CostGrade

All published prices at Lake Cumberland Regional Hospital

68 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

F
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

231 $36,975 $2,497 +90%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

148 $41,675 $2,945 +65%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

115 $121,573 $14,703 +86%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

81 $64,697 $9,759 +49%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

81 $68,388 $6,308 +72%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

69 $79,587 $9,944 +71%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

67 $130,090 $9,933 +92%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

67 $18,732 $1,754 +59%
Psychoses

MS-DRG 885 · Inpatient stay

65 $37,893 $10,433 +5%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

57 $45,790 $5,244 +30%
Respiratory Failure

MS-DRG 189 · Inpatient stay

56 $72,789 $9,631 +50%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

56 $38,063 $4,770 +39%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

55 $80,980 $11,549 +32%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

54 $13,115 $1,472 +30%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

52 $104,369 $12,478 +90%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

51 $13,276 $1,753 +17%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

49 $135,405 $11,473 +117%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

49 $28,492 $2,878 +49%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

49 $46,142 $5,183 +33%
COPD (severe)

MS-DRG 190 · Inpatient stay

39 $63,223 $8,864 +51%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

38 $29,389 $3,213 +42%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

37 $23,807 $1,565 +109%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

36 $22,471 $1,878 +74%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

34 $66,391 $8,076 +46%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

34 $121,083 $15,635 +45%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

32 $37,548 $3,452 +65%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

30 $135,208 $15,630 +58%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

30 $36,984 $2,884 +82%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

27 $51,582 $7,538 +25%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

26 $64,957 $7,126 +48%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

26 $47,833 $6,170 +48%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

25 $70,371 $11,135 +33%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

25 $282,890 $36,614 +59%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $174,970 $14,951 +72%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

24 $43,747 $6,326 +43%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

23 $46,587 $5,065 +29%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

20 $189,696 $21,455 +32%
Stroke (severe)

MS-DRG 064 · Inpatient stay

19 $104,654 $14,561 +37%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

19 $61,410 $5,703 +60%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

19 $43,166 $5,909 +41%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

19 $83,237 $12,582 +17%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

18 $54,872 $8,789 +35%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

18 $50,794 $6,447 +71%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

18 $116,842 $9,563 +127%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

16 $68,884 $6,467 +117%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

16 $53,629 $6,812 +76%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

16 $73,971 $10,174 +53%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

16 $40,218 $6,855 +22%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

16 $427,730 $30,234 +188%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

15 $150,762 $19,073 +33%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

14 $33,865 $4,441 +35%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

14 $46,112 $6,379 +47%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

14 $157,777 $16,130 +65%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

13 $80,684 $5,887 +95%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

13 $71,882 $8,090 +32%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

13 $43,102 $7,069 +25%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

13 $41,466 $6,673 +11%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

13 $175,769 $15,948 +112%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $40,927 $5,922 +6%
Fainting

MS-DRG 312 · Inpatient stay

12 $43,421 $6,802 +19%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

12 $86,298 $10,981 +53%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $65,488 $10,700 +20%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

11 $58,203 $9,201 +23%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

11 $55,425 $11,140 -4%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

11 $25,364 $2,619 +43%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

11 $69,496 $6,011 +76%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

11 $22,528 $2,882 +24%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

11 $178,386 $26,093 +58%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.