89/100
#99 nationally
Lakes Regional Healthcare
2301 Highway 71, Spirit Lake, IA 51360 · (712) 336-1230
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Lakes Regional Healthcare billed $3.04 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.0x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in IA
- #1
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 82% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 95% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
251 | $5,040 | $1,993 | -57% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
181 | $9,015 | $2,341 | -54% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
66 | $39,672 | $11,245 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
47 | $21,809 | $6,120 | -45% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
44 | $5,216 | $1,628 | -56% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
37 | $17,542 | $4,936 | -50% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
34 | $43,362 | $13,677 | -46% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
34 | $8,630 | $2,769 | -58% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
21 | $16,083 | $6,158 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
21 | $18,620 | $14,247 | -71% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$62,645 | $15,909 | -25% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$39,672 | $11,245 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$21,809 | $6,120 | -45% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$43,362 | $13,677 | -46% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$16,083 | $6,158 | -49% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$17,542 | $4,936 | -50% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$14,778 | $5,818 | -50% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$5,496 | $1,652 | -52% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$18,620 | $14,247 | -71% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$3,796 | $1,387 | -62% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$16,159 | $6,913 | -59% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,630 | $2,769 | -58% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,343 | $584 | -57% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,040 | $1,993 | -57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$20,810 | $8,900 | -57% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$5,216 | $1,628 | -56% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.