$38,3664.7x
HEART FAILURE AND SHOCK WITH MCC291$50,702$25,3514.7x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$50,761$25,3814.6x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$64,507$32,2544.5x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$70,305$35,1524.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$48,657$24,3294.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$33,743$16,8724.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$74,850$37,4254.3x

Showing 50 of 53 procedures

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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