Price AtlasInteractive atlas · All states · techysurgeon.comLexington 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.
Medicare prices at Lexington Memorial Hospital Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,472 | $68,230 | 4.7× | $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 the average total payment to Lexington Memorial Hospital Inc for an inpatient hip or knee replacement stay was $14,472 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Lexington Memorial Hospital Inc's average total payment per Medicare stay is lower than 51% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.