Hospital · CCN 180132
Lake Cumberland Regional Hospital
305 Langdon Street, Somerset, KY 42503 · Pulaski County
Part of Lifepoint Health · 182 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999
41 admission types 49 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
7.60×
$97.5M billed against $12.8M paid across 1,155 Medicare discharges; the national figure is 5.03×.
5.6%
of adults in Pulaski County have medical debt in collections
7.9%
uninsured in the county · state 6.6%
$54K
median household income
7.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
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
871
Septicemia or severe sepsis without mv >96 hours with mcc
115
$121,573
$14,703
8.3× st 4.3×
291
Heart failure and shock with mcc
81
$64,697
$9,759
6.6× st 4.3×
193
Simple pneumonia and pleurisy with mcc
69
$79,587
$9,944
8.0× st 4.4×
885
Psychoses
65
$37,893
$10,433
3.6× st 2.3×
189
Pulmonary edema and respiratory failure
56
$72,789
$9,631
7.6× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
55
$80,980
$11,549
7.0× st 4.7×
177
Respiratory infections and inflammations with mcc
52
$104,369
$12,478
8.4× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
39
$63,223
$8,864
7.1× st 4.6×
481
Hip and femur procedures except major joint with cc
34
$121,083
$15,635
7.7× st 5.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$66,391
$8,076
8.2× st 5.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
30
$135,208
$15,630
8.7× st 6.3×
378
Gastrointestinal hemorrhage with cc
27
$51,582
$7,538
6.8× st 5.3×
281
Acute myocardial infarction, discharged alive with cc
26
$64,957
$7,126
9.1× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$47,833
$6,170
7.8× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$282,890
$36,614
7.7× st 4.4×
682
Renal failure with mcc
25
$70,371
$11,135
6.3× st 4.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$43,747
$6,326
6.9× st 4.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
24
$174,970
$14,951
11.7× st 8.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$189,696
$21,455
8.8× st 7.0×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$61,410
$5,703
10.8× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
19
$104,654
$14,561
7.2× st 4.9×
377
Gastrointestinal hemorrhage with mcc
19
$83,237
$12,582
6.6× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
19
$43,166
$5,909
7.3× st 4.9×
690
Kidney and urinary tract infections without mcc
18
$50,794
$6,447
7.9× st 4.3×
689
Kidney and urinary tract infections with mcc
18
$54,872
$8,789
6.2× st 4.3×
683
Renal failure with cc
16
$40,218
$6,855
5.9× st 4.4×
603
Cellulitis without mcc
16
$53,629
$6,812
7.9× st 3.9×
194
Simple pneumonia and pleurisy with cc
16
$68,884
$6,467
10.7× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
16
$73,971
$10,174
7.3× st 4.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$150,762
$19,073
7.9× st 4.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$33,865
$4,441
7.6× st 5.0×
389
Gastrointestinal obstruction with cc
14
$46,112
$6,379
7.2× st 4.0×
812
Red blood cell disorders without mcc
13
$41,466
$6,673
6.2× st 4.9×
069
Transient ischemia without thrombolytic
13
$80,684
$5,887
13.7× st 6.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$71,882
$8,090
8.9× st 6.4×
638
Diabetes with cc
13
$43,102
$7,069
6.1× st 4.6×
637
Diabetes with mcc
12
$86,298
$10,981
7.9× st 4.6×
312
Syncope and collapse
12
$43,421
$6,802
6.4× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$58,203
$9,201
6.3× st 5.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$65,488
$10,700
6.1× st 4.6×
388
Gastrointestinal obstruction with mcc
11
$55,425
$11,140
5.0× st 4.6×
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
8011
Comprehensive Observation Services
231
$36,975
$2,497
14.8×
5191
Level 1 Endovascular Procedures
148
$41,675
$2,945
14.1×
5114
Level 4 Musculoskeletal Procedures
81
$68,388
$6,308
10.8×
5302
Level 2 Upper GI Procedures
67
$18,732
$1,754
10.7×
5193
Level 3 Endovascular Procedures
67
$130,090
$9,933
13.1×
5361
Level 1 Laparoscopy and Related Services
57
$45,790
$5,244
8.7×
5375
Level 5 Urology and Related Services
56
$38,063
$4,770
8.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
54
$13,115
$1,472
8.9×
5431
Level 1 Nerve Procedures
51
$13,276
$1,753
7.6×
5115
Level 5 Musculoskeletal Procedures
49
$135,405
$11,473
11.8×
5192
Level 2 Endovascular Procedures
49
$46,142
$5,183
8.9×
5183
Level 3 Vascular Procedures
49
$28,492
$2,878
9.9×
5374
Level 4 Urology and Related Services
