South Carolina / Lexington Medical Center

CMS certification 420073 · West Columbia, SC · 7 entries in CMS's price-transparency list

Lexington Medical Center: charges and Medicare payments

Lexington Medical Center reported 7,687 Medicare inpatient stays across 174 DRGs in 2024. Across them it charged 5.46 times what it was paid — among the higher ratios in South Carolina, number 11 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 758 stays at an average charge of $78,304, 13% below the national average. It also billed 6,974 outpatient services, charging 9.61 times what Medicare paid.

1Medicare inpatient stays 7,687
2Charge ÷ paid, inpatient 5.46×
3Rank in SC (highest ratio = 1) 11 of 45
4CMS price-transparency actions 7

Average charge per stay at Lexington Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 174 DRGs that can be compared with the national average, Lexington Medical Center charged more than the national average in 21 (12%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	758	$78,304	-13%	$14,286
291 Heart Failure and Shock with MCC	422	$50,678	-10%	$9,903
189 Pulmonary Edema and Respiratory Failure	340	$56,311	-2%	$9,504
177 Respiratory Infections and Inflammations with MCC	207	$67,480	-4%	$12,513
378 Gastrointestinal Hemorrhage with CC	176	$42,915	-12%	$7,461
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	139	$41,949	-14%	$8,200
274 Percutaneous and Other Intracardiac Procedures without MCC	137	$97,627	-38%	$22,491
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	132	$47,330	-15%	$8,171
193 Simple Pneumonia and Pleurisy with MCC	121	$42,384	-29%	$10,509
853 Infectious and Parasitic Diseases with O.R. Procedures with...	121	$191,007	-17%	$34,773
682 Renal Failure with MCC	117	$49,547	-25%	$10,626
377 Gastrointestinal Hemorrhage with MCC	116	$65,902	-23%	$13,098
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	110	$43,078	-29%	$9,657
689 Kidney and Urinary Tract Infections with MCC	107	$46,134	-10%	$8,998
069 Transient Ischemia without Thrombolytic	105	$45,423	-10%	$6,660
481 Hip and Femur Procedures except Major Joint with CC	102	$82,093	-19%	$15,078
322 Percutaneous Cardiovascular Procedures with Intraluminal...	100	$129,476	+13%	$17,139
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	98	$73,156	-27%	$13,459
683 Renal Failure with CC	94	$36,486	-10%	$7,192
690 Kidney and Urinary Tract Infections without MCC	94	$32,187	-15%	$6,523
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	93	$32,597	-19%	$6,822
698 Other Kidney and Urinary Tract Diagnoses with MCC	88	$68,914	-6%	$12,789
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	78	$30,689	-17%	$6,245
280 Acute Myocardial Infarction, Discharged Alive with MCC	77	$60,169	-21%	$11,637
267 Endovascular Cardiac Valve Replacement and Supplement...	67	$188,077	-15%	$32,629
266 Endovascular Cardiac Valve Replacement and Supplement...	66	$208,773	-27%	$43,575
330 Major Small and Large Bowel Procedures with CC	66	$101,545	-15%	$18,727
603 Cellulitis without MCC	60	$34,492	-8%	$6,952
308 Cardiac Arrhythmia and Conduction Disorders with MCC	59	$52,770	-7%	$9,018
480 Hip and Femur Procedures except Major Joint with MCC	59	$102,101	-26%	$19,180
312 Syncope and Collapse	58	$42,126	-7%	$6,784
208 Respiratory System Diagnosis with Ventilator Support <=96...	57	$96,853	-29%	$18,536
286 Circulatory Disorders except AMI, with Cardiac...	57	$93,976	-16%	$18,972
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	56	$45,690	-25%	$10,914
287 Circulatory Disorders except AMI, with Cardiac...	52	$55,048	-14%	$10,181
811 Red Blood Cell Disorders with MCC	52	$51,385	-25%	$10,437
329 Major Small and Large Bowel Procedures with MCC	50	$181,862	-15%	$36,238
309 Cardiac Arrhythmia and Conduction Disorders with CC	49	$45,069	+25%	$6,264
321 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$163,060	0%	$22,984
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	49	$92,549	-10%	$15,387
394 Other Digestive System Diagnoses with CC	45	$33,839	-28%	$8,070
552 Medical Back Problems without MCC	45	$39,882	-18%	$7,347
314 Other Circulatory System Diagnoses with MCC	44	$103,963	+10%	$16,023
637 Diabetes with MCC	44	$54,606	-18%	$10,629
331 Major Small and Large Bowel Procedures without CC/MCC	43	$77,664	-10%	$13,095
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	42	$27,836	-3%	$5,719
638 Diabetes with CC	41	$41,810	0%	$7,036
389 Gastrointestinal Obstruction with CC	40	$28,807	-26%	$6,318
039 Extracranial Procedures without CC/MCC	37	$65,379	+2%	$9,688
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	37	$60,911	-7%	$11,211
190 Chronic Obstructive Pulmonary Disease with MCC	36	$42,205	-17%	$9,142
236 Coronary Bypass without Cardiac Catheterization without MCC	36	$236,291	+12%	$26,862
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	35	$58,291	-14%	$9,913
812 Red Blood Cell Disorders without MCC	35	$35,610	-20%	$6,979
390 Gastrointestinal Obstruction without CC/MCC	34	$20,432	-27%	$5,140
071 Other Cerebrovascular Disorders with CC	33	$50,706	0%	$8,553
178 Respiratory Infections and Inflammations with CC	32	$41,143	-9%	$8,723
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$38,687	-19%	$7,765
813 Coagulation Disorders	32	$80,276	0%	$16,682
371 Major Gastrointestinal Disorders and Peritoneal Infections...	31	$70,501	-10%	$12,969

