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Lexington Health Inc: surgery-center prices

An orthopedic ambulatory surgery center in Columbia, SC 29229. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$8,399
Medicare rate here
Hip (CPT 27130)
$8,575
Medicare rate here
Shoulder (CPT 23472)
$12,988
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Musc Health Columbia Medical Center Downtown10.1 mi$12,651$11,506$125,599
Prisma Health Baptist12.4 mi$17,847$11,227$116,305
Lexington Medical Center15.5 mi$13,339$11,143$98,560

3 operating rooms · Non-Profit · certified since 2021 · ASC-17 hospital visits after orthopedic surgery: 2.6% (No Different Than the National Rate)

Open the interactive price tagAll South Carolina facilities

Questions

How much does Medicare pay Lexington Health Inc for a knee replacement?

About $8,399 for a total knee replacement (CPT 27447), $8,575 for a total hip (CPT 27130) and $12,988 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.8565).

How does that compare with the nearest hospital?

Musc Health Columbia Medical Center Downtown (10.1 mi) was paid an average of $12,651 per inpatient hip or knee replacement stay in 2024, $4,252 more than this surgery center's knee rate.

Does South Carolina require a certificate of need for surgery centers?

South Carolina has a certificate-of-need program that does not cover surgery centers.