Lake Regional Health System · Osage Beach, MO
3 of 5
CMS star rating
121
Beds
4,678
Inpatient discharges a year
$249.7M
Net patient revenue a year
36
In-network payers
Lake Regional Health System is a 121-bed voluntary non-profit - other hospital in Osage Beach, MO, affiliated with Lake Regional Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 309 disclosed rate categories.
The 24 services Lake Regional Health System 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.
CT imaging
CPT 74177
$486 - $3,538
from 4 insurers · median $2,600
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,009 - $9,774
from 4 insurers · median $2,918
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
MS-DRG 788
$3,780 - $12,623
from 4 insurers · median $5,194
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
Mammography
CPT 77067
$197 - $608
from 4 insurers · median $347
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,076 - $26,615
from 4 insurers · median $8,156
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$403 - $2,495
from 4 insurers · median $1,681
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$265 - $2,099
from 4 insurers · median $1,491
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$289 - $2,173
from 4 insurers · median $1,404
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$168 - $1,418
from 4 insurers · median $537
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$856 - $2,565
from 4 insurers · median $1,899
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,061 - $17,542
from 4 insurers · median $2,998
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 49650
$6,235 - $9,562
from 3 insurers · median $7,299
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$46,267 - $143,163
from 4 insurers · median $91,382
Hospital reports cardiac thoracic surgery services to CMS
MRI imaging
CPT 72148
$513 - $2,371
from 4 insurers · median $1,625
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$911 - $2,945
from 4 insurers · median $2,719
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$667 - $3,149
from 4 insurers · median $2,684
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$611 - $3,523
from 4 insurers · median $1,811
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$44 - $230
from 4 insurers · median $166
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$542 - $1,628
from 4 insurers · median $1,487
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,841 - $11,851
from 4 insurers · median $6,740
26 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$407 - $3,354
from 4 insurers · median $1,688
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,330 - $17,804
from 3 insurers · median $11,403
14 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$513 - $3,354
from 4 insurers · median $1,964
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,064 - $9,839
from 3 insurers · median $9,640
Typical for a hospital with this service line
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 | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 400% | 0 | 1 |
| Insurer B* | 24 | 274% | 21 | 1 |
| Insurer C* | 24 | 234% | 14 | 6 |
| Insurer D* | 21 | 121% | 6 | 13 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 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 Regional Health System, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$249.7M net patient revenue
Ownership and leadership
Other
The employer identification numbers (EINs) health plans and networks list for Lake Regional Health System 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 |
|---|---|---|
| 23-7339737Lake Regional Health System | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1437440856 Lake Regional Health System1700177128 Lake Regional Health System1427162254 Lake Regional Health Systemand 24 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.
54 Hospital Drive, Osage Beach, MO 65065
(573) 348-8000
How Lake Regional Health System compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% 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
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 10 measures
0 better, 9 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
69%
Lower than 57% 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)
0.84
Lower than 87% 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
170 min
Higher than 64% 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
72%
Higher than 66% 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 | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | Worse on 1 of 7 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 1 of 10 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 69% | 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) | 0.84 | 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 | 170 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 72% | 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.
How Medicare adjusts Lake Regional Health System's inpatient payments for its readmissions, quality and cost results.
-0.24% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.88% 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).
