CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lexington Memorial Hospital Inc

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,058

about 1.5× the $12,807 Medicare rate · typically $14,659–$24,174

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,509

About the fair price

about $549 under the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $19,058 This hospital $18,509

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $11,998 Priciest $18,509

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $19,058 (about 1.5× the $12,807 Medicare rate). Lexington Memorial Hospital Inc charges insurers about $18,509 — about the fair price. Located in Lexington, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$14,452 - $18,694	113%
Blue Cross Blue Shieldmajor	$13,251 - $21,282	103%
Aetnamajor	$8,835 - $11,442	69%
Ambetter (Centene)	$13,032	102%
AmeriHealth	$11,382 - $18,509	89%
WellCare	$18,694	146%
+ 6 smaller / regional plans	$18,509 - $19,064

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Lexington Memorial Hospital Inc is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Lexington Memorial Hospital Inc

Compare: Heart stent placement (inpatient stay) at other NC hospitals

Maria Parham Medical Center · Henderson $11,998
Haywood Regional Medical Center · Clyde $12,259
Sentara Albemarle Medical Center · Elizabeth City $12,430
Wilson Medical Center · Wilson $13,208
Rutherford Regional Medical Center · Rutherfordton $13,685
Ecu Health North Hospital · Roanoke Rapids $14,060
Columbus Regional Healthcare System · Whiteville $14,622
Vidant Roanoke Chowan Hospital · Ahoskie $14,839

Insurance negotiated median for the same procedure, sorted lowest first.