Short Term Acute Care HospitalProprietary

Lake Cumberland Regional Hosp

LifePoint Health · Somerset, KY

305 Langdon Street, Somerset, KY 42503(606) 679-7441

2 of 5

CMS star rating

209

Beds

8,859

Inpatient discharges a year

$358.9M

Net patient revenue a year

In-network payers

About this hospital

Lake Cumberland Regional Hosp is a 209-bed proprietary hospital in Somerset, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 157 disclosed rate categories.

Sole community hospital
Rural referral center
Disproportionate share hospital
ACO participant

CCN: 180132
NPI: 1619038247
Website: lakecumberlandhospital.com
Health system: LifePoint Health
Teaching: Teaching hospital
County: Pulaski County
Metro area: Somerset, KY MicroSA
Medicare contractor: Jurisdiction 15, CGS Administrators (15101)
In Medicare since: 1976
Last CMS survey: 2000

Prices for common services

The 24 services Lake Cumberland Regional Hosp most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,200 - $6,923

from 3 insurers · median $5,413

UnitedHealthcare$5,413

Insurer A*$4,200

Insurer B*$6,923

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,931 - $8,695

from 2 insurers · median $7,813

UnitedHealthcare$6,931

Insurer A*$8,695

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$7,026 - $9,074

from 2 insurers · median $8,050

Aetna$7,026

Insurer A*$9,074

Medicare $3,146

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$19,719 - $35,421

from 2 insurers · median $27,570

Aetna$35,421

Insurer A*$19,719

Medicare $5,875

57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Lake Cumberland Regional Hosp

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

Insurer	Services	Median % of Medicare
Insurer A*	17	574%
Insurer B*	13	314%
Insurer C*	5	230%
Insurer D*	16	69%

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lake Cumberland Regional Hosp, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Quality
2 of 5 stars
- 180 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-0.58%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Teaching hospital
- 27 services
- 399 affiliated clinicians
See doctors and services
Finances
$358.9M net patient revenue
- Operating margin on patient care 11.0%
- $5.2M unreimbursed and uncompensated care
- $41.7M net income
See finances
Ownership and leadership
Owned by Dsb Acquisition LLC
- Private (for profit)
- William Haugh, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Lake Cumberland Regional Hosp in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
62-1757920Lake Cumberland Regional Hospital	60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more	1619038247 Lake Cumberland Regional Hospital LLC1073704789 Lake Cumberland Regional Hospital LLC1346301975 Lake Cumberland Regional Hospital LLCand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

305 Langdon Street, Somerset, KY 42503

(606) 679-7441

Get directions

Quality ratings (CMS Care Compare)

How Lake Cumberland Regional Hosp compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 7 measures
3 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 7 measures
0 better, 4 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
55%
Lower than 94% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.87
Lower than 82% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
180 min
Higher than 70% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
52%
Lower than 78% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	2 of 5
Death rates	Worse on 1 of 7 measures
Safety	Better on 3 of 7 measures
Readmissions	Worse on 3 of 7 measures
Patient survey ratingCMS: Summary star rating	3 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	55%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.87	2022-07-01 to 2024-06-30
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	180 min	2024-10-01 to 2025-09-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	52%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Lake Cumberland Regional Hosp's inpatient payments for its readmissions, quality and cost results.

-0.58% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.42% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Lake Cumberland Regional Hosp, beside the US median and the average of KY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available		4.2
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,144 cases	5.9	3.9	4.543		Worse than 97% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30 · 188 cases	13.5	11.8	12.11		Worse than 92% of US hospitals
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.485
Death rate for COPD patients2022-07-01 to 2025-06-30 · 131 cases	11.7	8.5	9.152		Worse than 97% of US hospitals
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 203 cases	11.8	11	11.98		Worse than 65% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 316 cases	18.8	15.2	16.6		Worse than 91% of US hospitals
Death rate for stroke patients2023-07-01 to 2025-06-30 · 227 cases	14.2	11.6	12.38		Worse than 83% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,879 cases	0.51	0.51	0.6092	No Different Than the National Rate	Better than 49% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 39 cases	206	173	185	No Different Than the National Rate	Worse than 92% of US hospitals
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,664 cases	0.18	0.2	0.2113	No Different Than the National Rate	Better than 76% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,578 cases	0.32	0.27	0.2787	No Different Than the National Rate	Worse than 89% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 715 cases	1.97	2.29	2.306	No Different Than the National Rate	Better than 87% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 376 cases	1.5	1.63	1.711	No Different Than the National Rate	Better than 80% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 406 cases	8.8	8.88	10.2	No Different Than the National Rate	Better than 52% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 715 cases	3.12	3.4	3.435	No Different Than the National Rate	Better than 74% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 353 cases	4.13	5.105	5.85	No Different Than the National Rate	Better than 91% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 109 cases	1.7	1.72	1.761	No Different Than the National Rate	Better than 58% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 540 cases	0.97	1.02	1.077	No Different Than the National Rate	Better than 67% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 178 cases	8.5	4.2	13.02		Worse than 58% of US hospitals
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 233 cases	51.7	1.25	9.521		Worse than 92% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 310 cases	42.9	3.85	12.61		Worse than 90% of US hospitals
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 332 cases	13.3	12.9	13.03	No Different Than the National Rate	Worse than 67% of US hospitals
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		10.97	Number of Cases Too Small
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		5.4	Number of Cases Too Small
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 282 cases	1	1	1.027	No Different than expected	Worse than 32% of US hospitals
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 280 cases	13.6	14.4	14.42		Better than 83% of US hospitals
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		10.55
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 291 cases	19.7	19.8	19.89		Better than 53% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 437 cases	20.6	21.3	21.36		Better than 73% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available		6.142
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 514 cases	16.4	17.2	17.37		Better than 83% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.339	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	0.909	1.504	2.151	Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	2,995	1,370	2,960	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	3.297	0.9835	2.924	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	0	0	2.453	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	0	0.484	0.7803	Better than the National Benchmark	The best result, shared by 21% of US hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.108	0.138	0.2917	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.151	1.392	2.135	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	3,942	1,799	3,041	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	7.092	1.377	3.578	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	3	0	2.172	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.423	0.399	0.5965	No Different than National Benchmark	Worse than 53% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.352	0.2345	0.4763	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	3.763	2.135	2.932	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	78	61	98	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	2.17	1.591	2.685	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	3	1	2.881	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	1.382	0.7155	0.9389	No Different than National Benchmark	Worse than 82% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2818	No Different than National Benchmark
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	2.11	3.068	3.126	No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	143	38	73.52	No Different than National Benchmark
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	1.42	0.328	0.6952	No Different than National Benchmark
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	0	0	0.8043	No Different than National Benchmark
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	0	0.812	0.9479	No Different than National Benchmark	The best result, shared by 22% of US hospitals
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	0.019	0.193	0.2803	No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	1.891	1.855	2.29	No Different than National Benchmark
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	37,910	14,451	34,235	No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	2.608	0.567	2.406	No Different than National Benchmark
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	1	0	2.093	No Different than National Benchmark
MRSA Bacteremia2024-10-01 to 2025-09-30	0.383	0.597	0.7481	No Different than National Benchmark	Better than 68% of US hospitals
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	0.03	0.127	0.149	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.322	0.747	1.678	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	35,849	13,646	31,551	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	25.35	5.683	15.64	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	3	2	5.011	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.118	0.279	0.3987	Better than the National Benchmark	Better than 72% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	This hospital	US median	KY average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 1,126 cases	62	73	74.59	Worse than 90% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,126 cases	17	8	7.987	Worse than 94% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 1,126 cases	21	18	17.42
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	79	87	86.82	Worse than 94% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,126 cases	2	4	3.533	Worse than 83% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	77	80	82.24	Worse than 65% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	91	91	92.18	Worse than 49% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	5	4	3.772	Worse than 61% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,126 cases	3	3	3.8	Worse than 49% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	18	16	13.99
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	78	79	81.87	Worse than 55% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	91	91	91.67	Better than 45% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	5	5	4.823	Better than 44% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,126 cases	3	3	3.417	Worse than 37% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,126 cases	17	16	13.3
Staff "always" explained2024-10-01 to 2025-09-30 · 1,126 cases	59	61	63.23	Worse than 59% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	76	77	78.17	Worse than 53% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,126 cases	21	19	18.58	Worse than 58% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,126 cases	2	3	2.833	Worse than 53% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 1,126 cases	20	19	18.19
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	84	86	85.77	Worse than 66% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,126 cases	16	13	13.37	Worse than 72% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 1,126 cases	3	3	3.317	Worse than 45% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,126 cases	84	87	86.63	Worse than 72% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,126 cases	18	14	14.65	Worse than 74% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,126 cases	82	86	85.35	Worse than 74% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	74	74	76.86	Better than 48% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	6	7	6.333	Better than 53% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	20	19	16.81
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	76	77	80.25	Worse than 57% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	6	6	5.278	Worse than 47% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	18	17	14.47
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	84	85	87.39	Worse than 57% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	3	3	3.125	Better than 49% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	13	11	9.486
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,126 cases	13	8	7.544	Worse than 85% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,126 cases	27	20	19.38
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,126 cases	60	72	73.08	Worse than 89% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	84	88	88.38	Worse than 85% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,126 cases	2	3	3.333	Worse than 78% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,126 cases	71	74	75.21	Worse than 69% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,126 cases	11	9	9.458	Worse than 62% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,126 cases	18	16	15.33
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	72	75	77.63	Worse than 67% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	6	5	5.153	Worse than 51% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,126 cases	22	20	17.22
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	75	77	79.5	Worse than 58% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	5	4	4.028	Worse than 55% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,126 cases	20	19	16.47
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	84	86	88	Worse than 65% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	3	3	2.556	Worse than 50% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,126 cases	13	11	9.444
"Always" quiet at night2024-10-01 to 2025-09-30 · 1,126 cases	59	59	62.39	Worse than 49% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,126 cases	8	9	8.089	Better than 53% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 1,126 cases	33	31	29.52
Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	83	82	83.2	Better than 56% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 1,126 cases	4	3	3.633	Better than 56% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,126 cases	9	5	5.19	Worse than 82% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,126 cases	55	71	70.95	Worse than 94% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,126 cases	81	87	86.8	Worse than 89% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,126 cases	36	23	23.86
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,126 cases	2	4	3.6	Worse than 85% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,126 cases	47	47	50.82	Worse than 47% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,126 cases	31	30	28.18	Worse than 51% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,126 cases	22	22	21
Summary star rating2024-10-01 to 2025-09-30 · 1,126 cases	3	3	3.433	Worse than 40% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,126 cases	14	12	11.93	Worse than 63% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,126 cases	86	88	88.07	Worse than 63% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	This hospital	US median	KY average	US rank
Emergency department volume2024-01-01 to 2024-12-31	high
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 10,285 cases	15	8	8.032	Worse than 92% of US hospitals
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,289 cases	0	1	1.132	The best result, shared by 34% of US hospitals
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 3,941 cases	1	0	0.4286	Worse than 84% of US hospitals
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,183 cases	40	79	74.25	Worse than 93% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 440 cases	180	154	153	Worse than 67% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 422 cases	180	148	147	Worse than 70% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		227
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		305
Left before being seen2024-01-01 to 2024-12-31 · 43,639 cases	1	1	1.418	Better than 42% of US hospitals
Head CT results2024-10-01 to 2025-09-30 · 25 cases	88	74	68.9	Better than 82% of US hospitals
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 65 cases	55	97	93.89	Worse than 97% of US hospitals
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 26 cases	77	53	63.27	Better than 92% of US hospitals
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,162 cases	11	15	16.73	Better than 77% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 130 cases	52	65	66.02	Worse than 78% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 46 cases	70	73	74.36	Worse than 56% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases	97	88	85.06	Better than 82% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 130 cases	68	82	81.94	Worse than 88% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 68 cases	94	94	94.58	Worse than 49% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		96.88
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		74
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		92.33
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		76.94
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		93.3

