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
Level 6 Gynecologic Procedures APC 5416 · Hospital outpatient visit	31	$43,235	$6,493	+6%
Major Chest Procedures with Major Complications MS-DRG 163 · Inpatient stay	30	$187,240	$34,957	+6%
Stroke (uncomplicated) MS-DRG 066 · Inpatient stay	29	$40,974	$8,222	+14%
Laparoscopic Cholecystectomy without C.d.e. with Complications MS-DRG 418 · Inpatient stay	29	$84,138	$14,354	about average
Pulmonary Embolism without Major Complications MS-DRG 176 · Inpatient stay	29	$29,446	$7,379	-16%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications MS-DRG 372 · Inpatient stay	29	$43,456	$7,829	+9%
Pneumonia (with complications) MS-DRG 194 · Inpatient stay	28	$33,287	$6,176	+5%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications MS-DRG 234 · Inpatient stay	28	$297,919	$37,408	+36%
Permanent Cardiac Pacemaker Implant with Complications MS-DRG 243 · Inpatient stay	28	$138,332	$15,933	+48%
Cervical Spinal Fusion with Complications MS-DRG 472 · Inpatient stay	28	$131,422	$20,358	+10%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MS-DRG 563 · Inpatient stay	28	$33,040	$6,951	-10%
Carotid Artery Stent Procedures without Complications/mcc MS-DRG 036 · Inpatient stay	27	$69,219	$12,921	about average
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major MS-DRG 441 · Inpatient stay	27	$49,524	$14,938	-35%
Level 4 Neurostimulator and Related Procedures APC 5464 · Hospital outpatient visit	27	$77,389	$18,754	-4%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications MS-DRG 659 · Inpatient stay	26	$93,168	$19,252	-5%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	26	$17,026	$1,659	+50%
Degenerative Nervous System Disorders without Major Complications MS-DRG 057 · Inpatient stay	25	$53,439	$9,833	+12%
Other Cerebrovascular Disorders with Major Complications MS-DRG 070 · Inpatient stay	25	$52,482	$12,315	-21%
Peripheral Vascular Disorders with Complications MS-DRG 300 · Inpatient stay	25	$42,825	$9,716	about average
Fractures of Hip and Pelvis without Major Complications MS-DRG 536 · Inpatient stay	25	$36,893	$6,380	+13%
Revision of Hip or Knee Replacement without Complications/mcc MS-DRG 468 · Inpatient stay	25	$111,839	$18,359	+3%
Craniotomy and Endovascular Intracranial Procedures with Major Complications MS-DRG 025 · Inpatient stay	24	$127,739	$29,336	-34%
Seizures without Major Complications MS-DRG 101 · Inpatient stay	24	$55,398	$8,550	+36%
Permanent Cardiac Pacemaker Implant with Major Complications MS-DRG 242 · Inpatient stay	24	$174,114	$23,445	+26%
Traumatic Stupor and Coma <1 Hour with Major Complications MS-DRG 085 · Inpatient stay	24	$58,849	$15,900	-40%
Disorders of the Biliary Tract with Complications MS-DRG 445 · Inpatient stay	23	$41,757	$8,209	-19%
Degenerative Nervous System Disorders with Major Complications MS-DRG 056 · Inpatient stay	22	$89,672	$15,522	+4%
Permanent Cardiac Pacemaker Implant without Complications/mcc MS-DRG 244 · Inpatient stay	22	$120,142	$14,724	+58%
Hypertension without Major Complications MS-DRG 305 · Inpatient stay	22	$38,728	$6,039	+16%
Organic Disturbances and Intellectual Disability MS-DRG 884 · Inpatient stay	22	$70,147	$12,688	+40%
Major Chest Procedures with Complications MS-DRG 164 · Inpatient stay	22	$114,066	$18,494	+5%
Cirrhosis and Alcoholic Hepatitis with Major Complications MS-DRG 432 · Inpatient stay	22	$68,552	$16,842	-14%
Major Joint or Limb Reattachment Procedures of Upper Extremities MS-DRG 483 · Inpatient stay	22	$101,179	$17,577	about average
