CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lake Cumberland Regional Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,591
about 1.0× the $14,044 Medicare rate · typically $14,591–$25,915
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,794
About the fair price
about $203 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $14,591 This hospital $14,794 Cash price $11,734 Hospital's list price $29,335

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 $8,915 Priciest $14,794

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

A fair price for a Hip or knee replacement (inpatient stay) is about $14,591 (about 1.0× the $14,044 Medicare rate). Lake Cumberland Regional Hospital charges insurers about $14,794, or about $11,734 in cash — about the fair price. 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 - $15,090 23%
Blue Cross Blue Shieldmajor $14,794 - $25,092 105%
Aetnamajor $14,052 100%
Humanamajor $14,794 105%
Amerigroup $15,534 111%
Devoted Health $14,052 100%
UniCare $14,794 105%
+ 5 smaller / regional plans $14,794 - $15,090
Government programs also on file: Military & VA.

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Facility Profile & Credentials

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