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	12.6	5	7.251		Worse than 94% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	14	6.6	6.595		Worse than 91% of US hospitals

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	This hospital	US median	KY average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	1.03	0.99	1.007		Worse than 70% of US hospitals

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		58.28
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		30.75
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 1,491 cases	0	0.05	0.1626		The worst result, shared by 22% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 1,491 cases	0	0.03	0.09704		The worst result, shared by 39% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 69 cases	99	87	83.48		Better than 87% of US hospitals
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		76.4
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 58 cases	17.6	19.1	19.53	No Different Than the National Rate	Better than 74% of US hospitals
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 106 cases	91	92	90.93		Worse than 51% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31	Not Available		70.89
Alcohol use brief intervention provided2024-01-01 to 2024-12-31	Not Available		80.93
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		83.83
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		62.17
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 11 cases	0	64	64.23		The worst result, shared by 8% of US hospitals
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 11 cases	0	4	13.77		The worst result, shared by 31% of US hospitals
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 152 cases	89	77	77.04		Better than 63% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	This hospital	US median	KY average	US rank
VBP clinical outcomes domain scoreFY 2026	7.5	20	14.1	Worse than 78% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	1.875	5	3.571	Worse than 78% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	0	10	19.82	The worst result, shared by 43% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	0	2.5	5.134	The worst result, shared by 43% of US hospitals
VBP person and community engagement domain scoreFY 2026	19	34	44.76	Worse than 80% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	4.75	8.75	11.37	Worse than 81% of US hospitals
VBP safety domain scoreFY 2026	65	40	46.5	Better than 85% of US hospitals
VBP safety weighted domain scoreFY 2026	16.25	10	11.8	Better than 84% of US hospitals
VBP total performance scoreFY 2026	22.88	29.5	31.05	Worse than 73% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	50	52	10	5	0	7.5
VBP clinical outcomes weighted domain score	12.5	13	2.5	1.25	0	1.875
VBP efficiency and cost reduction domain score	10	Not Available	10	0	0	0
VBP efficiency and cost reduction weighted domain score	2.5	Not Available	2.5	0	0	0
VBP person and community engagement domain score	16	Not Available	Not Available	8	4	19
VBP person and community engagement weighted domain score	4	Not Available	Not Available	2	1	4.75
VBP safety domain score	34	Not Available	Not Available	26	32	65
VBP safety weighted domain score	8.5	Not Available	Not Available	6.5	8	16.25
VBP total performance score	27.5	Not Available	Not Available	9.75	9	22.88

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	KY average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 189 cases	1.1	0.9995	1.011	Worse than 93% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		0.9628
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 146 cases	1.022	0.9969	1.008	Worse than 70% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 220 cases	1.062	0.9983	1.009	Worse than 83% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A		1.084
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 334 cases	0.9609	0.9955	1.006	Better than 74% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	0.9723	0.9535	0.9651	1.024	1.085	1.1
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	1.085	1.101	1.051	0.9872	0.9862	1.022
READM-30-HF-HRRP	0.971	0.9297	0.9169	1.012	1.044	1.062
READM-30-HIP-KNEE-HRRP	0.9788	1.005	1.021	N/A	N/A	N/A
READM-30-PN-HRRP	0.9996	1.012	1.028	0.9592	0.9623	0.9609

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	US median	KY average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.199	0.489	0.5632	Better than 79% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.217	0.346	0.3899	Better than 70% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.141	0.559	0.9125	Better than 84% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.923	0.6405	0.8459	Worse than 72% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.8686	0.9628	1.023	Better than 82% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	1.591	0.7945	0.8867	Worse than 87% of US hospitals
Total HAC scoreFY 2026	-0.2727	-0.0453	0.1443	Better than 66% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	Yes	N/A	Yes	No	No
Total HAC score	0.2879	0.5873	0	0.5049	0.3573	-0.2727

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2017)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
215
Medicare-certified beds
189
Registered nurses (full-time equivalent)
1976
In Medicare since

27 services at Lake Cumberland Regional Hosp

Emergency and trauma: Emergency Department
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Outpatient SurgeryPostoperative Recovery Room
Imaging: Diagnostic RadiologyNuclear MedicineTherapeutic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryNeonatal NurseryObstetrics / Child BirthPediatric Care
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug Service
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dental CareDietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Lake Cumberland Regional Hosp reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

8,859
Inpatient discharges
Medicare 22%, Medicaid 2%
39,488
Inpatient days
59% of available bed days used
1,045
Employees (full-time equivalent)
36
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 838680). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Lake Cumberland Regional Hosp reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	7,830	733	30,925	39,488
Discharges	1,934	192	6,733	8,859
Average length of stay	4.0 days	3.8 days	4.6 days	4.5 days
Average daily census	21.5	2.0	84.7	108.2

13,920
Medicare Advantage days
2,834 discharges
10,054
Medicaid managed care days
2,302 discharges
4,019
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	138	24,219	4,752	48%
Intensive care unit	44	11,250	3,078	70%
Nursery		4,019
Subprovider - ipf	7	1,726	615	68%
Subprovider - irf	8	4,277	2,384	146%
Skilled nursing facility	12	3,392	1,031	77%