38
$29,389
$3,213
9.1×
5153
Level 3 Airway Endoscopy
37
$23,807
$1,565
15.2×
5373
Level 3 Urology and Related Services
36
$22,471
$1,878
12.0×
5154
Level 4 Airway Endoscopy
32
$37,548
$3,452
10.9×
5113
Level 3 Musculoskeletal Procedures
30
$36,984
$2,884
12.8×
5184
Level 4 Vascular Procedures
23
$46,587
$5,065
9.2×
5223
Level 3 Pacemaker and Similar Procedures
18
$116,842
$9,563
12.2×
5232
Level 2 ICD and Similar Procedures
16
$427,730
$30,234
14.1×
5194
Level 4 Endovascular Procedures
14
$157,777
$16,130
9.8×
5116
Level 6 Musculoskeletal Procedures
13
$175,769
$15,948
11.0×
5155
Level 5 Airway Endoscopy
13
$40,927
$5,922
6.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$69,496
$6,011
11.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
11
$25,364
$2,619
9.7×
5465
Level 5 Neurostimulator and Related Procedures
11
$178,386
$26,093
6.8×
5414
Level 4 Gynecologic Procedures
11
$22,528
$2,882
7.8×
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 7/30/2026, template 3.0.0, 792 rows scanned, 766 distinct code–setting items kept. 1 finding against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
—
—
$151,482
16
clean
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
—
—
$98,968
16
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
—
—
$39,294
19
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
—
—
$30,349
19
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
—
—
$20,848
19
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
—
—
$56,691
19
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
—
—
$38,139
19
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
—
—
$22,953
19
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
—
—
$41,284
19
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
—
—
$28,184
19
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
—
—
$27,822
19
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
—
—
$15,983
19
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
—
—
$12,629
19
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
—
—
$19,960
19
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
—
—
$12,839
19
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
—
—
$10,322
19
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
—
—
$7,520
19
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
—
—
$10,784
19
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
—
—
$6,480
19
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$18,693
19
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
—
—
$26,046
19
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
—
—
$16,668
19
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$10,027
19
clean
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
—
—
$21,521
18
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
—
—
$70,480
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
—
—
$48,078
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$47,372
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$55,318
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
—
—
$39,049
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$36,312
19
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
—
—
$55,080
19
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
—
—
$39,993
19
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
—
—
$35,458
19
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
—
—
$20,625
19
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
—
—
$10,184
19
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
—
—
$16,156
19
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
—
—
$11,090
19
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
—
—
$19,534
19
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
—
—
$12,416
19
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
—
—
$8,103
19
clean
Showing the first 200 of 766 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
3,142 of 3,142 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 069
info
inp_charge_10x_payment
average charge $80,684 is 13.7× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $68,884 is 10.7× the total payment
MS-DRG 282
info
inp_charge_10x_payment
average charge $61,410 is 10.8× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $174,970 is 11.7× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Lake Cumberland Regional Hospital — standard charges file · KY · updated 7/30/2026· csv-wide · 8.9M bytes · fetched 2026-08-26 · sha256 6bcd04217c4b…
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.