Southeastern Regional Medical Center
Southeastern Regional Medical Center in Lumberton, NC charges 2.8x the Medicare reimbursement rate across 38 analyzed procedures at this nonprofit-private hospital.
Lumberton, NC 28359 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
B
Good
Avg markup vs Medicare
2.83x
Charge / Medicare rate
Max markup
3.89x
Worst procedure
Procedures analyzed
38
With pricing data
Outlier procedures
0%
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $62,128 | $31,064 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,145 | $13,572 | — | 3.9x |
| DIABETES WITH MCC | 637 | $43,624 | $21,812 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,458 | $13,729 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $59,998 | $29,999 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,223 | $13,612 | — | 3.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $19,516 | $9,758 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $22,022 | $11,011 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,336 | $9,168 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $18,299 | $9,150 | — | 3.1x |
| SYNCOPE AND COLLAPSE | 312 | $19,349 | $9,674 | — | 3.1x |
| DIABETES WITH CC | 638 | $19,034 | $9,517 | — | 3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,701 | $8,851 | — | 3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $26,515 | $13,257 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $30,336 | $15,168 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,810 | $8,405 | — | 2.9x |
| RENAL FAILURE WITH CC | 683 | $17,911 | $8,956 | — | 2.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $15,108 | $7,554 | — | 2.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $44,819 | $22,409 | — | 2.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,634 | $13,317 | — | 2.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $61,946 | $30,973 | — | 2.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $22,256 | $11,128 | — | 2.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $23,232 | $11,616 | — | 2.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $35,758 | $17,879 | — | 2.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $34,651 | $17,325 | — | 2.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,071 | $12,036 | — | 2.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $22,384 | $11,192 | — | 2.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $17,916 | $8,958 | — | 2.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $38,924 | $19,462 | — | 2.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $30,068 | $15,034 | — | 2.4x |
| PSYCHOSES | 885 | $23,666 | $11,833 | — | 2.3x |
| RENAL FAILURE WITH MCC | 682 | $26,871 | $13,435 | — | 2.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $22,472 | $11,236 | — | 2.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $16,702 | $8,351 | — | 2.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $26,215 | $13,107 | — | 2.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $31,774 | $15,887 | — | 2.1x |
| SEIZURES WITH MCC | 100 | $32,132 | $16,066 | — | 2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $16,871 | $8,435 | — | 2x |
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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.
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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