59/100
#980 nationally
Lexington Memorial Hospital Inc
250 Hospital Drive Po Box 1817, Lexington, NC 27293 · (336) 248-5161
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Lexington Memorial Hospital Inc billed $4.60 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 29
- inpatient and outpatient combined
- Rank in NC
- #39
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 76% of U.S. hospitals.
Better than 48% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 36% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
110 | $12,316 | $2,477 | -37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
94 | $40,248 | $14,298 | -38% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
88 | $69,593 | $11,980 | +11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
62 | $25,231 | $10,286 | -42% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
59 | $25,572 | $3,092 | +24% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
53 | $9,491 | $1,760 | -16% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
44 | $35,014 | $4,716 | +27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
43 | $18,829 | $1,790 | +46% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
25 | $48,418 | $6,313 | +21% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
25 | $106,302 | $18,345 | +23% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$18,829 | $1,790 | +46% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$105,370 | $19,891 | +31% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$35,014 | $4,716 | +27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$44,680 | $5,259 | +27% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$25,572 | $3,092 | +24% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$106,302 | $18,345 | +23% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$48,418 | $6,313 | +21% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,062 | $1,734 | +20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$15,106 | $7,961 | -54% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$24,689 | $10,491 | -47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,320 | $10,313 | -46% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$27,946 | $10,259 | -42% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$17,221 | $7,219 | -42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$25,231 | $10,286 | -42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,934 | $1,392 | -41% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$19,216 | $7,367 | -40% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.