Each result CMS publishes for Lake Regional Health System, beside the US median and the average of MO hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.203 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,411 cases | 4.9 | 3.9 | 3.991 | Worse than 87% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 181 cases | 14.6 | 11.8 | 11.96 | Worse than 99% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 36 cases | 2 | 2.3 | 2.622 | Better than 66% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 88 cases | 9.7 | 8.5 | 8.708 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 192 cases | 15.1 | 11 | 11.68 | Worse than 97% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 258 cases | 20.5 | 15.2 | 15.5 | Worse than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 190 cases | 15.1 | 11.6 | 12.03 | Worse than 88% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,849 cases | 0.33 | 0.51 | 0.5582 | No Different Than the National Rate | Better than 76% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 181 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,726 cases | 0.36 | 0.2 | 0.2094 | No Different Than the National Rate | Worse than 98% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,720 cases | 0.25 | 0.27 | 0.2774 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 560 cases | 2.63 | 2.29 | 2.312 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 140 cases | 1.54 | 1.63 | 1.619 | No Different Than the National Rate | Better than 75% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 140 cases | 7.58 | 8.88 | 9.849 | No Different Than the National Rate | Better than 78% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 573 cases | 3.27 | 3.4 | 3.388 | No Different Than the National Rate | Better than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 141 cases | 4.5 | 5.105 | 5.071 | No Different Than the National Rate | Better than 82% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 85 cases | 1.7 | 1.72 | 1.763 | No Different Than the National Rate | Better than 58% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 371 cases | 0.97 | 1.02 | 1.029 | No Different Than the National Rate | Better than 67% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 192 cases | 0.3 | 4.2 | 5.15 | Better than 57% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 230 cases | -10.5 | 1.25 | 2.001 | Better than 66% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 272 cases | -6.1 | 3.85 | 0.788 | Better than 63% 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 · 1,716 cases | 14.6 | 12.9 | 13.12 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 137 cases | 11.3 | 10.7 | 11.22 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 137 cases | 5.8 | 5.3 | 5.318 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 538 cases | 1 | 1 | 0.9815 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 278 cases | 14 | 14.4 | 14.32 | Better than 66% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 33 cases | 13.4 | 10.9 | 11.43 | Worse than 94% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 153 cases | 20 | 19.8 | 20.11 | Worse than 57% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 287 cases | 21.3 | 21.3 | 21.62 | Better than 49% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.12 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 409 cases | 16 | 17.2 | 17.28 | Better than 92% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.28 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.981 | 1.504 | 2.027 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,418 | 1,370 | 4,135 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.512 | 0.9835 | 4.122 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.604 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.6608 | No Different than 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 | Not Available | 0.2046 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.608 | 1.392 | 1.947 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,631 | 1,799 | 3,878 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.863 | 1.377 | 4.807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.413 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5467 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3088 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.21 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 22 | 61 | 126 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.516 | 1.591 | 3.466 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.877 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8248 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2664 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.522 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 4 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.034 | 0.328 | 0.829 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8929 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.061 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2979 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.478 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 16,089 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.593 | 0.567 | 2.861 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.978 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8703 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.044 | 0.127 | 0.1657 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.869 | 0.747 | 1.229 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 16,089 | 13,646 | 38,342 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.608 | 5.683 | 24.41 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 8.022 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.263 | 0.279 | 0.3843 | Better than the National Benchmark | Better than 52% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 669 cases | 68 | 73 | 72.59 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 669 cases | 12 | 8 | 9.344 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 669 cases | 20 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 84 | 87 | 85.78 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 669 cases | 3 | 4 | 3.297 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 669 cases | 80 | 80 | 79.3 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 92 | 91 | 91.27 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 669 cases | 4 | 4 | 3.882 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 3 | 3.392 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 669 cases | 16 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 669 cases | 80 | 79 | 79.32 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 92 | 91 | 90.65 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 669 cases | 5 | 5 | 5.032 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 3 | 3.095 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 669 cases | 15 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 669 cases | 63 | 61 | 60.96 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 79 | 77 | 76.66 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 669 cases | 19 | 19 | 18.89 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 669 cases | 3 | 3 | 2.689 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 669 cases | 18 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 89 | 86 | 86.27 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 669 cases | 11 | 13 | 13.38 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 3 | 3.432 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 669 cases | 89 | 87 | 86.62 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 669 cases | 12 | 14 | 14.94 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 669 cases | 88 | 86 | 85.06 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 75 | 74 | 73.49 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 6 | 7 | 6.488 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 19 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 78 | 77 | 77.34 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 5 | 6 | 5.549 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 17 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 87 | 85 | 85.12 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 3 | 3 | 3.463 