Lexington Medical Center · West Columbia, SC
27
In-network payers
308
Disclosed rate categories
508
Beds
3
Care quality
Lexington Medical Center is a 508-bed government - hospital district or authority hospital in West Columbia, SC, affiliated with Lexington Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 308 disclosed rate categories.
CCN (Medicare provider number)
420073
NPI
1386241834
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
508
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
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.
Childbirth · Inpatient
MS-DRG 807
$9,923 - $17,532
from 4 insurers · median $14,022
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
Medicine & Surgery
CPT 47562
$22,525 - $32,984
from 3 insurers · median $30,994
360 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$12,145 - $24,224
from 4 insurers · median $18,773
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
Gynecology
CPT 58558
$1,575 - $18,965
from 4 insurers · median $11,416
74 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$592 - $4,242
from 4 insurers · median $2,460
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$22,113 - $30,994
from 3 insurers · median $25,212
360 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$25,429 - $42,961
from 3 insurers · median $27,189
165 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$96,947 - $104,571
from 2 insurers · median $100,759
31 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$744 - $15,483
from 4 insurers · median $5,597
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$538 - $15,483
from 4 insurers · median $4,400
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$390 - $3,127
from 4 insurers · median $2,603
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$1,744 - $32,984
from 4 insurers · median $20,928
360 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$13,624 - $27,526
from 2 insurers · median $20,575
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$1,112 - $22,113
from 4 insurers · median $14,329
116 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$322 - $1,624
from 4 insurers · median $884
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$238 - $463
from 4 insurers · median $321
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$595 - $5,293
from 4 insurers · median $3,629
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$11,756 - $42,961
from 3 insurers · median $28,663
165 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,923 - $17,532
from 4 insurers · median $14,022
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
Gynecology
CPT 58661
$20,772 - $30,994
from 3 insurers · median $26,928
360 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$63 - $784
from 4 insurers · median $535
Common here, based on CMS Medicare volume
Urology
CPT 50590
$1,408 - $27,189
from 4 insurers · median $13,215
349 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 74176
$429 - $3,806
from 4 insurers · median $1,346
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$405 - $2,586
from 4 insurers · median $1,549
Common here, based on CMS Medicare volume
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* | 24 | 680% | 6 | 0 |
| Insurer B* | 23 | 502% | 8 | 8 |
| Insurer C* | 23 | 408% | 14 | 5 |
| Insurer D* | 17 | 70% | 0 | 14 |
How we chose these services: 10 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 4 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.
2720 Sunset Boulevard, West Columbia, SC 29169
(803) 791-2000
The nearest hospitals of similar type and size. Their rates are compared with Lexington Medical Center for the same insurers and services above.
Palmetto Baptist
Rates about the same as Lexington Medical Center (21 services)
Palmetto Richland
▲ Rates typically 7% higher than Lexington Medical Center (21 services)
Providence Hospital
▼ Rates typically 35% lower than Lexington Medical Center (21 services)
Musc Health - Orangeburg
▼ Rates typically 34% lower than Lexington Medical Center (18 services)
Palmetto Health Tuomey
Rates about the same as Lexington Medical Center (21 services)
Aiken Regional Medical Centers
▼ Rates typically 41% lower than Lexington Medical Center (20 services)
Beaufort Memorial
Oconee Memorial Hospital
Mcleod Health Loris
Colleton Medical Center
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 $595 to $5,293 across 4 insurers. UnitedHealthcare's rate is $2,983. The median at nearby comparable hospitals is $2,403. 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 $592 to $4,242 across 4 insurers. Aetna's rate is $592. The median at nearby comparable hospitals is $2,383. 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 $744 to $15,483 across 4 insurers. Blue Cross Blue Shield's rate is $4,922. The median at nearby comparable hospitals is $2,838. 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 $9,923 to $17,532 across 4 insurers. UnitedHealthcare's rate is $15,899. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lexington Medical Center range from $238 to $463 across 4 insurers. Cigna's rate is $463. The median at nearby comparable hospitals is $212. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lexington Medical Center has 508 beds. Facility type: Short Term Acute Care Hospital.
Lexington Medical Center is located at 2720 Sunset Boulevard, West Columbia, SC 29169. Its main phone number is (803) 791-2000.
Lexington Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 420073.
The National Provider Identifier (NPI) on file for Lexington Medical Center is 1386241834.
Lexington Medical Center lists 27 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.
308 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.
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{
"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