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Lake Cumberland Regional Hosp treats Medicare patients for most often, in 2024. 1,155 Medicare discharges in 41 published DRGs; 12% surgical; 69% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	115	$121,573	$13,052	$12,400	1.98
Heart failure and shock with MCCMS-DRG 291, medical	81	$64,697	$8,361	$6,599	1.28
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	69	$79,587	$8,288	$8,118	1.33
PsychosesMS-DRG 885, medical	65	$37,893	$8,877	$3,865	1.37
Pulmonary edema and respiratory failureMS-DRG 189, medical	56	$72,789	$8,280	$7,424	1.23
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	55	$80,980	$10,068	$8,260	1.59
Respiratory infections and inflammations with MCCMS-DRG 177, medical	52	$104,369	$10,777	$10,646	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	39	$63,223	$7,010	$6,449	1.10
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	34	$66,391	$5,864	$6,772	1.02
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	34	$121,083	$13,709	$12,350	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	30	$135,208	$13,913	$13,791	2.11
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	27	$51,582	$6,145	$5,261	0.98
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	26	$64,957	$5,460	$6,626	0.91
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	26	$47,833	$4,537	$4,879	0.79
Renal failure with MCCMS-DRG 682, medical	25	$70,371	$9,663	$7,178	1.50
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	25	$282,890	$34,248	$28,855	5.00
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	24	$174,970	$11,133	$17,847	1.82
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	24	$43,747	$4,297	$4,462	0.78
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	20	$189,696	$19,749	$19,349	2.87
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	19	$104,654	$11,797	$10,675	2.00

See all 41 Medicare inpatient DRGs at Lake Cumberland Regional Hosp

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Lake Cumberland Regional Hosp billed Medicare for most in 2024: 1,273 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	231	220	$36,975	$1,982	$2,090
Level 1 Endovascular ProceduresAPC 5191	148	148	$41,675	$2,099	$2,208
Level 4 Musculoskeletal ProceduresAPC 5114	81	76	$68,388	$4,984	$5,339
Level 3 Endovascular ProceduresAPC 5193	67	62	$130,090	$8,307	$8,874
Level 2 Upper GI ProceduresAPC 5302	67	64	$18,732	$1,404	$1,445
Level 1 Laparoscopy and Related ServicesAPC 5361	57	55	$45,790	$4,163	$4,358
Level 5 Urology and Related ServicesAPC 5375	56	54	$38,063	$3,796	$3,918
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	54	44	$13,115	$1,167	$1,220
Level 1 Nerve ProceduresAPC 5431	51	38	$13,276	$1,390	$1,407
Level 5 Musculoskeletal ProceduresAPC 5115	49	48	$135,405	$9,836	$10,772

See all 27 Medicare outpatient services at Lake Cumberland Regional Hosp

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Lake Cumberland Regional Hosp in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,962 in 2020 to 4,415 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
42503	952	22%	4,303	$96.2M	67%	73%
42501	793	18%	3,650	$80.3M	75%	78%
42633	478	11%	2,112	$50M	57%	47%
42642	267	6%	1,176	$26.7M	43%	43%
42544	224	5%	971	$24.7M	68%	81%
42553	189	4%	827	$17.3M	75%	77%
42567	152	3%	678	$14.8M	55%	61%
42518	146	3%	657	$14.1M	85%	87%
42519	138	3%	590	$13.2M	77%	88%
42635	112	3%	460	$11.6M	63%	58%
42653	102	2%	607	$9.6M	52%	50%
42647	94	2%	556	$11.4M	57%	63%
42629	87	2%	340	$8.8M	41%	40%
42602	83	2%	332	$8.5M	15%	10%
42728	83	2%	415	$7.9M	9%	7%
42539	69	2%	324	$8M	13%	9%
42533	48	1%	267	$5.5M	100%	100%
42634	48	1%	183	$4.6M	80%	76%
40621	44	1%	408	$6.9M	3%	4%
40962	40	1%	132	$3.8M	4%	4%
42649	38	1%	134	$3.3M	51%	60%
42502	35	1%	158	$4.1M	100%	100%
40489	32	1%	121	$3M	21%	14%
40456	29	1%	137	$3.4M	6%	4%
40741	27	1%	132	$3.2M	2%	2%

Source: CMS Hospital Service Area file. Shares are of the 4,415 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Lake Cumberland Regional Hosp reported at its latest Medicare certification survey (2000). Counts are people, not full-time equivalents.

