▸ Hospital · NC · CCN 340096
Lexington Memorial Hospital Inc
250 HOSPITAL DRIVE, LEXINGTON, NC, 27292-
70 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
137
of 209 target codes
Payers
23
with negotiated rates
Rates published
37,524
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $6,527 | $14,421 | $16,581 |
| Psychiatric eval with medical services | CPT | 90792 | 23 | $226 | $113 | $42.58 | $99.78 | $208.82 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 23 | $396 | $198 | $74.61 | $174.84 | $365.9 |
| ED visit level 2 | CPT | 99282 | 23 | $684 | $342 | $128.87 | $301.99 | $632.02 |
| ED visit level 3 | CPT | 99283 | 23 | $1,306 | $653 | $246.05 | $576.6 | $1,206.74 |
| ED visit level 4 | CPT | 99284 | 23 | $2,071 | $1,035.5 | $390.18 | $914.35 | $1,913.6 |
| ED visit level 5 | CPT | 99285 | 23 | $2,635 | $1,317.5 | $496.43 | $1,163.36 | $2,434.74 |
| Critical care, first hour | CPT | 99291 | 23 | $3,275 | $1,637.5 | $617.01 | $1,445.92 | $3,026.1 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 23 | $2,327 | $1,163.5 | $438.41 | $1,036.33 | $2,150.15 |
| CT head with contrast | CPT | 70460 | 23 | $3,281 | $1,640.5 | $618.14 | $1,461.19 | $3,031.64 |
| CT head with and without contrast | CPT | 70470 | 23 | $3,839 | $1,919.5 | $723.27 | $1,709.7 | $3,547.24 |
| CT neck with contrast | CPT | 70491 | 23 | $3,138 | $1,569 | $591.2 | $1,397.51 | $2,899.51 |
| MRI brain without contrast | CPT | 70551 | 23 | $2,403 | $1,201.5 | $452.73 | $1,067.9 | $2,220.37 |
| MRI brain with contrast | CPT | 70552 | 23 | $3,336 | $1,668 | $628.5 | $1,482.52 | $3,082.46 |
| MRI brain with and without contrast | CPT | 70553 | 23 | $4,905 | $2,452.5 | $924.1 | $2,179.79 | $4,532.22 |
| Chest X-ray single view | CPT | 71045 | 23 | $359 | $179.5 | $67.64 | $158.5 | $331.72 |
| Chest X-ray 2 views | CPT | 71046 | 23 | $444 | $222 | $83.65 | $196.03 | $410.26 |
| Chest X-ray 3 views | CPT | 71047 | 23 | $536 | $268 | $100.98 | $236.65 | $495.26 |
| CT chest without contrast | CPT | 71250 | 23 | $1,327 | $663.5 | $250.01 | $590.98 | $1,226.15 |
| CT chest with contrast | CPT | 71260 | 23 | $2,946 | $1,473 | $555.03 | $1,312 | $2,722.1 |
| CT chest with and without contrast | CPT | 71270 | 23 | $2,444 | $1,222 | $460.45 | $1,088.44 | $2,258.26 |
| MRI chest without contrast | CPT | 71550 | 23 | $2,590 | $1,295 | $487.96 | $1,151 | $2,393.16 |
| MRI chest with and without contrast | CPT | 71552 | 23 | $4,665 | $2,332.5 | $878.89 | $2,073.13 | $4,310.46 |
| Lumbosacral spine X-ray | CPT | 72100 | 23 | $443 | $221.5 | $83.46 | $195.59 | $409.33 |
| CT cervical spine without contrast | CPT | 72125 | 23 | $2,819 | $1,409.5 | $531.1 | $1,255.45 | $2,604.76 |
| CT thoracic spine without contrast | CPT | 72128 | 23 | $2,337 | $1,168.5 | $440.29 | $1,040.78 | $2,159.39 |
| CT lumbar spine without contrast | CPT | 72131 | 23 | $1,332 | $666 | $250.95 | $593.21 | $1,230.77 |
| MRI cervical spine without contrast | CPT | 72141 | 23 | $2,713 | $1,356.5 | $511.13 | $1,205.66 | $2,506.81 |
| MRI thoracic spine without contrast | CPT | 72146 | 23 | $2,873 | $1,436.5 | $541.27 | $1,276.76 | $2,654.65 |
| MRI lumbar spine without contrast | CPT | 72148 | 23 | $2,918 | $1,459 | $549.75 | $1,296.76 | $2,696.23 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 23 | $5,406 | $2,703 | $1,018.49 | $2,402.43 | $4,995.14 |
| MRI cervical spine with and without contrast | CPT | 72156 | 23 | $5,021 | $2,510.5 | $945.96 | $2,231.33 | $4,639.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 23 | $5,406 | $2,703 | $1,018.49 | $2,402.43 | $4,995.14 |
| CT pelvis without contrast | CPT | 72192 | 23 | $1,407 | $703.5 | $265.08 | $626.61 | $1,300.07 |
| CT pelvis with contrast | CPT | 72193 | 23 | $2,994 | $1,497 | $564.07 | $1,333.38 | $2,766.46 |
| Shoulder X-ray | CPT | 73030 | 23 | $466 | $233 | $87.79 | $205.74 | $430.58 |
| Humerus X-ray | CPT | 73060 | 23 | $336 | $168 | $63.3 | $148.35 | $310.46 |
| Hand X-ray 3 views | CPT | 73130 | 23 | $410 | $205 | $77.24 | $181.02 | $378.84 |
| MRI upper extremity joint without contrast | CPT | 73221 | 23 | $3,588 | $1,794 | $675.98 | $1,594.51 | $3,315.31 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 23 | $6,672 | $3,336 | $1,257 | $2,965.04 | $6,164.93 |
| Knee X-ray 1-2 views | CPT | 73560 | 23 | $353 | $176.5 | $66.51 | $155.85 | $326.17 |
| Ankle X-ray 3 views | CPT | 73610 | 23 | $368 | $184 | $69.33 | $162.47 | $340.03 |
| MRI lower extremity joint without contrast | CPT | 73721 | 23 | $3,574 | $1,787 | $673.34 | $1,588.29 | $3,302.38 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 23 | $6,646 | $3,323 | $1,252.11 | $2,953.49 | $6,140.9 |
