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Lexington Medical Center: what a joint replacement costs

West Columbia, SC 29169 · CMS Certification Number 420073. 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
$8,399
Midlands Orthopaedics Surgery Center, LLC, 4.1 mi
Outpatient here
$11,143
442 Medicare cases, APC 5115
Inpatient here
$13,339
18 Medicare stays, MS-DRG 470

Medicare prices at Lexington Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,339$98,5607.4×$11,143
Shoulder replacement$17,577$101,1795.8×$15,613
Hip replacement after a fracture (DRG 522)$15,387$92,5496.0×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 460 beds

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

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Questions

How much does Medicare pay Lexington Medical Center for a knee or hip replacement?

In 2024 Medicare paid Lexington Medical Center an average of $13,339 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,143 per outpatient case (APC 5115, 442 cases).

What is Lexington Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,560, 7.4× 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 Medical Center?

Yes for Medicare facility payments. Midlands Orthopaedics Surgery Center, LLC, an orthopedic surgery center 4.1 mi away, is paid about $8,399 by Medicare for a knee replacement (CPT 27447), $4,940 less than an inpatient stay at Lexington Medical Center. Not every patient is a surgery-center candidate.

How does Lexington Medical Center compare with other South Carolina hospitals?

Medicare paid Lexington Medical Center less than 63% of the 19 South Carolina hospitals that report inpatient hip or knee replacement.