Showing the 60 most frequent of 174 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	739	$33,778	$2,756
Level 2 Excision/ Biopsy/ Incision and Drainage	604	$13,106	$1,374
Level 5 Urology and Related Services	591	$34,419	$4,413
Comprehensive Observation Services	501	$18,893	$2,312
Level 5 Musculoskeletal Procedures	442	$78,013	$11,143
Level 1 Laparoscopy and Related Services	360	$42,524	$4,809
Level 4 Urology and Related Services	349	$25,950	$2,946
Level 3 Excision/ Biopsy/ Incision and Drainage	252	$19,956	$2,419
Level 3 Urology and Related Services	237	$15,779	$1,733
Level 3 Vascular Procedures	211	$28,716	$2,698
Level 2 Upper GI Procedures	202	$8,348	$1,596
Level 3 Electrophysiologic Procedures	201	$151,214	$20,173
Level 2 Laparoscopy and Related Services	165	$64,795	$8,842
Level 6 Musculoskeletal Procedures	164	$86,197	$15,613
Level 3 Endovascular Procedures	157	$101,211	$9,348
Level 3 Pacemaker and Similar Procedures	154	$86,402	$9,122
Level 4 Musculoskeletal Procedures	141	$39,574	$6,078
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	116	$29,412	$2,850
Level 4 Airway Endoscopy	112	$25,788	$3,195
Level 1 Breast/Lymphatic Surgery and Related Procedures	104	$32,110	$3,128
Level 3 Musculoskeletal Procedures	103	$22,737	$2,738
Level 2 Pacemaker and Similar Procedures	78	$68,972	$7,226
Level 2 Breast/Lymphatic Surgery and Related Procedures	75	$55,673	$5,425
Level 2 Vascular Procedures	75	$11,545	$1,362
Level 4 Gynecologic Procedures	74	$23,221	$2,613

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lexington Medical Center charged $78,304 on average, 2% more than the South Carolina average of $76,532, and was paid $14,286 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Lexington Medical Center charged $50,678 on average, 11% more than the South Carolina average of $45,682, and was paid $9,903 against a state average of $10,696. For Pulmonary Edema and Respiratory Failure (DRG 189), Lexington Medical Center charged $56,311 on average, 3% more than the South Carolina average of $54,819, and was paid $9,504 against a state average of $10,948. For Respiratory Infections and Inflammations with MCC (DRG 177), Lexington Medical Center charged $67,480 on average, 8% more than the South Carolina average of $62,241, and was paid $12,513 against a state average of $13,455. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,778 was 7% above the state average of $31,661. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,106 was 12% above the state average of $11,718. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $34,419 was 11% below the state average of $38,828. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,893 was 9% below the state average of $20,764.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lexington Medical Center in West Columbia, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-08-25 (CMS case 459)
CAP Request — 2022-05-04 (CMS case 459)
Closure Notice — 2022-06-23 (CMS case 459)
CAP Request — 2024-09-10 (CMS case 2604)
CAP Request — 2024-10-18 (CMS case 2604)
Closure Notice — 2024-12-06 (CMS case 2604)
Met Requirements — 2025-07-11 (CMS case 5703)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.