All published prices at Lexington Medical Center
220 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
758 | $78,304 | $14,286 | +20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
739 | $33,778 | $2,756 | +34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
604 | $13,106 | $1,374 | +30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
591 | $34,419 | $4,413 | +25% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
501 | $18,893 | $2,312 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
442 | $78,013 | $11,143 | +25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
422 | $50,678 | $9,903 | +17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
360 | $42,524 | $4,809 | +21% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
349 | $25,950 | $2,946 | +26% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
340 | $56,311 | $9,504 | +16% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
252 | $19,956 | $2,419 | +13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
237 | $15,779 | $1,733 | +22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
211 | $28,716 | $2,698 | +50% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
207 | $67,480 | $12,513 | +23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
202 | $8,348 | $1,596 | -29% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
201 | $151,214 | $20,173 | +14% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
176 | $42,915 | $7,461 | +4% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
165 | $64,795 | $8,842 | +8% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
164 | $86,197 | $15,613 | +4% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
157 | $101,211 | $9,348 | +50% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
154 | $86,402 | $9,122 | +68% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
141 | $39,574 | $6,078 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
139 | $41,949 | $8,200 | +7% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
137 | $97,627 | $22,491 | -22% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
132 | $47,330 | $8,171 | +4% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
121 | $42,384 | $10,509 | -9% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
121 | $191,007 | $34,773 | +7% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
117 | $49,547 | $10,626 | -6% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
116 | $65,902 | $13,098 | -7% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
116 | $29,412 | $2,850 | +27% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
112 | $25,788 | $3,195 | +14% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
110 | $43,078 | $9,657 | -11% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
107 | $46,134 | $8,998 | +13% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
105 | $45,423 | $6,660 | +10% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
104 | $32,110 | $3,128 | +35% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
103 | $22,737 | $2,738 | +12% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
102 | $82,093 | $15,078 | about average |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
100 | $129,476 | $17,139 | +27% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
98 | $73,156 | $13,459 | -4% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
94 | $36,486 | $7,192 | +11% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
94 | $32,187 | $6,523 | +8% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
93 | $32,597 | $6,822 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
88 | $68,914 | $12,789 | +21% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
78 | $30,689 | $6,245 | about average |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
78 | $68,972 | $7,226 | +82% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
77 | $60,169 | $11,637 | about average |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
75 | $55,673 | $5,425 | +41% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
75 | $11,545 | $1,362 | +35% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
74 | $23,221 | $2,613 | +28% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
71 | $9,617 | $1,426 | -16% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
67 | $188,077 | $32,629 | about average |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
66 | $101,545 | $18,727 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
66 | $208,773 | $43,575 | -13% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
65 | $196,015 | $27,371 | +32% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
60 | $34,492 | $6,952 | +13% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
59 | $52,770 | $9,018 | +11% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
59 | $102,101 | $19,180 | -13% |
|
Fainting
MS-DRG 312 · Inpatient stay |
58 | $42,126 | $6,784 | +15% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
58 | $108,141 | $13,512 | +13% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
58 | $32,383 | $4,274 | +8% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
57 | $96,853 | $18,536 | -15% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
57 | $93,976 | $18,972 | +7% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
56 | $45,690 | $10,915 | -11% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
55 | $39,719 | $5,032 | +16% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
52 | $55,048 | $10,181 | about average |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
52 | $51,385 | $10,437 | -9% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
50 | $181,862 | $36,238 | about average |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
49 | $45,069 | $6,264 | +47% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
49 | $163,060 | $22,984 | +13% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
49 | $92,549 | $15,387 | +8% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
47 | $10,903 | $1,381 | about average |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
45 | $33,839 | $8,070 | -13% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
45 | $39,882 | $7,347 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
45 | $62,122 | $7,916 | +40% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
44 | $103,963 | $16,023 | +33% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
44 | $54,606 | $10,629 | -3% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
43 | $77,664 | $13,095 | +4% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
42 | $27,836 | $5,719 | +11% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
41 | $41,810 | $7,036 | +21% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
40 | $28,807 | $6,318 | -8% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
38 | $23,614 | $2,413 | +42% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
37 | $65,379 | $9,688 | +23% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
37 | $60,911 | $11,211 | +12% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
37 | $40,971 | $4,467 | +13% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
36 | $42,205 | $9,142 | about average |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
36 | $236,291 | $26,862 | +29% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
35 | $58,291 | $9,913 | +5% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
35 | $35,610 | $6,979 | -4% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
34 | $20,432 | $5,140 | -15% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
34 | $44,878 | $4,912 | +30% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
34 | $78,506 | $16,835 | -9% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
33 | $50,706 | $8,553 | +14% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
32 | $41,143 | $8,723 | +11% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
32 | $38,687 | $7,765 | about average |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
32 | $80,276 | $16,682 | +20% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
32 | $19,548 | $3,291 | -11% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
32 | $116,883 | $16,708 | +22% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
31 | $171,799 | $29,910 | -6% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
31 | $126,096 | $21,260 | +12% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
31 | $70,501 | $12,969 | about average |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.