CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lexington Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 0.8× the $40 Medicare rate · typically $13–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $16 under the fair price · 0.3× Medicare
Medicare pays $40 Fair price $30 This hospital $14

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

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

Cheapest $12 Priciest $14

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

A fair price for a Diagnostic procedure preparation is about $30 (about 0.8× the $40 Medicare rate). Lexington Medical Center charges insurers about $14 — below the fair price — a good deal. Located in West Columbia, SC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $29 72%
Blue Cross Blue Shieldmajor $12 30%
Aetnamajor $13 32%
Cignamajor $118 292%
Humanamajor $12 30%
Ambetter (Centene) $21 52%
Molina $14 - $41 35%
+ 1 smaller / regional plan $12

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Facility Profile & Credentials

  • Address: 2720 Sunset Blvd, West Columbia, SC 29169
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals