Hospital · CCN 160124

Lakes Regional Healthcare

2301 Highway 71, Spirit Lake, IA 51360 · Dickinson County
Part of Avera Health · 44 beds · 3
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

9 admission types 25 outpatient services price file: failed

Billed per dollar paid, all admissions

2.44×

$4.1M billed against $1.7M paid across 169 Medicare discharges; the national figure is 5.03×.

1.1%

of adults in Dickinson County have medical debt in collections

5.6%

uninsured in the county · state 5.4%

$81K

median household income

2.4×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

37.2%

obesity in the countyⓘ

12.1%

diagnosed diabetes (PLACES)

7.9%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

$43,362

$13,677

3.2× st 4.2×

194

Simple pneumonia and pleurisy with cc

$16,083

$6,158

2.6× st 3.9×

871

Septicemia or severe sepsis without mv >96 hours with mcc

$18,620

$14,247

1.3× st 3.4×

291

Heart failure and shock with mcc

$19,755

$9,339

2.1× st 3.5×

690

Kidney and urinary tract infections without mcc

$14,778

$5,818

2.5× st 3.9×

189

Pulmonary edema and respiratory failure

$20,810

$8,900

2.3× st 3.9×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$14,791

$5,646

2.6× st 4.0×

552

Medical back problems without mcc

$16,159

$6,913

2.3× st 3.9×

481

Hip and femur procedures except major joint with cc

$39,170

$14,974

2.6× st 4.2×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

251

$5,040

$1,993

2.5×

8011

Comprehensive Observation Services

181

$9,015

$2,341

3.9×

5115

Level 5 Musculoskeletal Procedures

$39,672

$11,245

3.5×

5114

Level 4 Musculoskeletal Procedures

$21,809

$6,120

3.6×

5302

Level 2 Upper GI Procedures

$5,216

$1,628

3.2×

5361

Level 1 Laparoscopy and Related Services

$17,542

$4,936

3.6×

5113

Level 3 Musculoskeletal Procedures

$8,630

$2,769

3.1×

5116

Level 6 Musculoskeletal Procedures

$62,645

$15,909

3.9×

5431

Level 1 Nerve Procedures

$5,496

$1,652

3.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$3,796

$1,387

2.7×

5372

Level 2 Urology and Related Services

$1,343

$584

2.3×

5183

Level 3 Vascular Procedures

—

5492

Level 2 Intraocular Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5415

Level 5 Gynecologic Procedures

—

5414

Level 4 Gynecologic Procedures

—

5374

Level 4 Urology and Related Services

—

5373

Level 3 Urology and Related Services

—

5362

Level 2 Laparoscopy and Related Services

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5182

Level 2 Vascular Procedures

—

5313

Level 3 Lower GI Procedures

—

03 · Its own price file

What the hospital's price-transparency file says

Not read: HTTP 403 (blocked).

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Lakes Regional Healthcare — standard charges file · IA
· fetched 2026-08-23 · blocked

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.