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 10 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 669 cases | 8 | 8 | 7.366 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 669 cases | 19 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 669 cases | 73 | 72 | 72.23 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 89 | 88 | 88.41 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 3 | 3.405 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 669 cases | 76 | 74 | 73.17 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 669 cases | 9 | 9 | 9.915 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 669 cases | 15 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 75 | 75 | 73.79 | Better than 48% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 6 | 5 | 5.598 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 669 cases | 19 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 78 | 77 | 75.55 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 4 | 4 | 4.585 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 669 cases | 18 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 87 | 86 | 85.67 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 2 | 3 | 2.427 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 669 cases | 11 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 669 cases | 56 | 59 | 60.98 | Worse than 60% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 669 cases | 8 | 9 | 8.344 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 669 cases | 36 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 82 | 82 | 82.92 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 669 cases | 3 | 3 | 3.568 | Worse than 44% 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 · 669 cases | 5 | 5 | 5.892 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 669 cases | 69 | 71 | 70.75 | Worse than 57% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 669 cases | 87 | 87 | 87.14 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 669 cases | 26 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 4 | 3.662 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 669 cases | 49 | 47 | 45.78 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 669 cases | 28 | 30 | 29.67 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 669 cases | 23 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 669 cases | 4 | 3 | 3.311 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 669 cases | 10 | 12 | 12.12 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 669 cases | 90 | 88 | 87.88 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | Not Available | 6.941 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.026 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2857 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,729 cases | 90 | 79 | 81.12 | Better than 71% 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 · 382 cases | 172 | 154 | 167 | Worse than 62% 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 · 345 cases | 170 | 148 | 161 | Worse than 64% 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 · 19 cases | 254 | 247 | 273 | Worse than 53% of US hospitals | |
| 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 · 18 cases | 232 | 293 | 288 | Better than 76% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 39,772 cases | 4 | 1 | 2.18 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 30 cases | 80 | 74 | 72.93 | Better than 62% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 88 cases | 100 | 97 | 95.34 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 98 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 55.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,115 cases | 13 | 15 | 17.13 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 353 cases | 72 | 65 | 61.69 | Better than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 140 cases | 81 | 73 | 66.69 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases | 90 | 88 | 82.85 | Better than 54% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 353 cases | 85 | 82 | 78.59 | Better than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 206 cases | 94 | 94 | 92.68 | Worse than 49% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 90 cases | 97 | 98 | 96.61 | Worse than 51% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.14 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 95.06 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,189 cases | 98 | 90 | 83.25 | Better than 84% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 696 cases | 98 | 97 | 95.05 | Better than 56% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.6 | 5 | 5.293 | Better than 88% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.8 | 6.6 | 6.538 | Better than 73% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.98 | 0.99 | 0.981 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 30 | 20 | 20.74 | Better than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.5 | 5 | 5.208 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 24.07 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 6.186 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 47 | 34 | 35.83 | Better than 71% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.75 | 8.75 | 9.052 | Better than 70% of US hospitals | |
| VBP safety domain scoreFY 2026 | 50 | 40 | 39.11 | Better than 64% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.5 | 10 | 9.878 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.75 | 29.5 | 30.07 | Better than 83% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 16 | 26.67 | 24 | 16 | 18 | 30 |
| VBP clinical outcomes weighted domain score | 4 | 6.667 | 6 | 4 | 4.5 | 7.5 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 40 | 40 | 40 | 40 |
| VBP efficiency and cost reduction weighted domain score | 15 | Not Available | 10 | 10 | 10 | 10 |
| VBP person and community engagement domain score | 16 | Not Available | Not Available | 12 | 25 | 47 |
| VBP person and community engagement weighted domain score | 4 | Not Available | Not Available | 3 | 6.25 | 11.75 |
| VBP safety domain score | 87.5 | Not Available | Not Available | 15 | 60 | 50 |
| VBP safety weighted domain score | 21.88 | Not Available | Not Available | 3.75 | 15 | 12.5 |
| VBP total performance score | 44.88 | Not Available | Not Available | 20.75 | 35.75 | 41.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 204 cases | 1.033 | 0.9995 | 1.004 | Worse than 70% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.9582 | 1 | 0.9855 | Better than 66% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 108 cases | 0.9704 | 0.9969 | 1.004 | Better than 75% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 225 cases | 0.9825 | 0.9983 | 1 | Better than 62% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.018 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 257 cases | 0.9387 | 0.9955 | 0.9936 | Better than 85% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.032 | 1.035 | 1.046 | 1.099 | 1.056 | 1.033 |
| READM-30-CABG-HRRP | 1.083 | 1.038 | 1.006 | 1.001 | 0.9924 | 0.9582 |
| READM-30-COPD-HRRP | 0.9151 | 0.9731 | 0.9538 | 0.943 | 0.9552 | 0.9704 |
| READM-30-HF-HRRP | 1.03 | 1.009 | 0.9984 | 0.9687 | 0.9502 | 0.9825 |
| READM-30-HIP-KNEE-HRRP | 1.09 | 1.053 | 0.9724 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9619 | 0.9718 | 0.9624 | 0.9547 | 0.9346 | 0.9387 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lake Regional Health System | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.533 | 0.489 | 0.5555 | Worse than 54% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.476 | 0.346 | 0.3878 | Worse than 69% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.5837 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.775 | 0.6405 | 0.8346 | Worse than 62% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8414 | 0.9628 | 0.9777 | Better than 87% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.972 | 0.7945 | 0.777 | Worse than 62% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2858 | -0.0453 | -0.03378 | Better than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | No | No |
| Total HAC score | -0.2063 | -0.9924 | 0 | 0.6115 | 0.2619 | -0.2858 |
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.