13
Psychiatric unit beds
20
Rehabilitation unit beds

189
Registered nurses
69
Licensed practical nurses
5
Pharmacists
20
Respiratory therapists
4
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
5
Dietitians
1
Social workers
426
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

399 clinicians who bill Medicare list Lake Cumberland Regional Hosp as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Nurse Practitioner 63
Diagnostic Radiology Physician 38
Internal Medicine Physician 37
Certified Registered Nurse Anesthetist 27
Family Medicine Physician 24
Nurse Practitioner 21
Physician Assistant 18
Anatomic Pathology & Clinical Pathology Physician 17
Cardiovascular Disease Physician 15
Surgery Physician 10

Scott Lewis, D.O.
Rheumatology Physician
NPI 1336368505
See commercial rates for Scott Lewis, D.O.
Timothy Lonesky, D.O.
Rheumatology Physician
NPI 1447478029
See commercial rates for Timothy Lonesky, D.O.
Melissa Cheng, MSN, FNP
Nurse Practitioner
NPI 1225258130
See commercial rates for Melissa Cheng, MSN, FNP
Natasha Smith, APRN
Family Nurse Practitioner
NPI 1881233500
See commercial rates for Natasha Smith, APRN
Marguerite Root, APRN
Family Nurse Practitioner
NPI 1104391531
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Justin Phillpott, M.D.
Diagnostic Radiology Physician
NPI 1982676664
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Malgorzata Goralczyk, M.D.
Diagnostic Radiology Physician
NPI 1811121585
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N Mullai, MD
Hematology & Oncology Physician
NPI 1851373096
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Dean Phillips, DO
Diagnostic Radiology Physician
NPI 1962491118
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Natalee Neikirk, APRN
Family Nurse Practitioner
NPI 1225498314
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Megan Fackler, NP-C
Family Nurse Practitioner
NPI 1962897199
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Ben Paxton, M.D.
Diagnostic Radiology Physician
NPI 1548469372
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Anthony Adelson, MD
Diagnostic Radiology Physician
NPI 1427013796
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Sita Shah, MD
Diagnostic Radiology Physician
NPI 1578536793
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Michael Blackburn, PA-C
Physician Assistant
NPI 1639134679
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Daniel Yanicko, MD
Orthopaedic Surgery Physician
NPI 1598731796
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Allie Eberly, MD
Diagnostic Radiology Physician
NPI 1588198253
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Richard Lozano, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1255330544
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Patrick Jenkins, M.D.
Family Medicine Physician
NPI 1417921883
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James Earls, MD
Diagnostic Radiology Physician
NPI 1679591689
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Amit Sanghi, D.O.
Diagnostic Radiology Physician
NPI 1720280530
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Jessica Howard, D.O.
Anatomic Pathology & Clinical Pathology Physician
NPI 1184983819
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Dawn Woodroof, MD
Diagnostic Radiology Physician
NPI 1417145392
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Jason Clark, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1508033747
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Lake Cumberland Regional Hosp reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$2.3B	648.7%
Inpatient	$869M	242.1%
Outpatient	$1.5B	406.6%
Contractual allowances and discounts	-$2B	-548.7%
Net patient revenue	$358.9M	100.0%
Operating expenses	-$319.5M	-89.0%
Operating income from patient care	$39.4M	11.0%
Other income	$2.3M	0.6%
Net income	$41.7M	11.6%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$345M	15.9%
Medicaid (including managed care)	$488.4M	22.4%
Other payers and self-pay	$1.3B	61.7%
Total charges	$2.2B	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Lake Cumberland Regional Hosp's latest cost report.

11.0%
Operating margin
Operating income from patient care / net patient revenue
11.5%
Total margin
Net income / net patient revenue plus other income
15.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
39% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.87
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
25.1%
Return on assets
Net income for a year / total assets
4.3%
Return on equity
Net income for a year / fund balance
-0.11
Current ratio
Current assets / current liabilities
-0.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
0 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-974 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.17
Asset turnover
Total revenue for a year / total assets
6.2 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Lake Cumberland Regional Hosp owned and owed at the end of its reporting period (Dec 2025), across all fund types: $166.2M in total assets and a $980.7M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$48,176	0.0%
Patient receivables, net	$1,004	0.0%
Inventory	$9.3M	5.6%
Total current assets	$90.5M	54.5%
Property and equipment, net of depreciation	$67.9M	40.9%
Investments and other assets	$7.8M	4.7%
Total assets	$166.2M	100.0%
Current liabilities	-$828M	-498.2%
Total liabilities	-$814.5M	-490.1%
Fund balance (net assets)	$980.7M	590.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Lake Cumberland Regional Hosp provided without full payment, as reported on Worksheet S-10 of its cost report.

$2.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$27.1M
Bad debt
Patient bills written off as uncollectible, at charges
$1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5.2M
Total unreimbursed and uncompensated care
1.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Lake Cumberland Regional Hosp's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue	$245M	$289.8M	$278.7M	$326.2M	$345.2M	$358.9M
Operating expenses	$216.6M	$248.5M	$263.1M	$288.1M	$303M	$319.5M
Operating margin	11.6%	14.2%	5.6%	11.7%	12.2%	11.0%
Net income	$42.8M	$44.2M	$17.8M	$40.5M	$43.7M	$41.7M
Total assets	$76.7M	$93.8M	$98.2M	$131.2M	$157.9M	$166.2M
Discharges	7,731	7,508	7,604	8,096	8,725	8,859
Inpatient days	37,869	40,345	41,864	38,004	37,810	39,488
Medicare Advantage days	8,079	10,151	12,379	12,523	14,008	13,920
Beds	270	270	216	219	219	209
Employees (FTE)	1,008	897	894	966	1,019	1,045

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Lake Cumberland Regional Hosp reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 40 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$4.8M	$26.8M	$169.8M	0.16	47,509
Rural health clinic	$13M	$22.7M	$42.8M	0.53	3,927
Radiology-diagnostic	$5.4M	$15.8M	$472.1M	0.03	36,016
Medical supplies charged to patient		$13.5M	$87.7M	0.15
Drugs charged to patients		$10.8M	$235.5M	0.05
Impl. dev. charged to patients		$10.3M	$116.9M	0.09
Emergency	$4.6M	$8.9M	$183.9M	0.05	9,412
Laboratory	$2.1M	$8.9M	$265.7M	0.03	7,332
Electrocardiology	$1.2M	$4.8M	$91M	0.05	10,875
Recovery room	$1.7M	$3.9M	$40M	0.10	9,118
Observation beds (non-distinct part		$3.6M	$31.5M	0.11
Cath lab	$1.4M	$3.5M	$114.4M	0.03	3,946
Respiratory therapy	$2.5M	$2.4M	$38.9M	0.06	7,028
Physical therapy	$1M	$2.4M	$48.9M	0.05	2,839
Delivery room & labor room	$1.8M	$1.6M	$5.8M	0.28
Anesthesiology	$67,783	$1.1M	$71.4M	0.02	509
Hyperbararic therapy	$372,549	$1M	$9.8M	0.10
Clinic	$289,148	$464,965	$2.6M	0.18	2,173
Lithrotripsy	$390	$42,226	$1.2M	0.04

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$12.4M	$25.5M	$69M	0.37	70,627
Intensive care unit	$7.8M	$15.4M	$46.5M	0.33	29,036
Subprovider - irf	$1.4M	$5.2M	$11M	0.48	12,393
Subprovider - ipf	$1.3M	$3.1M	$6.7M	0.45	6,986
Skilled nursing facility	$1.2M	$2.7M	$7.6M	0.35	5,164
Nursery	$514,841	$1.3M	$5.2M	0.24	2,636

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$7.5M	$33.8M	196,314	$36.68	23,334
Employee benefits department	$469,485	$15.7M	11,597	$40.48	1,623
Cap rel costs-mvble equip		$8M
Pharmacy	$2.4M	$7.4M	53,029	$44.66	3,897
Cap rel costs-bldg & fixt		$6.4M			539,587
Operation of plant	$945,578	$5M	37,996	$24.89	115,294
Nursing administration	$2.9M	$4.1M	60,630	$52.82	6,149
Housekeeping	$137,238	$2.9M			2,694
Central services & supply	$429,828	$2.9M	20,391	$21.08	7,565
I&r services-salary & fringes apprv	$3.1M	$2.5M			1,007
Medical records & library	$531,535	$1.7M	24,287	$21.89	3,190
I&r services-other prgm costs apprv		$1.5M
Laundry & linen service		$811,669			939
Dietary	$96,302	$704,874	791	$35.66	10,325
Cafeteria		$512,245	914	$35.67

Source: CMS cost report (HCRIS, Form 2552-10), report 838680, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Lake Cumberland Regional Hosp for an inpatient stay.

1.69
Case mix index
Higher than 51% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.21 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
41.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,921
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.67	1.67	1.85	1.81	1.69	1.62	1.69
Wage index	0.866	0.867	0.868	0.863	0.952	0.912	0.890
Readmissions adjustment	-0.47%	-0.34%	-0.39%	-0.15%	-0.11%	-0.41%	-0.58%
Value-based purchasing adjustment	+0.50%	-0.24%	-0.24%	+2.08%	-1.08%	-1.20%	-0.42%
Medicare inpatient stays	3,726	3,726	2,245	1,925	1,938	1,848	1,921

Source: CMS IPPS final rule Impact File (FY 2027).

Ownership

Organizations Lake Cumberland Regional Hosp reports to Medicare as owners or with operational control.

Dsb Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2018
Historic LifePoint Hospitals, LLC
5% or greater indirect ownership interest, 100%, since 2002
Legacy LifePoint Health LLC
5% or greater indirect ownership interest, 100%, since 2019
LifePoint Health Inc
5% or greater indirect ownership interest, 100%, since 2018
LifePoint Holdings 2 LLC
5% or greater indirect ownership interest, 100%, since 2003
LifePoint Hospitals Holdings LLC
5% or greater indirect ownership interest, 100%, since 2002
LifePoint Of Lake Cumberland
5% or greater direct ownership interest, 100%, since 2000
LifePoint Corporate Services General Partnership
Operational/managerial control, since 2005

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on Lake Cumberland Regional Hosp's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Christopher J Monte Officer, since 2005
Marcus B Poppell Officer, Senior Vice President, since 2009
Charlotte E Lawrence Officer, Secretary, since 2022
Daniel Davis Officer, Chief Financial Officer, since 2022
William Haugh Officer, President, since 2022
Elliott Brown Officer, SVP And Treasurer, since 2026
Carolyn Sparks Managing employee, CEO, since 2024

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.

Programs and facilities

Accountable care organization (Medicare Shared Savings Program)
AdvantagePoint Health Alliance - Bluegrass, LLC
ACO A5028, current agreement since 2024. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Lake Cumberland Regional Hosp's legal name.

Hospital-based units

Hospital-based units with their own Medicare certification

Lake cumberland psych
CCN 18S132, certified 1998, Medicare prospective payment
Lake cumberland rehab
CCN 18T132, certified 1991, Medicare prospective payment
Lake cumberland snf
CCN 185407, certified 1995, Medicare prospective payment
Lake cumberland rhc
CCN 183405, certified 1995, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Lake Cumberland Regional Hosp's latest Medicare cost report (HCRIS).

Frequently asked questions

About Lake Cumberland Regional Hosp's rates and hospital price transparency.

How much does a CT scan cost at Lake Cumberland Regional Hosp?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lake Cumberland Regional Hosp range from $360 to $6,586 across 3 insurers. Cigna's rate is $476. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Lake Cumberland Regional Hosp?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lake Cumberland Regional Hosp range from $397 to $6,920 across 3 insurers. Aetna's rate is $3,426. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Lake Cumberland Regional Hosp?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Lake Cumberland Regional Hosp range from $4,200 to $6,923 across 3 insurers. UnitedHealthcare's rate is $5,413. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Lake Cumberland Regional Hosp?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lake Cumberland Regional Hosp range from $201 to $750 across 2 insurers. Cigna's rate is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Lake Cumberland Regional Hosp?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Lake Cumberland Regional Hosp range from $17,493 to $17,493 across 1 insurers. Blue Cross Blue Shield's rate is $17,493. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Lake Cumberland Regional Hosp's CMS star rating?

Lake Cumberland Regional Hosp has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Lake Cumberland Regional Hosp a teaching hospital?

Yes. CMS counts 0.21 Medicare-funded residents per bed at Lake Cumberland Regional Hosp for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Lake Cumberland Regional Hosp for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lake Cumberland Regional Hosp's base inpatient payments by an estimated 0.58% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Lake Cumberland Regional Hosp?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (115 discharges), heart failure and shock with mcc (81 discharges), simple pneumonia and pleurisy with mcc (69 discharges).

What is Lake Cumberland Regional Hosp's case mix index?

Lake Cumberland Regional Hosp's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% of hospitals paid under the inpatient prospective payment system.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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About this hospital

Prices for common services

How the insurers pay at Lake Cumberland Regional Hosp

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

27 services at Lake Cumberland Regional Hosp

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

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