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Hospital Profile Acute Care Hospitals Proprietary

Lake Cumberland Regional Hospital

305 LANGDON ST, Somerset, KY 42503

CMS Overall Rating ★★☆☆☆
Factual Overview

Lake Cumberland Regional Hospital is a Acute Care Hospitals (Proprietary) operating in Somerset, KY. Mapped commercial insurance prices across 92 procedures average 1.91x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 53%.

Facility Overview

Setting: rural Bed Count: 182 Beds Teaching Status: Teaching Hospital Annual Discharges: 8,096

Patient Experience

Recommendation Rate: 53% High Patient Rating: 59% ER Wait Time (Med): 169 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 92 codes Avg Markup vs Medicare: 1.91x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $14,394 —
Total hip replacement
CPT Code: 27130
 $30,656 —
Total knee replacement
CPT Code: 27447
 $34,766 —
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $12,705 Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $56,002 Calc
Blood transfusion
CPT Code: 36430
 $856 —
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $19,905 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $4,533 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 $62,554 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $3,987 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $4,622 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $11,734 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $15,561 Calc
Inguinal hernia repair
CPT Code: 49505
 $11,815 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $2,411 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,772 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $3,625 Calc
CT scan, sinuses
CPT Code: 70486
 $2,207 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,909 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,090 Calc
X-ray, chest (single view)
CPT Code: 71045
 $389 —
X-ray, chest (two views)
CPT Code: 71046
 $427 —
CT scan, chest (no contrast)
CPT Code: 71250
 $1,442 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $541 —
X-ray, lower back
CPT Code: 72110
 $982 —
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,590 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,297 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,847 Calc
X-ray, pelvis
CPT Code: 72170
 $516 —
CT scan, pelvis
CPT Code: 72192
 $1,962 Calc
X-ray, shoulder
CPT Code: 73030
 $483 —
X-ray, hand
CPT Code: 73130
 $549 —
X-ray, hip
CPT Code: 73502
 $491 —
X-ray, ankle
CPT Code: 73610
 $477 —
X-ray, foot
CPT Code: 73630
 $581 —
MRI, knee or other leg joint
CPT Code: 73721
 $3,033 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,831 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,469 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $710 —
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,346 —
Ultrasound, abdomen (limited)
CPT Code: 76705
 $852 —
Ultrasound, pelvis
CPT Code: 76856
 $1,005 —
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $527 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $485 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $263 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $400 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $278 Calc
Blood test, liver function panel
CPT Code: 80076
 $344 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $232 Calc
Blood test, amylase
CPT Code: 82150
 $111 Calc
Blood test, vitamin D
CPT Code: 82306
 $414 Calc
Blood test, calcium
CPT Code: 82310
 $129 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $132 Calc
Blood test, vitamin B12
CPT Code: 82607
 $282 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $248 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $121 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $113 Calc
Blood test, lipase
CPT Code: 83690
 $156 Calc
Blood test, magnesium
CPT Code: 83735
 $115 Calc
Blood test, potassium
CPT Code: 84132
 $89 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $127 Calc
Blood test, sodium
CPT Code: 84295
 $55 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $320 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $109 Calc
Blood test, hemoglobin
CPT Code: 85018
 $88 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $146 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $124 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $152 Calc
Hepatitis C antibody test
CPT Code: 86803
 $190 Calc
Blood antibody screen
CPT Code: 86850
 $177 Calc
Culture, blood
CPT Code: 87040
 $256 Calc
Culture, bacterial
CPT Code: 87070
 $320 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $39,455 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $517 —
Speech therapy (group session)
CPT Code: 92508
 $250 —
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $409 —
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,664 —
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,375 —
Breathing treatment (nebulizer)
CPT Code: 94640
 $227 —
Sleep study (overnight, in lab)
CPT Code: 95810
 $4,943 —
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $218 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $182 Calc
Physical therapy (gait training)
CPT Code: 97116
 $88 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $278 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $80 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $84 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $100 Calc
Orthotic fitting and training
CPT Code: 97760
 $141 Calc
Prosthetic fitting and training
CPT Code: 97761
 $60 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $480 —
Office visit, established patient (20-29 min)
CPT Code: 99213
 $353 —
Office visit, established patient (30-39 min)
CPT Code: 99214
 $457 —