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Lexington Memorial Hospital Inc: what a joint replacement costs

Lexington, NC 27293 · CMS Certification Number 340096. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,854
Novant Health Clemmons Outpatient Surgey, LLC, 15.2 mi
Outpatient here
$11,980
88 Medicare cases, APC 5115
Inpatient here
$14,472
14 Medicare stays, MS-DRG 470

Medicare prices at Lexington Memorial Hospital Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,472$68,2304.7×$11,980
Shoulder replacement———$16,144

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 94 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Lexington Memorial Hospital Inc for a knee or hip replacement?

In 2024 Medicare paid Lexington Memorial Hospital Inc an average of $14,472 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,980 per outpatient case (APC 5115, 88 cases).

What is Lexington Memorial Hospital Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,230, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Lexington Memorial Hospital Inc?

Yes for Medicare facility payments. Novant Health Clemmons Outpatient Surgey, LLC, an orthopedic surgery center 15.2 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $5,618 less than an inpatient stay at Lexington Memorial Hospital Inc. Not every patient is a surgery-center candidate.

How does Lexington Memorial Hospital Inc compare with other North Carolina hospitals?

Medicare paid Lexington Memorial Hospital Inc less than 51% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.