Phone Numbers

Patient Billing
(803) 791-2300
1(877) 835-0975
Financial Counselor (Hospital)
(803) 791-2490

Hospital Price Transparency

Your Rights and Protections Against Surprise Medical Bills (.pdf)

Price transparency is an effort to make the necessary information available and easy to understand to help consumers compare provider costs and anticipate their own expenses.

Our Policy

People deserve meaningful information about the price of their hospital care. Lexington Medical Center is committed to sharing information that will help you make important decisions about your health care plans.

Standard Charges

Lexington Medical Center has developed machine-readable files of the standard charges that have been negotiated with third-party payors. The information provided is intended to meet the file format requirements of the Centers for Medicare & Medicaid Services (CMS).

Click below to download the file containing our standard charges with payor negotiated rates

Machine Readable File - Download

Understanding Your Charges

Understanding what you will have to pay for health care services is very complicated. Unlike most bills you receive, it is very difficult for you to determine exactly what you will have to pay for an item or service. It is even hard for your hospital to estimate prior to your care what you may be billed since every patient’s care is different and is determined after you are admitted.

Insurance Coverage

The amount of money you will be responsible for personally is generally determined by your insurance coverage or managed care company, not by the hospital. This amount is determined directly by your contract with your insurer.

The best source of information about what you will have to pay will come from your insurance company, as they are already aware of what services are covered, who they will pay to deliver the care, and the amount for they will hold you responsible to pay. Also, all doctors, hospitals or services may not be covered by your insurance plan. Unfortunately, we do not have this information available to us before you receive care from our hospital.

Medicare/Medicaid Coverage

Medicare and Medicaid pay hospitals according to a set fee schedule. Their fees represent a discount from the hospital’s billed charges. Numerous factors, such as co-insurance and deductibles, affect your own financial responsibility. A summary of Medicare patient payment requirements is provided at Medicare.gov. Lexington Medical Center wants to provide the care that you need, when you need it, delivered at the highest quality possible, at the most affordable price possible.

Estimating Your Charges

We offer an online tool that includes 300 shoppable services that will help you estimate the hospital fee for your inpatient or outpatient care at our hospital. Click here for a list of the shoppable services that are not performed at Lexington Medical Center.

Click on the link below to request an estimate

Request an Estimate


This is a third-party link provided by Experian™ for convenience only. Lexington Medical Center accepts no liability arising out of the use of such third-party links.

Estimates are:

  • Available for 300 services and procedures.
  • Good for 30 days
  • Not a complete estimate of your care cost.

Your actual charges may be different from the estimated charges. This depends on the services you receive, and the coverage provided by your insurance plan(s).

If you need an estimate for a service or procedure that is not on this third-party link, please contact one of our financial counselors at (803) 791-2490 for assistance.

Disclaimer

​This information is intended to meet the requirements of The Centers for Medicare & Medicaid Services (CMS) final inpatient prospective payment system (IPPS) for federal fiscal year 2021. The IPPS rule contains a transparency provision that was effective January 1, 2021.

Prices may not reflect the most current charge items or charge amounts of Lexington Medical Center, as additions and changes are frequently made to the listing. These charges may not represent the charges you will receive on your bill for provided services. CMS requires hospitals to update charge data at least annually.

Transparency in Coverage

​The following link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.

Transparency in Coverage​ | BlueCross BlueShield of South Carolina (southcarolinablues.com)