Atrium Health Wake Forest Baptist · Lexington, NC
2 of 5
CMS star rating
70
Beds
3,971
Inpatient discharges a year
$147.2M
Net patient revenue a year
32
In-network payers
Lexington Medical Center is a 70-bed voluntary non-profit - private hospital in Lexington, NC, affiliated with Atrium Health Wake Forest Baptist. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 392 disclosed rate categories.
The 24 services Lexington Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$20,352 - $34,531
from 4 insurers · median $26,928
65 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$3,889 - $10,018
from 4 insurers · median $6,018
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,247 - $14,246
from 4 insurers · median $10,097
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$6,972 - $10,034
from 2 insurers · median $8,503
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,260 - $10,034
from 2 insurers · median $7,147
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,491 - $25,442
from 2 insurers · median $15,966
22 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$3,852
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,070 - $25,442
from 2 insurers · median $17,756
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$6,246 - $25,442
from 2 insurers · median $15,844
59 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,801 - $10,034
from 2 insurers · median $6,417
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$5,247 - $10,034
from 2 insurers · median $7,640
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$174 - $1,107
from 2 insurers · median $640
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$8,927 - $22,769
from 2 insurers · median $15,848
13 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 55866
$16,664 - $26,540
from 2 insurers · median $21,602
22 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 64721
$8,326 - $12,069
from 2 insurers · median $10,198
53 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,889 - $10,018
from 4 insurers · median $6,018
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 29881
$5,539 - $15,948
from 2 insurers · median $10,743
23 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$2,375
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$10,379 - $25,442
from 2 insurers · median $17,910
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,193
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$9,719 - $12,069
from 2 insurers · median $10,894
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$5,088 - $10,034
from 2 insurers · median $7,561
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,075
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$12,069
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 512% | 4 | 0 |
| Insurer B* | 23 | 321% | 15 | 3 |
| Insurer C* | 5 | 163% | 0 | 2 |
| Insurer D* | 4 | - | 0 | 1 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lexington Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$147.2M net patient revenue
Ownership and leadership
Owned by Wake Forest University Baptist Medical Center
The employer identification numbers (EINs) health plans and networks list for Lexington Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 56-0543238(multi-state) Lexington Medical Center | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more | 1417958331 Lexington Medical Center |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
250 Hospital Drive, Lexington, NC 27292
(336) 248-5161
How Lexington Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
66%
Lower than 69% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.95
Lower than 56% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
154 min
Higher than 53% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
70%
Higher than 60% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 6 measures | |
| Readmissions | No different on 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 66% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.95 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 154 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 70% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Lexington Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.28% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.63% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Lexington Medical Center, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 49 cases | 3.7 | 4.1 | 4.042 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,176 cases | 3.9 | 3.9 | 3.99 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.93 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 47 cases | 9.1 | 8.5 | 8.754 | Worse than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 113 cases | 11.3 | 11 | 11.28 | Worse than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 110 cases | 14.9 | 15.2 | 15.37 | Better than 53% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 109 cases | 12.7 | 11.6 | 12.32 | Worse than 66% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 891 cases | 0.46 | 0.51 | 0.6392 | No Different Than the National Rate | Better than 58% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,218 cases | 0.2 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,178 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 193 cases | 2.29 | 2.29 | 2.327 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 110 cases | 1.66 | 1.63 | 1.616 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 111 cases | 8.7 | 8.88 | 9.086 | No Different Than the National Rate | Better than 55% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 213 cases | 4.17 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 104 cases | 5.07 | 5.105 | 4.934 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 35 cases | 1.73 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 113 cases | 1.02 | 1.02 | 1.018 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 136 cases | 46.6 | 1.25 | 4.059 | Worse than 91% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 117 cases | 29.8 | 3.85 | 4.357 | Worse than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 227 cases | 12.4 | 12.9 | 12.92 | No Different Than the National Rate | Better than 79% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 299 cases | 0.9 | 1 | 0.979 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.22 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 169 cases | 19.6 | 19.8 | 19.82 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 334 cases | 22.6 | 21.3 | 21.37 | Worse than 84% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 39 cases | 5.3 | 5.8 | 5.698 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 331 cases | 18.8 | 17.2 | 17.06 | Worse than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3158 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.089 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 850 | 1,370 | 6,107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.641 | 0.9835 | 6.392 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.212 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6593 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2172 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.853 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,473 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.05 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5489 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.27 | 0.2345 | 0.4264 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.325 | 2.135 | 2.632 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 49 | 61 | 148 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.241 | 1.591 | 3.971 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 3.869 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.612 | 0.7155 | 0.9259 | No Different than National Benchmark | Worse than 88% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 13 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.116 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2893 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.314 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 16,719 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.797 | 0.567 | 4.657 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.863 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.742 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.009 | 0.127 | 0.1478 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.881 | 0.747 | 1.095 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 16,719 | 13,646 | 56,214 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.597 | 5.683 | 32.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.258 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.179 | 0.279 | 0.3119 | Better than the National Benchmark | Better than 65% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 562 cases | 71 | 73 | 71.37 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 562 cases | 7 | 8 | 9.762 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 562 cases | 22 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 87 | 87 | 85.7 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 562 cases | 4 | 4 | 3.269 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 562 cases | 79 | 80 | 80.26 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 92 | 91 | 91.65 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 562 cases | 3 | 4 | 4.218 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 562 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 562 cases | 18 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 562 cases | 79 | 79 | 80.9 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 91 | 91 | 91.66 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 562 cases | 6 | 5 | 5.01 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 3.452 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 562 cases | 15 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 562 cases | 60 | 61 | 62.62 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 77 | 77 | 77.77 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 562 cases | 21 | 19 | 18.97 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 2.839 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 562 cases | 19 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 84 | 86 | 86.12 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 562 cases | 16 | 13 | 13.33 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 3.441 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 562 cases | 84 | 87 | 86.67 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 562 cases | 15 | 14 | 14.2 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 562 cases | 85 | 86 | 85.8 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 75 | 74 | 76.04 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 7 | 7 | 6.586 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 18 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 79 | 77 | 79.47 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 7 | 6 | 5.475 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 14 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 84 | 85 | 86.33 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 3.465 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 13 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 562 cases | 6 | 8 | 8.446 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 562 cases | 23 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 562 cases | 71 | 72 | 71.41 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 89 | 88 | 88.02 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 562 cases | 4 | 3 | 3.323 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 562 cases | 75 | 74 | 75.25 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 562 cases | 10 | 9 | 9.232 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 562 cases | 15 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 75 | 75 | 75.79 | Better than 48% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 5 | 5 | 5.697 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 562 cases | 20 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 77 | 77 | 77.57 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 3 | 4 | 4.424 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 562 cases | 20 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 85 | 86 | 86.24 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 2 | 3 | 2.859 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 562 cases | 13 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 562 cases | 52 | 59 | 60.2 | Worse than 74% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 562 cases | 12 | 9 | 9.109 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 562 cases | 36 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 80 | 82 | 82.46 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 3.419 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 562 cases | 4 | 5 | 5.683 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 562 cases | 66 | 71 | 70.04 | Worse than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 562 cases | 87 | 87 | 86.94 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 562 cases | 30 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 562 cases | 4 | 4 | 3.656 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 562 cases | 46 | 47 | 49.27 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 562 cases | 31 | 30 | 29.43 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 562 cases | 23 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 562 cases | 3 | 3 | 3.387 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 562 cases | 17 | 12 | 12.81 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 562 cases | 83 | 88 | 87.19 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.182 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 623 cases | 80 | 79 | 85.95 | Better than 50% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 470 cases | 159 | 154 | 190 | Worse than 53% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 423 cases | 154 | 148 | 183 | Worse than 53% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 25 cases | 133 | 247 | 389 | Better than 92% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 22 cases | 293 | 293 | 427 | Better than 50% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 36,298 cases | 2 | 1 | 2.253 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 21 cases | 62 | 74 | 72.17 | Worse than 72% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 119 cases | 96 | 97 | 93.75 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,207 cases | 21 | 15 | 16.55 | Worse than 88% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 142 cases | 70 | 65 | 63.49 | Better than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 46 cases | 91 | 73 | 72.19 | Better than 87% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 37 cases | 92 | 88 | 81.33 | Better than 61% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 142 cases | 81 | 82 | 80.49 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 86 cases | 92 | 94 | 94.21 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 111 cases | 99 | 98 | 96.77 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 88 cases | 97 | 94 | 93.39 | Better than 73% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,251 cases | 91 | 90 | 88.42 | Better than 53% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.8 | 5 | 4.658 | Better than 51% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.2 | 6.6 | 6.699 | Better than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.88 | 0.99 | 0.9478 | Better than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 7.5 | 20 | 20.53 | Worse than 78% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.875 | 5 | 5.133 | Worse than 78% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 27.67 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 7.066 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 43 | 34 | 42.34 | Better than 65% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10.75 | 8.75 | 10.67 | Better than 65% of US hospitals | |
| VBP safety domain scoreFY 2026 | 32 | 40 | 39.99 | Worse than 65% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 8 | 10 | 10.21 | Worse than 65% of US hospitals | |
| VBP total performance scoreFY 2026 | 38.13 | 29.5 | 32.71 | Better than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 35 | 45 | 43.33 | 12.5 | 7.5 | 7.5 |
| VBP clinical outcomes weighted domain score | 8.75 | 11.25 | 10.83 | 3.125 | 1.875 | 1.875 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 60 | 40 | 40 | 70 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 15 | 10 | 10 | 17.5 |
| VBP person and community engagement domain score | 44 | Not Available | Not Available | 17 | 19 | 43 |
| VBP person and community engagement weighted domain score | 11 | Not Available | Not Available | 4.25 | 4.75 | 10.75 |
| VBP safety domain score | 3.333 | Not Available | Not Available | 0 | 60 | 32 |
| VBP safety weighted domain score | 0.8333 | Not Available | Not Available | 0 | 15 | 8 |
| VBP total performance score | 28.08 | Not Available | Not Available | 17.38 | 31.63 | 38.13 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.987 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 45 cases | 1.067 | 0.9969 | 0.9983 | Worse than 92% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 136 cases | 1.031 | 0.9983 | 0.9982 | Worse than 70% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8565 | 0.9916 | 1.01 | Better than 86% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 109 cases | 0.9827 | 0.9955 | 0.989 | Better than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9753 | 1.01 | 0.9996 | 1.016 | 1.059 | 1.067 |
| READM-30-HF-HRRP | 0.9456 | 0.9764 | 1.012 | 1.06 | 1.033 | 1.031 |
| READM-30-HIP-KNEE-HRRP | 1.111 | 1.133 | 1.288 | 1.022 | 1.03 | 0.8565 |
| READM-30-PN-HRRP | 1.054 | 1.061 | 0.9872 | 0.9282 | 0.9363 | 0.9827 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lexington Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.64 | 0.489 | 0.6937 | Worse than 65% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.599 | 0.346 | 0.3392 | Worse than 81% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.485 | 0.559 | 0.6866 | Worse than 94% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.082 | 0.6405 | 0.9073 | Worse than 81% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9487 | 0.9628 | 0.9914 | Better than 56% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.069 | 0.7945 | 0.9227 | Worse than 68% of US hospitals | |
| Total HAC scoreFY 2026 | 0.6702 | -0.0453 | 0.09972 | Worse than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | No | Yes |
| Total HAC score | -0.1731 | 0.2465 | 0 | 0.6155 | 0.2992 | 0.6702 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
94
Medicare-certified beds
142
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lexington Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,971
Inpatient discharges
Medicare 14%, Medicaid 2%
14,065
Inpatient days
55% of available bed days used
615
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837064). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lexington Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,031 | 306 | 11,728 | 14,065 |
| Discharges | 551 | 85 | 3,335 | 3,971 |
| Average length of stay | 3.7 days | 3.6 days | 3.5 days | 3.5 days |
| Average daily census | 5.6 | 0.8 | 32.1 | 38.5 |
6,805
Medicare Advantage days
1,726 discharges
2,317
Medicaid managed care days
624 discharges
2,254
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 54 | 11,631 | 1,680 | 59% |
| Intensive care unit | 16 | 2,434 | 351 | 42% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lexington Medical Center treats Medicare patients for most often, in 2024. 304 Medicare discharges in 12 published DRGs; 5% surgical; 78% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 94 | $40,248 | $13,018 | $11,752 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 62 | $25,231 | $8,813 | $7,367 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $37,852 | $10,795 | $11,053 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $24,689 | $9,041 | $7,209 | 1.33 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $18,858 | $5,862 | $5,507 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 16 | $15,106 | $5,675 | $4,411 | 0.90 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $28,002 | $8,194 | $8,177 | 1.10 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 14 | $68,230 | $12,840 | $19,923 | 1.88 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $26,320 | $9,654 | $7,685 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $19,216 | $5,762 | $5,611 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $27,946 | $9,075 | $8,160 | 1.32 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $17,221 | $5,735 | $5,028 | 0.81 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Lexington Medical Center billed Medicare for most in 2024: 615 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 110 | 97 | $12,316 | $1,968 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 88 | 85 | $69,593 | $10,346 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 59 | 57 | $25,572 | $2,445 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 53 | 36 | $9,491 | $1,402 | $1,407 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 44 | $35,014 | $3,756 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 42 | $18,829 | $1,405 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 24 | $48,418 | $4,988 | $5,339 |
| Level 8 Urology and Related ServicesAPC 5378 | 25 | 24 | $106,302 | $16,713 | $17,428 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 24 | 18 | $5,934 | $1,089 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 22 | $21,536 | $2,054 | $2,373 |
See all 17 Medicare outpatient services at Lexington Medical Center
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Lexington Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,683 in 2020 to 2,059 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 27292 | 912 | 44% | 3,392 | $30.5M | 41% | 39% |
| 27295 | 669 | 32% | 2,540 | $23.7M | 31% | 30% |
| 27299 | 117 | 6% | 482 | $4.7M | 43% | 36% |
| 27360 | 103 | 5% | 406 | $3.9M | 4% | 3% |
| 27239 | 97 | 5% | 384 | $3.4M | 19% | 15% |
| 28146 | 43 | 2% | 192 | $2.3M | 3% | 2% |
| 27293 | 23 | 1% | 79 | $793,761 | 100% | 61% |
| 27107 | 14 | 1% | 60 | $473,206 | 1% | |
| 27127 | 14 | 1% | 86 | $819,583 | 1% | |
| 27370 | 14 | 1% | 45 | $451,474 | 2% | |
| 27403 | 14 | 1% | 139 | $1.2M | 3% | |
| 27374 | 13 | 1% | 31 | $402,545 | 23% | 21% |
| 28144 | 13 | 1% | 43 | $618,910 | 1% | 1% |
| 28147 | 13 | 1% | 46 | $942,612 | 1% | 2% |
Source: CMS Hospital Service Area file. Shares are of the 2,059 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Lexington Medical Center reported at its latest Medicare certification survey (1998). Counts are people, not full-time equivalents.
142
Registered nurses
5
Nurse anesthetists (CRNAs)
3
Pharmacists
8
Respiratory therapists
7
Physical therapists
1
Dietitians
370
Other personnel
Source: CMS Provider of Services file.
390 clinicians who bill Medicare list Lexington Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Mitchell Isaac, MD
Neurology Physician
NPI 1629283908
See commercial rates for Mitchell Isaac, MDJeanette Torain, FNP
Family Nurse Practitioner
NPI 1427604883
See commercial rates for Jeanette Torain, FNPJimmy Leung, MD
Diagnostic Radiology Physician
NPI 1750370714
See commercial rates for Jimmy Leung, MDBetsy Southern, PA-C
Physician Assistant
NPI 1285691998
See commercial rates for Betsy Southern, PA-CTony Simmons, MD
Clinical Cardiac Electrophysiology Physician
NPI 1558348227
See commercial rates for Tony Simmons, MDLeselle Norville
Student in an Organized Health Care Education/Training Program
NPI 1154856573
See commercial rates for Leselle NorvilleRobert Migliardi, MD
Dermatology Physician
NPI 1659375160
See commercial rates for Robert Migliardi, MDRakhee Sansgiri, MD
Diagnostic Radiology Physician
NPI 1932420999
See commercial rates for Rakhee Sansgiri, MDCatherine Matthews, MD
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
NPI 1467563593
See commercial rates for Catherine Matthews, MDJustin Cates, MD, PHD
Anatomic Pathology Physician
NPI 1780768895
See commercial rates for Justin Cates, MD, PHDCharles Choi, M.D.
Cardiovascular Disease Physician
NPI 1174917165
See commercial rates for Charles Choi, M.D.Timothy Schenk, PA-C
Surgical Physician Assistant
NPI 1154560449
See commercial rates for Timothy Schenk, PA-CVikram Shivaji, M.D.
Body Imaging Physician
NPI 1770947822
See commercial rates for Vikram Shivaji, M.D.Holly Humphrey, M.D.
Cardiovascular Disease Physician
NPI 1952526980
See commercial rates for Holly Humphrey, M.D.Paul Hiatt, MD
Diagnostic Radiology Physician
NPI 1356342893
See commercial rates for Paul Hiatt, MDThomas Santoro, M.D.
Diagnostic Radiology Physician
NPI 1689873713
See commercial rates for Thomas Santoro, M.D.Michael Beaty, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1770567208
See commercial rates for Michael Beaty, MDMichael Robinson, M.D.
Diagnostic Radiology Physician
NPI 1770017964
See commercial rates for Michael Robinson, M.D.Nathan Fedors, M.D.
Diagnostic Radiology Physician
NPI 1699933366
See commercial rates for Nathan Fedors, M.D.Katie Twomley, M.D.
Cardiovascular Disease Physician
NPI 1659323681
See commercial rates for Katie Twomley, M.D.Ricardo Bello Martinez, MD
Nuclear Medicine Physician
NPI 1164945309
See commercial rates for Ricardo Bello Martinez, MDClifton Baker, MD
General Practice Physician
NPI 1053370098
See commercial rates for Clifton Baker, MDYuri Cabeza, MD
Internal Medicine Physician
NPI 1558484931
See commercial rates for Yuri Cabeza, MDNathan Krueger, PHYSICIAN ASSISTANT
Physician Assistant
NPI 1881393486
See commercial rates for Nathan Krueger, PHYSICIAN ASSISTANTSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Lexington Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $661.4M | 449.3% |
| Inpatient | $142.7M | 97.0% |
| Outpatient | $518.6M | 352.3% |
| Contractual allowances and discounts | -$514.1M | -349.3% |
| Net patient revenue | $147.2M | 100.0% |
| Operating expenses | -$133.9M | -90.9% |
| Operating income from patient care | $13.3M | 9.1% |
| Other income | $37.3M | 25.4% |
| Contributions and donations | $6,238 | 0.0% |
| Investment income | $4,169 | 0.0% |
| Government appropriations | $35M | 23.8% |
| Other | $2.3M | 1.6% |
| Other expenses | $6 | 0.0% |
| Net income | $50.7M | 34.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $67.5M | 10.2% |
| Medicaid (including managed care) | $121.1M | 18.3% |
| Other payers and self-pay | $471.6M | 71.4% |
| Total charges | $660.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Lexington Medical Center's latest cost report.
9.1%
Operating margin
Operating income from patient care / net patient revenue
27.5%
Total margin
Net income / net patient revenue plus other income
29.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
50% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.54
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
20.6%
Return on assets
Net income for a year / total assets
21.0%
Return on equity
Net income for a year / fund balance
42.01
Current ratio
Current assets / current liabilities
5.39
Quick ratio
Cash, temporary investments and net receivables / current liabilities
37 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
37 days
Days in patient receivables
Net patient receivables / daily net patient revenue
15 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.75
Asset turnover
Total revenue for a year / total assets
18.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lexington Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $246M in total assets and a $240.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $13M | 5.3% |
| Patient receivables, net | $14.8M | 6.0% |
| Inventory | $1.5M | 0.6% |
| Total current assets | $217.3M | 88.3% |
| Property and equipment, net of depreciation | $28.3M | 11.5% |
| Investments and other assets | $435,076 | 0.2% |
| Total assets | $246M | 100.0% |
| Current liabilities | $5.2M | 2.1% |
| Total liabilities | $5.2M | 2.1% |
| Fund balance (net assets) | $240.8M | 97.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lexington Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.4M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11M
Bad debt
Patient bills written off as uncollectible, at charges
-$5.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.4M
Total unreimbursed and uncompensated care
4.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lexington Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $99.3M | $109M | $138.3M | $150.4M | $162.1M | $147.2M |
| Operating expenses | $99.5M | $95.2M | $128.8M | $136.4M | $137.7M | $133.9M |
| Operating margin | -0.1% | 12.7% | 6.9% | 9.3% | 15.0% | 9.1% |
| Net income | $10.7M | $16.7M | $13.8M | $17.8M | $28.1M | $50.7M |
| Total assets | $126.9M | $141.9M | $165.3M | $182.2M | $212.5M | $246M |
| Discharges | 3,476 | 3,429 | 3,330 | 3,464 | 3,884 | 3,971 |
| Inpatient days | 12,315 | 12,830 | 14,614 | 14,471 | 15,089 | 14,065 |
| Medicare Advantage days | 3,653 | 4,495 | 4,646 | 4,251 | 6,504 | 6,805 |
| Beds | 70 | 70 | 70 | 70 | 70 | 70 |
| Employees (FTE) | 580 | 577 | 564 | 562 | 574 | 615 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lexington Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $6.2M | $21.5M | $88.7M | 0.24 | 47,368 |
| Emergency | $5.5M | $12.7M | $93.3M | 0.14 | 11,810 |
| Impl. dev. charged to patients | $10.8M | $52.4M | 0.21 | ||
| Laboratory | $2.1M | $7.6M | $42.4M | 0.18 | 4,634 |
| Radiology-diagnostic | $3.1M | $7.5M | $77.5M | 0.10 | 14,094 |
| Drugs charged to patients | $6.6M | $41.9M | 0.16 | ||
| Physical therapy | $2.7M | $5.5M | $16.2M | 0.34 | 9,840 |
| Medical supplies charged to patient | $115 | $5.2M | $29.8M | 0.17 | |
| Respiratory therapy | $2M | $3.5M | $16.4M | 0.22 | 3,708 |
| Observation beds (non-distinct part | $2.9M | $3.4M | 0.85 | ||
| Ct scan | $788,671 | $2.4M | $76.8M | 0.03 | 838 |
| Womens center of lexington | $472,897 | $1.7M | $3.4M | 0.50 | 8,062 |
| Clinic | $484,439 | $1M | $5M | 0.21 | |
| Mri | $455,350 | $827,741 | $17.1M | 0.05 | 962 |
| Cardiac rehabilitation | $331,683 | $594,306 | $781,649 | 0.76 | |
| Anesthesiology | $474,256 | $63.8M | 0.01 | 284 | |
| Electroencephalography | $154,469 | $328,731 | $323,728 | 1.02 | |
| Clinical nutrition | $117,032 | $218,346 | $59,063 | 3.70 | 256 |
| Blood laboratory | $149,400 | $692,882 | 0.22 | ||
| Hyperbaric oxygen | $116,156 | $2.4M | 0.05 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $10.1M | $17.8M | $20.8M | 0.86 | 18,342 |
| Intensive care unit | $2.8M | $6.6M | $6.9M | 0.96 | 7,502 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.3M | $17.9M | 148,577 | $43.05 | 17,252 |
| Employee benefits department | $140,295 | $16.1M | 5,524 | $93.18 | 1,175 |
| Cap rel costs-bldg & fixt | $3.4M | 168,069 | |||
| Nursing administration | $2.4M | $2.5M | 39,542 | $60.15 | 3,739 |
| Maintenance & repairs | $718,874 | $2.2M | 32,152 | $33.65 | 7,543 |
| Housekeeping | $1.2M | $2.1M | 82,873 | $20.10 | 582 |
| Operation of plant | $1.1M | $2M | 43,214 | $25.22 | 691 |
| Pharmacy | $1.3M | $1.6M | 28,674 | $45.55 | 1,432 |
| Dietary | $775,033 | $1.4M | 42,004 | $23.33 | 5,132 |
| Cap rel costs-mvble equip | $803,514 | ||||
| Laundry & linen service | $387,919 | 3,103 | $23.42 | ||
| Central services & supply | $112,877 | 1,525 | $19.65 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837064, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Lexington Medical Center for an inpatient stay.
1.38
Case mix index
Higher than 15% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
23.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
569
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.47 | 1.47 | 1.51 | 1.58 | 1.53 | 1.48 | 1.38 |
| Wage index | 0.940 | 0.927 | 0.941 | 0.954 | 0.947 | 0.915 | 0.977 |
| Readmissions adjustment | -0.07% | -1.54% | -2.06% | -2.74% | -0.53% | -0.50% | -0.28% |
| Value-based purchasing adjustment | +0.64% | -0.20% | -0.20% | +0.43% | -0.35% | +0.83% | +0.63% |
| Medicare inpatient stays | 862 | 862 | 741 | 675 | 592 | 619 | 569 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lexington Medical Center reports to Medicare as owners or with operational control.
Wake Forest University Baptist Medical Center
5% or greater direct ownership interest, 100%, since 2020
Atrium Health Inc
Operational/managerial control, 50%, since 2020
Wake Forest University Baptist Medical Center
Operational/managerial control, 50%, since 2020
North Carolina Baptist Hospital
5% or greater indirect ownership interest, 40%, since 2020
Wake Forest University
5% or greater indirect ownership interest, 40%, since 2020
Atrium Health Inc
5% or greater indirect ownership interest, 20%, since 2020
Advocate Health Inc
Operational/managerial control, since 2022
Sources: CMS Hospital All Owners.
The officers and board members on Lexington Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 5 of 7 are shown.
| Name | Title |
|---|---|
| Bradley A Clark | Treasurer |
| Chad Brown | Director, President Ahwfb South/west Area |
| Danny Squires | Finance Director |
| Denise Hege | Secretary |
| Michael Holshouser | Chair |
| Nina Smith | Vice Chair |
Board members: A Mick Fisher, Michael T Waid, Deborah Harding Dnp, William B James, D Brandon Chapman MD, Nicole Pederson Smith, Charles Miller, Debby Brown, Gordon Kammire MD, Holly Myers, Lillian Koontz, Rev Dr Ray Howell, Robert Evans MD, Robin Team Jr, Rosalind Baker, Tammy Absher, Kaye Leonard, David Zaas MD.
Source: IRS Form 990 Part VII filed by Lexington Medical Center (EIN 56-0543238), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH340096, registered as a disproportionate share hospital. Authorizing official: Danny Squires, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Lexington Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lexington Medical Center range from $3,075 to $3,075 across 1 insurers. Aetna's rate is $3,075. The median at nearby comparable hospitals is $1,105. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lexington Medical Center range from $3,852 to $3,852 across 1 insurers. Aetna's rate is $3,852. The median at nearby comparable hospitals is $790. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lexington Medical Center range from $4,260 to $10,034 across 2 insurers. Aetna's rate is $4,260. The median at nearby comparable hospitals is $1,664. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Lexington Medical Center range from $3,889 to $10,018 across 4 insurers. Blue Cross Blue Shield's rate is $4,542. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Lexington Medical Center range from $20,352 to $34,531 across 4 insurers. UnitedHealthcare's rate is $25,195. The median at nearby comparable hospitals is $28,762. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lexington Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Lexington Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lexington Medical Center's base inpatient payments by an estimated 0.28% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (94 discharges), heart failure and shock with mcc (62 discharges), respiratory infections and inflammations with mcc (21 discharges).
Lexington Medical Center's Medicare case mix index is 1.38 for fiscal year 2027, higher than 15% of hospitals paid under the inpatient prospective payment system.
Lexington Medical Center reported 3,971 inpatient discharges and 14,065 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Lexington Medical Center reported 615 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Lexington Medical Center reported $147.2M in net patient revenue on $661.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 9.1%, and net income of $50.7M.
Lexington Medical Center reported $6.4M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.4M of charity care at cost.
Lexington Medical Center's 2024 IRS Form 990 lists Chad Brown as Director, President Ahwfb South/west Area.
Insurers' price transparency files list Lexington Medical Center under employer identification number 56-0543238 ((multi-state) Lexington Medical Center). 54 health plans and networks list 56-0543238 for it.
HRSA's 340B database lists Lexington Medical Center (340B ID DSH340096) as no longer participating since 2020.
390 clinicians who bill Medicare list Lexington Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (52), nurse practitioner (30), family medicine physician (27).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lexington Medical Center, effective 2023.
In its Medicare enrollment, Lexington Medical Center reports Wake Forest University Baptist Medical Center as 5% or greater direct ownership interest (100%).
CMS lists 23 services at Lexington Medical Center, including Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lexington Medical Center came from ZIP codes 27292 (912), 27295 (669), 27299 (117).
Lexington Medical Center has 70 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 94 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Lexington Medical Center is located at 250 Hospital Drive, Lexington, NC 27292. Its main phone number is (336) 248-5161.
Lexington Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 340096.
The National Provider Identifier (NPI) on file for Lexington Medical Center is 1417958331.
Lexington Medical Center is affiliated with Atrium Health Wake Forest Baptist.
Lexington Medical Center lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
392 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers