Lexington Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lexington Medical Center, Lexington, NC in 2024, from traditional Medicare claims. Back to the Lexington Medical Center profile, with quality ratings, finances and negotiated rates.
304
Medicare inpatient discharges
In 12 published DRGs
1.38
Case mix index
IPPS FY 2027
5%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
615
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases94 discharges in 1 DRGs
| 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 |
Respiratory system67 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $28,002 | $8,194 | $8,177 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $26,320 | $9,654 | $7,685 | 1.23 |
Circulatory system62 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 62 | $25,231 | $8,813 | $7,367 | 1.28 |
Endocrine, nutritional and metabolic27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $18,858 | $5,862 | $5,507 | 0.78 |
| 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 tract27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 16 | $15,106 | $5,675 | $4,411 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $17,221 | $5,735 | $5,028 | 0.81 |
Musculoskeletal system and connective tissue14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
Digestive system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $19,216 | $5,762 | $5,611 | 0.79 |
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.
Outpatient services
| 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 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 22 | 22 | $71,025 | $7,393 | $8,164 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 18 | $86,200 | $14,512 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $44,680 | $4,185 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 17 | $14,062 | $1,382 | $1,445 |
| Level 6 Gynecologic ProceduresAPC 5416 | 17 | 17 | $37,759 | $5,488 | $5,836 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 14 | 14 | $105,370 | $18,259 | $18,465 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $32,675 | $3,612 | $3,792 |
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.