CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lake Cumberland Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,028
about 1.2× the $5,676 Medicare rate · typically $5,637–$10,223
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,123
Below the fair price — a good deal
about $905 under the fair price · 1.1× Medicare
Medicare pays $5,676 Fair price $7,028 This hospital $6,123 Cash price $19,905 Hospital's list price $49,762

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $5,231 Priciest $6,123

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,028 (about 1.2× the $5,676 Medicare rate). Lake Cumberland Regional Hospital charges insurers about $6,123, or about $19,905 in cash — below the fair price — a good deal. Located in Somerset, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,196 - $6,245 56%
Blue Cross Blue Shieldmajor $6,123 - $10,384 108%
Aetnamajor $5,815 102%
Humanamajor $6,123 108%
Amerigroup $6,429 113%
Devoted Health $5,815 102%
UniCare $6,123 108%
+ 5 smaller / regional plans $6,123 - $6,245
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 305 Langdon Street, Somerset, KY 42503
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals