CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lexington Memorial Hospital Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,956
about 1.5× the $14,044 Medicare rate · typically $17,020–$26,524
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,290
About the fair price
about $1,666 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $20,956 This hospital $19,290

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 $12,504 Priciest $19,290

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

A fair price for a Hip or knee replacement (inpatient stay) is about $20,956 (about 1.5× the $14,044 Medicare rate). Lexington Memorial Hospital Inc charges insurers about $19,290 — 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 $19,483 - $28,418 139%
Blue Cross Blue Shieldmajor $13,809 - $22,179 98%
Aetnamajor $13,824 - $17,905 98%
Ambetter (Centene) $13,581 97%
AmeriHealth $11,862 - $19,290 84%
WellCare $19,483 139%
+ 6 smaller / regional plans $19,290 - $19,868

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Facility Profile & Credentials

  • Address: 250 Hospital Drive Po Box 1817, Lexington, NC 27293
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals