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Short Term Acute Care HospitalGovernment - Local

Sampson Regional Medical Center

Coastal Carolinas Health Alliance · Clinton, NC

607 Beaman Street, Clinton, NC 28328(910) 592-8511

2 of 5

CMS star rating

67

Beds

2,642

Inpatient discharges a year

$82.2M

Net patient revenue a year

28

In-network payers

About this hospital

Sampson Regional Medical Center is a 67-bed government - local hospital in Clinton, NC, affiliated with Coastal Carolinas Health Alliance. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 312 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
  • Helipad
CCN
340024
NPI
1609857432
Health system
Coastal Carolinas Health Alliance
Teaching
Major teaching hospital
County
Sampson County
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
1998

Prices for common services

The 24 services Sampson Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,088 - $6,068

from 4 insurers · median $3,799

Cigna$2,457
Insurer A*$2,088
Insurer B*$5,140
Insurer C*$6,068

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$2,969 - $14,502

from 4 insurers · median $5,373

Cigna$3,273
Insurer A*$2,969
Insurer B*$7,472
Insurer C*$14,502

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$382 - $5,451

from 4 insurers · median $1,849

Aetna$382
Insurer A*$1,216
Insurer B*$2,483
Insurer C*$5,451
Medicare $318Nearby hospitals $2,83035% below nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$2,088 - $6,068

from 4 insurers · median $3,799

Cigna$2,457
Insurer A*$2,088
Insurer B*$5,140
Insurer C*$6,068

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

How the insurers pay at Sampson Regional Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
548%
114
Insurer B*23
377%
412
Insurer C*23
168%
217
Insurer D*22
102%
217

How we chose these services: 0 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sampson Regional Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 127 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.99%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 21 services
    • 134 affiliated clinicians
    See doctors and services
  • Finances

    $82.2M net patient revenue

    • Operating margin on patient care -2.7%
    • $11.2M unreimbursed and uncompensated care
    • $2.4M net income
    See finances
  • Ownership and leadership

    Owned by Sampson Regional Medical Center

    • Local
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Sampson Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-0562304Sampson Regional Medical Center48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more1609857432 Sampson Regional Medical Center1295904951 Sampson Regional Medical Center1508986944 Sampson Regional Medical Centerand 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

607 Beaman Street, Clinton, NC 28328

(910) 592-8511

Get directions

Frequently asked questions

About Sampson Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Sampson Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sampson Regional Medical Center range from $335 to $4,734 across 4 insurers. Blue Cross Blue Shield's rate is $2,156. The median at nearby comparable hospitals is $2,483. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sampson Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sampson Regional Medical Center range from $382 to $5,451 across 4 insurers. Aetna's rate is $382. The median at nearby comparable hospitals is $2,830. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sampson Regional Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sampson Regional Medical Center range from $636 to $636 across 1 insurers. Aetna's rate is $636. The median at nearby comparable hospitals is $3,715. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Sampson Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sampson Regional Medical Center range from $2,088 to $6,068 across 4 insurers. Cigna's rate is $2,457. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sampson Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sampson Regional Medical Center range from $121 to $259 across 4 insurers. Cigna's rate is $259. The median at nearby comparable hospitals is $214. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sampson Regional Medical Center's CMS star rating?

Sampson Regional Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Sampson Regional Medical Center a teaching hospital?

Yes. CMS counts 0.32 Medicare-funded residents per bed at Sampson Regional Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Sampson Regional Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sampson Regional Medical Center's base inpatient payments by an estimated 0.99% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sampson Regional Medical Center?

In 2024, the most common were heart failure and shock with mcc (48 discharges), septicemia or severe sepsis without mv >96 hours with mcc (44 discharges), simple pneumonia and pleurisy with mcc (30 discharges).

What is Sampson Regional Medical Center's case mix index?

Sampson Regional Medical Center's Medicare case mix index is 1.42 for fiscal year 2027, higher than 19% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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