Lake Cumberland Regional Hospital
Somerset, Kentucky 42503
CCN: 180132 Acute Care Hospitals Emergency Services
1/5
CMS Star Rating
Well Below Average
47
DRG Categories
1,317
Total Discharges
$84,099
Avg Charges
$11,349
Avg Payment
$9,614
Avg Medicare
7.41x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Below Average Patient Experience
Reported Kentucky Average Rating
2.71 / 5 This hospital is below average
2 five-star hospitals of rated in Kentucky
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Proprietary
Compared to Kentucky Average
How this hospital compares to the average of 60 hospitals in Kentucky
Average Charges
$84,099 +13%
State avg: $74,118
Average Payment
$11,349 -27%
State avg: $15,506
Charge-to-Payment Ratio
7.41x Above avg
State avg: 4.77x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 128 | $105,400 | $14,617 | 7.21x |
| 885 | PSYCHOSES | 78 | $33,902 | $10,191 | 3.33x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 71 | $78,244 | $9,183 | 8.52x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 68 | $68,069 | $9,022 | 7.54x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 57 | $79,784 | $9,940 | 8.03x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 56 | $98,224 | $13,206 | 7.44x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 56 | $80,922 | $11,951 | 6.77x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 41 | $55,543 | $7,512 | 7.39x |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 36 | $164,737 | $14,546 | 11.33x |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 34 | $60,373 | $6,948 | 8.69x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 34 | $121,462 | $15,767 | 7.7x |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | 32 | $60,323 | $6,546 | 9.21x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 31 | $75,606 | $8,472 | 8.92x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 29 | $68,968 | $8,753 | 7.88x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 27 | $60,039 | $7,598 | 7.9x |
| 683 | RENAL FAILURE WITH CC | 24 | $54,060 | $6,936 | 7.79x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 23 | $116,319 | $15,699 | 7.41x |
| 682 | RENAL FAILURE WITH MCC | 23 | $75,068 | $11,192 | 6.71x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 22 | $84,735 | $14,143 | 5.99x |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 22 | $46,044 | $5,776 | 7.97x |
Showing top 20 of 47 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.