CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lexington Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,458

about 1.3× the $12,807 Medicare rate · typically $13,786–$24,508

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,697

About the fair price

about $239 over the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,458 This hospital $16,697

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 $10,740 Priciest $16,697

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

A fair price for a Heart stent placement (inpatient stay) is about $16,458 (about 1.3× the $12,807 Medicare rate). Lexington Medical Center charges insurers about $16,697 — about the fair price. 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	$13,914 - $49,638	109%
Blue Cross Blue Shieldmajor	$13,914 - $66,483	109%
Aetnamajor	$14,888	116%
Cignamajor	$55,910	437%
Humanamajor	$14,749	115%
Ambetter (Centene)	$33,394	261%
Molina	$16,697 - $32,977	130%
WellCare	$14,888	116%
+ 3 smaller / regional plans	$14,610 - $77,743

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Medical Center 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 Medical Center

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

Anmed Health · Anderson $10,740
Cannon Memorial Hospital · Pickens $10,958
McLeod Loris Hospital · Loris $12,159
MUSC Health Black River Medical Center · Cades $12,281
Cherokee Medical Center · Gaffney $12,622
Prisma Health Patewood Hospital · Greenville $12,631
Aiken Regional Medical Center · Aiken $13,090
East Cooper Medical Center · Mount Pleasant $13,664

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