Skin Infection (severe) MS-DRG 602 · Inpatient stay	22	$58,028	$10,478	+13%
Other Vascular Procedures with Complications MS-DRG 253 · Inpatient stay	21	$132,619	$18,052	+18%
Peripheral Vascular Disorders with Major Complications MS-DRG 299 · Inpatient stay	21	$68,151	$10,826	about average
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications MS-DRG 493 · Inpatient stay	21	$88,239	$16,576	-13%
Kidney and Ureter Procedures for Neoplasm with Complications MS-DRG 657 · Inpatient stay	21	$88,780	$16,248	about average
Heart Attack (with complications) MS-DRG 281 · Inpatient stay	20	$55,573	$8,770	+27%
Hypertension with Major Complications MS-DRG 304 · Inpatient stay	20	$54,759	$8,783	+10%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization MS-DRG 220 · Inpatient stay	20	$315,557	$37,118	+35%
Digestive Malignancy with Major Complications MS-DRG 374 · Inpatient stay	20	$80,300	$14,698	-7%
Malignancy of Hepatobiliary System or Pancreas with Major Complications MS-DRG 435 · Inpatient stay	20	$72,800	$14,657	-11%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications MS-DRG 982 · Inpatient stay	20	$120,451	$17,553	+15%
Level 5 Airway Endoscopy APC 5155 · Hospital outpatient visit	20	$36,928	$5,881	-4%
Sepsis MS-DRG 870 · Inpatient stay	19	$170,066	$42,205	-37%
Other Disorders of Nervous System with Complications MS-DRG 092 · Inpatient stay	19	$50,501	$7,934	+12%
Respiratory Neoplasms with Major Complications MS-DRG 180 · Inpatient stay	19	$85,549	$13,233	+15%
Spinal Fusion Except Cervical without Major Complications MS-DRG 460 · Inpatient stay	19	$124,310	$23,483	-14%
Disorders of Pancreas Except Malignancy with Complications MS-DRG 439 · Inpatient stay	19	$31,989	$11,115	-11%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc MS-DRG 661 · Inpatient stay	19	$45,817	$7,859	about average
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major MS-DRG 239 · Inpatient stay	19	$162,381	$31,751	-18%
Complex GI Procedures APC 5331 · Hospital outpatient visit	19	$29,169	$4,897	about average
Seizures with Major Complications MS-DRG 100 · Inpatient stay	18	$72,354	$14,179	-10%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications MS-DRG 233 · Inpatient stay	18	$346,679	$52,763	+13%
Infection Needing Surgery (with complications) MS-DRG 854 · Inpatient stay	18	$76,827	$14,449	-7%
Other Digestive System Diagnoses with Major Complications MS-DRG 393 · Inpatient stay	18	$56,283	$11,921	-12%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	18	$98,560	$13,339	+23%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with MS-DRG 516 · Inpatient stay	18	$84,265	$16,852	-5%
Poisoning and Toxic Effects of Drugs with Major Complications MS-DRG 917 · Inpatient stay	18	$74,135	$12,287	+9%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal MS-DRG 023 · Inpatient stay	17	$213,615	$52,629	-7%
Cranial and Peripheral Nerve Disorders without Major Complications MS-DRG 074 · Inpatient stay	17	$48,567	$11,492	about average
Disorders of the Biliary Tract with Major Complications MS-DRG 444 · Inpatient stay	17	$72,243	$12,302	about average
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MS-DRG 617 · Inpatient stay	17	$84,094	$20,934	+14%
Dysequilibrium MS-DRG 149 · Inpatient stay	17	$40,191	$5,951	about average
Disorders of Pancreas Except Malignancy with Major Complications MS-DRG 438 · Inpatient stay	17	$44,160	$12,055	-36%
Concomitant Left Atrial Appendage Closure and Cardiac Ablation MS-DRG 317 · Inpatient stay	17	$212,794	$42,428	-39%
