19/100
#2,193 nationally
Novant Health Hilton Head Medical Center
25 Hospital Center Blvd, Hilton Head Island, SC 29926 · (843) 681-6122
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Novant Health Hilton Head Medical Center billed $7.45 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.4x
- volume-weighted across all its priced work
- Procedures priced
- 76
- inpatient and outpatient combined
- Rank in SC
- #36
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 27% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 19% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
390 | $121,928 | $10,553 | +95% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
225 | $13,456 | $1,296 | +34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
203 | $70,077 | $19,870 | +7% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
162 | $33,565 | $2,289 | +73% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
127 | $93,515 | $5,590 | +135% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
122 | $45,201 | $2,599 | +79% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
97 | $55,699 | $12,549 | +28% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
78 | $27,397 | $2,230 | +55% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
69 | $51,778 | $3,188 | +117% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
63 | $58,759 | $11,952 | +26% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$30,719 | $1,243 | +169% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$60,270 | $2,831 | +159% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$87,915 | $4,846 | +143% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$26,949 | $1,320 | +140% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$93,515 | $5,590 | +135% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$46,938 | $2,923 | +127% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$77,164 | $4,777 | +123% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$182,701 | $15,267 | +120% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
$57,025 | $16,071 | -14% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$59,856 | $13,867 | -11% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$35,417 | $10,953 | -6% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$32,341 | $7,626 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$48,147 | $12,027 | about average |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$38,229 | $7,274 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$59,312 | $15,534 | +4% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$189,668 | $56,383 | +7% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.