| CT abdomen without contrast | CPT | 74150 | 23 | $2,844 | $1,422 | $535.81 | $1,266.58 | $2,627.86 |
| CT abdomen with contrast | CPT | 74160 | 23 | $4,383 | $2,191.5 | $825.76 | $1,951.97 | $4,049.89 |
| CT abdomen with and without contrast | CPT | 74170 | 23 | $4,974 | $2,487 | $937.1 | $2,215.17 | $4,595.98 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 23 | $3,790 | $1,895 | $714.04 | $1,687.88 | $3,501.96 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 23 | $5,922 | $2,961 | $1,115.7 | $2,637.37 | $5,471.93 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 23 | $6,691 | $3,345.5 | $1,260.58 | $2,979.84 | $6,182.48 |
| MRI abdomen without contrast | CPT | 74181 | 23 | $2,770 | $1,385 | $521.87 | $1,230.99 | $2,559.48 |
| MRI abdomen with and without contrast | CPT | 74183 | 23 | $5,129 | $2,564.5 | $966.3 | $2,279.33 | $4,739.2 |
| Abdominal ultrasound complete | CPT | 76700 | 23 | $1,022 | $511 | $192.54 | $452.7 | $944.33 |
| Abdominal ultrasound limited | CPT | 76705 | 23 | $763 | $381.5 | $143.75 | $337.97 | $705.01 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 23 | $952 | $476 | $179.36 | $421.69 | $879.65 |
| Obstetric ultrasound first trimester | CPT | 76801 | 23 | $621 | $310.5 | $117 | $275.07 | $573.8 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 23 | $1,302 | $651 | $245.3 | $576.73 | $1,203.05 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 23 | $1,000 | $500 | $188.4 | $442.95 | $924 |
| Transvaginal ultrasound | CPT | 76830 | 23 | $903 | $451.5 | $170.13 | $399.99 | $834.37 |
| Pelvic ultrasound complete | CPT | 76856 | 23 | $1,102 | $551 | $207.62 | $488.14 | $1,018.25 |
| Scrotal ultrasound | CPT | 76870 | 23 | $864 | $432 | $162.78 | $382.71 | $798.34 |
| Diagnostic mammography unilateral | CPT | 77065 | 23 | $914 | $457 | $172.2 | $407.19 | $844.54 |
| Diagnostic mammography bilateral | CPT | 77066 | 23 | $1,533 | $766.5 | $288.82 | $682.95 | $1,416.49 |
| Screening mammography bilateral | CPT | 77067 | 23 | $373 | $186.5 | $70.27 | $164.68 | $344.65 |
| EKG tracing only | CPT | 93005 | 23 | $292 | $146 | $55.01 | $128.92 | $269.81 |
| Transthoracic echocardiogram complete | CPT | 93306 | 23 | $4,531 | $2,265.5 | $853.64 | $2,000.44 | $4,186.64 |
| Stress echocardiogram | CPT | 93350 | 23 | $2,827 | $1,413.5 | $532.61 | $1,248.12 | $2,612.15 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $6,527 | $20,351 | $23,399 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $5,825.82 | $10,403 | $11,962 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $3,943.27 | $7,041.72 | $8,452 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $6,527 | $16,538 | $19,015 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $6,433.67 | $11,489 | $13,210 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $4,921.78 | $8,789.1 | $10,106 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $3,707.81 | $6,621.24 | $8,452 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $4,697.78 | $8,389.08 | $9,645.66 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $3,567.45 | $6,402.45 | $8,452 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $8,219 | $16,792 | $19,308 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $5,799.04 | $9,430.56 | $10,843 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $4,561.6 | $7,455.3 | $10,643 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $8,208.5 | $13,349 | $15,348 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $5,417.81 | $8,810.58 | $10,643 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $3,451.87 | $5,641.59 | $10,643 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $7,586.32 | $12,337 | $14,185 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $4,650.94 | $7,601.3 | $10,643 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $3,519.81 | $5,752.64 | $10,643 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $5,648.22 | $10,086 | $11,597 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $3,647.65 | $6,520.41 | $8,452 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $4,470.34 | $7,982.93 | $9,178.67 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $8,736.15 | $15,601 | $17,937 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $6,527 | $11,973 | $13,766 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $4,598.1 | $8,211.07 | $9,440.98 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $6,527 | $20,073 | $23,080 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $6,486.02 | $10,548 | $12,128 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 23 | $208 | $104 | $14.59 | $91.52 | $192.19 |
| General health panel | CPT | 80050 | 9 | — | — | $16.45 | $16.62 | $16.95 |
| Electrolyte panel | CPT | 80051 | 23 | $116 | $58 | $12.54 | $51.22 | $107.18 |
| Comprehensive metabolic panel | CPT | 80053 | 23 | $234 | $117 | $15.37 | $103.31 | $216.22 |
| Lipid panel | CPT | 80061 | 23 | $181 | $90.5 | $24.38 | $79.91 | $167.24 |
| Renal function panel | CPT | 80069 | 23 | $183 | $91.5 | $14.59 | $80.8 | $169.09 |
| Hepatic function panel | CPT | 80076 | 23 | $174 | $87 | $14.59 | $76.82 | $160.78 |
| Urinalysis non-automated | CPT | 81002 | 23 | $41 | $20.5 | $4.66 | $18.04 | $37.88 |
| Urinalysis automated | CPT | 81003 | 23 | $40 | $20 | $4.09 | $17.6 | $36.96 |
| Glucose quantitative | CPT | 82947 | 23 | $25 | $12.5 | $3.65 | $11.04 | $23.1 |
| Hemoglobin A1c | CPT | 83036 | 23 | $116 | $58 | $16.94 | $51.04 | $107.18 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 23 | $143 | $71.5 | $20.88 | $62.92 | $132.13 |
| Complete blood count with automated differential | CPT | 85025 | 23 | $131 | $65.5 | $14.13 | $57.84 | $121.04 |
| Complete blood count without differential | CPT | 85027 | 23 | $110 | $55 | $11.78 | $48.57 | $101.64 |
| Urine culture bacterial | CPT | 87086 | 23 | $45 | $22.5 | $6.57 | $19.87 | $41.58 |
| Urine culture identification | CPT | 87088 | 23 | $82 | $41 | $11.97 | $36.21 | $75.77 |
| Tissue exam by pathologist level IV | CPT | 88305 | 23 | $352 | $176 | $51.39 | $155.41 | $325.25 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 23 | $390 | $195 | $73.48 | $172.19 | $360.36 |
| Vaginal delivery only | CPT | 59409 | 23 | $13,164 | $6,582 | $2,480.1 | $5,811.91 | $12,164 |
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $6,527 | $6,955 | $8,452 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $6,527 | $6,955 | $8,452 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $6,527 | $6,955 | $8,452 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $6,527 | $6,955 | $8,452 |
| preventive | ||||||||
| Sigmoidoscopy diagnostic | CPT | 45330 | 23 | $1,858 | $929 | $350.05 | $820.31 | $1,716.79 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $8,835 | $9,417 | $11,442 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $8,835 | $9,417 | $11,442 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $8,835 | $46,978 | $54,015 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $8,835 | $24,182 | $27,804 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $8,835 | $16,891 | $19,421 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $8,835 | $16,966 | $19,508 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $8,289.02 | $13,480 | $15,499 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $8,835 | $36,109 | $41,518 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $8,835 | $9,417 | $11,442 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $8,835 | $9,417 | $11,442 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $13,824 | $33,441 | $49,266 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $11,862 | $19,290 | $28,418 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $13,824 | $30,088 | $44,327 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $13,053 | $21,227 | $31,273 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $9,980.04 | $16,311 | $23,910 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $8,835 | $27,894 | $32,072 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $8,835 | $16,338 | $18,786 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $8,835 | $14,955 | $17,195 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $7,541.02 | $12,263 | $14,100 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $8,835 | $19,991 | $22,985 |
Payer mix (top 23)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 136 | $1,342.01 |
| alliance | 129 | $603.12 |
| amerihealth | 129 | $774.66 |
| WellCare | 129 | $597.16 |
| carolina complete | 129 | $591.2 |
| healthy blue | 129 | $591.2 |
| partners | 129 | $591.2 |
| trillium | 129 | $609.09 |
| UnitedHealthcare | 129 | $1,126.96 |
| vaya | 129 | $597.16 |
| Ambetter | 128 | $920.27 |
| Blue Cross Blue Shield | 128 | $1,228.87 |
| Humana | 85 | $1,167.76 |
| medcost | 85 | $531.44 |
| Multiplan | 85 | $1,194.3 |
| national provider network | 85 | $1,194.3 |
| oscar | 85 | $487.72 |
| beechstreet | 85 | $1,167.76 |
| Cigna | 85 | $578.99 |
| directnet | 85 | $784.26 |
| healthgram lexington home brands | 85 | $955.44 |
| healthgram | 85 | $1,061.6 |
| private healthcare systems | 85 | $1,088.14 |