Complicated Peptic Ulcer with Complications MS-DRG 381 · Inpatient stay	17	$43,019	$8,154	-18%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Major MS-DRG 515 · Inpatient stay	17	$105,403	$21,281	-11%
Gastrointestinal Obstruction with Major Complications MS-DRG 388 · Inpatient stay	16	$44,305	$9,938	-23%
Postoperative and Post-traumatic Infections with Major Complications MS-DRG 862 · Inpatient stay	16	$73,248	$14,172	about average
Nervous System Neoplasms with Major Complications MS-DRG 054 · Inpatient stay	16	$43,037	$11,765	-35%
Other Major Cardiovascular Procedures with Complications MS-DRG 271 · Inpatient stay	16	$160,788	$23,772	+7%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications MS-DRG 417 · Inpatient stay	16	$115,264	$26,688	+10%
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc MS-DRG 419 · Inpatient stay	16	$68,407	$11,049	about average
O.r. Procedures for Obesity without Complications/mcc MS-DRG 621 · Inpatient stay	16	$66,896	$12,467	about average
Level 7 Radiation Therapy APC 5627 · Hospital outpatient visit	16	$43,790	$6,692	-26%
Other Disorders of Nervous System with Major Complications MS-DRG 091 · Inpatient stay	15	$56,247	$12,951	-21%
Traumatic Stupor and Coma >1 Hour with Major Complications MS-DRG 082 · Inpatient stay	15	$77,837	$15,161	-20%
Endocrine Disorders with Complications MS-DRG 644 · Inpatient stay	15	$40,010	$7,920	+4%
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major MS-DRG 987 · Inpatient stay	15	$170,060	$25,735	+18%
Bronchitis and Asthma with Complications/mcc MS-DRG 202 · Inpatient stay	15	$38,036	$7,383	-3%
Hip or Thigh Bone Surgery (uncomplicated) MS-DRG 482 · Inpatient stay	14	$65,485	$14,122	-4%
Other Major Cardiovascular Procedures with Major Complications MS-DRG 270 · Inpatient stay	14	$190,952	$34,863	-15%
Revision of Hip or Knee Replacement with Complications MS-DRG 467 · Inpatient stay	14	$173,488	$22,143	+33%
Back Problems (severe) MS-DRG 551 · Inpatient stay	14	$58,802	$12,138	-15%
Lymphoma and Non-acute Leukemia with Major Complications MS-DRG 840 · Inpatient stay	14	$86,696	$25,317	-39%
Precerebral Occlusion without Infarction without Major Complications MS-DRG 068 · Inpatient stay	13	$38,136	$7,319	-31%
Traumatic Stupor and Coma <1 Hour with Complications MS-DRG 086 · Inpatient stay	13	$37,300	$9,662	-34%
Other Vascular Procedures with Major Complications MS-DRG 252 · Inpatient stay	13	$193,983	$29,454	+34%
Other Circulatory System Diagnoses with Complications MS-DRG 315 · Inpatient stay	13	$44,531	$7,438	+7%
Percutaneous and Other Intracardiac Procedures with Major Complications MS-DRG 273 · Inpatient stay	13	$126,336	$26,647	-32%
Respiratory System Diagnosis with Ventilator Support >96 Hours MS-DRG 207 · Inpatient stay	13	$201,884	$45,298	-21%
Stomach, Esophageal and Duodenal Procedures with Major Complications MS-DRG 326 · Inpatient stay	13	$208,471	$37,640	-7%
Endocrine Disorders with Major Complications MS-DRG 643 · Inpatient stay	13	$45,825	$12,565	-30%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio MS-DRG 809 · Inpatient stay	13	$43,367	$9,078	-21%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MS-DRG 543 · Inpatient stay	13	$32,588	$7,953	-21%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc MS-DRG 658 · Inpatient stay	13	$80,017	$10,720	+4%
Extracranial Procedures with Complications MS-DRG 038 · Inpatient stay	12	$76,652	$11,541	+14%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization MS-DRG 219 · Inpatient stay	12	$393,435	$55,961	+17%

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.