The Joint Commission (since 2022)
Accreditation
None
Medical school affiliation
Other
Ownership type
99
Medicare-certified beds
167
Registered nurses (full-time equivalent)
1978
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lake Regional Health System reported to Medicare in its latest cost report, covering May 1, 2024 to Apr 30, 2025.
4,678
Inpatient discharges
Medicare 28%, Medicaid 22%
17,733
Inpatient days
46% of available bed days used
1,024
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 829468). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lake Regional Health System reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,855 | 1,198 | 11,680 | 17,733 |
| Discharges | 1,308 | 1,021 | 2,349 | 4,678 |
| Average length of stay | 3.7 days | 1.2 days | 5.0 days | 3.8 days |
| Average daily census | 13.3 | 3.3 | 32.0 | 48.6 |
6,227
Medicare Advantage days
1,403 discharges
2,191
Medicaid managed care days
558 discharges
4,398
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 87 | 13,818 | 4,090 | 44% |
| Intensive care unit | 18 | 2,813 | 765 | 43% |
| Nursery | 1,102 | |||
| Skilled nursing facility | 16 | 2,642 | 1,260 | 45% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lake Regional Health System treats Medicare patients for most often, in 2024. 768 Medicare discharges in 27 published DRGs; 12% surgical; 81% 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 | 123 | $40,218 | $15,155 | $10,658 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 79 | $33,380 | $9,896 | $8,846 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 75 | $27,567 | $9,941 | $7,305 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 41 | $51,846 | $12,346 | $13,739 | 1.59 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $30,823 | $9,423 | $8,168 | 1.23 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $25,837 | $5,020 | $6,847 | 0.74 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $31,975 | $8,806 | $8,473 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 25 | $29,059 | $13,087 | $7,701 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 24 | $49,070 | $16,070 | $13,004 | 2.07 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $29,583 | $7,420 | $7,839 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 22 | $50,552 | $7,220 | $13,396 | 1.02 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $29,403 | $5,276 | $7,792 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $63,531 | $16,535 | $16,836 | 2.11 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $31,829 | $8,651 | $8,435 | 1.20 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $32,367 | $6,963 | $8,577 | 0.98 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $29,766 | $7,917 | $7,888 | 1.10 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $16,012 | $3,538 | $4,243 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $109,347 | $23,070 | $28,977 | 2.87 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $26,354 | $5,470 | $6,984 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $37,469 | $9,409 | $9,929 | 1.32 |
See all 27 Medicare inpatient DRGs at Lake Regional Health System
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.
The comprehensive outpatient service groups (APCs) Lake Regional Health System billed Medicare for most in 2024: 1,861 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 390 | 356 | $20,639 | $1,937 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 164 | 98 | $5,238 | $1,652 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 146 | 146 | $31,590 | $2,106 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 96 | 82 | $9,163 | $2,500 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 95 | 91 | $50,981 | $10,205 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 92 | 80 | $65,559 | $8,177 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 84 | 72 | $12,146 | $3,712 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 76 | $15,394 | $2,287 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 72 | 67 | $11,381 | $2,320 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 70 | 70 | $20,941 | $4,140 | $4,358 |
See all 29 Medicare outpatient services at Lake Regional Health System
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.
ZIP codes with the most Medicare inpatient stays at Lake Regional Health System 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 2,142 in 2020 to 2,230 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 65020 | 370 | 17% | 1,478 | $17.9M | 63% | 65% |
| 65536 | 235 | 11% | 958 | $11.6M | 16% | 11% |
| 65065 | 215 | 10% | 787 | $10.2M | 67% | 66% |
| 65037 | 183 | 8% | 712 | $8.2M | 59% | 62% |
| 65049 | 153 | 7% | 596 | $7.7M | 57% | 54% |
| 65026 | 146 | 7% | 599 | $6.9M | 26% | 22% |
| 65079 | 130 | 6% | 546 | $6.5M | 57% | 69% |
| 65052 | 102 | 5% | 417 | $4.8M | 77% | 79% |
| 65556 | 81 | 4% | 342 | $3.9M | 27% | 32% |
| 65787 | 58 | 3% | 229 | $2.8M | 84% | 100% |
| 65078 | 55 | 2% | 206 | $2.7M | 27% | 15% |
| 65486 | 53 | 2% | 228 | $2.8M | 45% | 42% |
| 65786 | 53 | 2% | 229 | $2.9M | 69% | 78% |
| 65591 | 40 | 2% | 166 | $2.1M | 100% | 75% |
| 65324 | 38 | 2% | 130 | $1.9M | 78% | 100% |
| 65084 | 34 | 2% | 170 | $1.9M | 10% | 10% |
| 65072 | 33 | 1% | 150 | $1.6M | 45% | 39% |
| 65017 | 32 | 1% | 211 | $2.3M | 74% | 100% |
| 65326 | 32 | 1% | 111 | $1.5M | 25% | 32% |
| 65047 | 31 | 1% | 159 | $1.9M | 100% | 100% |
| 65355 | 23 | 1% | 77 | $1.3M | 2% | 2% |
| 65452 | 23 | 1% | 74 | $1.2M | 21% | 31% |
| 65463 | 21 | 1% | 62 | $880,516 | 100% | 100% |
| 65011 | 19 | 1% | 68 | $989,590 | 24% | 29% |
| 65567 | 16 | 1% | 59 | $713,967 | 59% | 50% |
Source: CMS Hospital Service Area file. Shares are of the 2,230 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Lake Regional Health System reported at its latest Medicare certification survey (2000). Counts are people, not full-time equivalents.
3
Off-site locations
167
Registered nurses
30
Licensed practical nurses
4
Pharmacists
3
Speech pathologists and audiologists
3
Dietitians
2
Social workers
379
Other personnel
Source: CMS Provider of Services file.
409 clinicians who bill Medicare list Lake Regional Health System 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.
Andrew Iliff, MD
Hematology & Oncology Physician
NPI 1851654818
See commercial rates for Andrew Iliff, MDStephen Sides, D.O.
Rheumatology Physician
NPI 1366428914
See commercial rates for Stephen Sides, D.O.Robert Ellis, M.D.
Hematology & Oncology Physician
NPI 1720056823
See commercial rates for Robert Ellis, M.D.Nicole Edwards, D.O.
Family Medicine Physician
NPI 1639378987
See commercial rates for Nicole Edwards, D.O.Robert Sharpe, MD
Orthopaedic Surgery Physician
NPI 1093781916
See commercial rates for Robert Sharpe, MDJames Edwards, M.D.
Orthopaedic Surgery Physician
NPI 1023125713
See commercial rates for James Edwards, M.D.William Stricker, M.D.
Allergy Physician
NPI 1902095979
See commercial rates for William Stricker, M.D.Tamara Hopkins, M.D.
Hematology & Oncology Physician
NPI 1144226465
See commercial rates for Tamara Hopkins, M.D.Robert Mcdonald, MD
Otolaryngology Physician
NPI 1033184007
See commercial rates for Robert Mcdonald, MDSamuel Thompson, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1164878237
See commercial rates for Samuel Thompson, MDAlan Anz, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1366553323
See commercial rates for Alan Anz, MDChristopher Farmer, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1013951250
See commercial rates for Christopher Farmer, M.D.James Newton, MD
Interventional Pain Medicine Physician
NPI 1902871361
See commercial rates for James Newton, MDThomas Aleto, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1881673549
See commercial rates for Thomas Aleto, MDJian Chen, M.D.,PH.D
Neurology Physician
NPI 1639580707
See commercial rates for Jian Chen, M.D.,PH.DDavid Auerbach, MD
Diagnostic Radiology Physician
NPI 1750378626
See commercial rates for David Auerbach, MDBrian Swanson, PHYSICIAN ASSISTANT
Physician Assistant
NPI 1023031762
See commercial rates for Brian Swanson, PHYSICIAN ASSISTANTJonathan Craighead, M.D.
Orthopaedic Surgery Physician
NPI 1346226289
See commercial rates for Jonathan Craighead, M.D.George Carr, MD
Family Medicine Physician
NPI 1528032661
See commercial rates for George Carr, MDMitchell Godbee, MD
Diagnostic Radiology Physician
NPI 1558455196
See commercial rates for Mitchell Godbee, MDKurt Bormann, MD
Orthopaedic Surgery Physician
NPI 1962615054
See commercial rates for Kurt Bormann, MDBaron Adkins, D.O.
Diagnostic Radiology Physician
NPI 1992754147
See commercial rates for Baron Adkins, D.O.Michael Vierra, M.D.
Diagnostic Radiology Physician
NPI 1598741514
See commercial rates for Michael Vierra, M.D.Muthu Krishnan, MD
Interventional Cardiology Physician
NPI 1528089539
See commercial rates for Muthu Krishnan, MDSource: 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.
Revenue, expenses and income Lake Regional Health System reported to Medicare for May 1, 2024 to Apr 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $918.3M | 367.7% |
| Inpatient | $214.8M | 86.0% |
| Outpatient | $703.5M | 281.7% |
| Contractual allowances and discounts | -$668.6M | -267.7% |
| Net patient revenue | $249.7M | 100.0% |
| Operating expenses | -$265.6M | -106.3% |
| Operating income from patient care | -$15.8M | -6.3% |
| Other income | $20.1M | 8.0% |
| Contributions and donations | $550,641 | 0.2% |
| Investment income | $5.3M | 2.1% |
| Other | $14.2M | 5.7% |
| Net income | $4.2M | 1.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $190.3M | 20.2% |
| Medicaid (including managed care) | $121.5M | 12.9% |
| Other payers and self-pay | $630.8M | 66.9% |
| Total charges | $942.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. 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.
Computed from Lake Regional Health System's latest cost report.
-6.3%
Operating margin
Operating income from patient care / net patient revenue
1.6%
Total margin
Net income / net patient revenue plus other income
6.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.45
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
1.6%
Return on assets
Net income for a year / total assets
2.6%
Return on equity
Net income for a year / fund balance
0.37
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.50
Current ratio
Current assets / current liabilities
1.10
Quick ratio
Cash, temporary investments and net receivables / current liabilities
13 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
52 days
Days in patient receivables
Net patient receivables / daily net patient revenue
58 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.02
Asset turnover
Total revenue for a year / total assets
14.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Lake Regional Health System owned and owed at the end of its reporting period (Apr 2025), across all fund types: $264.5M in total assets and a $161.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $8.8M | 3.3% |
| Patient receivables, net | $35.7M | 13.5% |
| Inventory | $6.8M | 2.6% |
| Total current assets | $60.7M | 22.9% |
| Property and equipment, net of depreciation | $96.1M | 36.3% |
| Investments and other assets | $107.7M | 40.7% |
| Total assets | $264.5M | 100.0% |
| Current liabilities | $40.4M | 15.3% |
| Long-term debt | $59.1M | 22.4% |
| Total liabilities | $102.7M | 38.8% |
| Fund balance (net assets) | $161.7M | 61.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Lake Regional Health System provided without full payment, as reported on Worksheet S-10 of its cost report.
$7.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$29.1M
Bad debt
Patient bills written off as uncollectible, at charges
$3.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$17.6M
Total unreimbursed and uncompensated care
6.6% 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 829468, amended. Hospitals report these figures themselves; they are not audited financial statements.
Lake Regional Health System's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Apr 2020 | Apr 2021 | Apr 2022 | Apr 2023 | Apr 2024 | Apr 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $166.9M | $207M | $217.3M | $226.8M | $231.7M | $249.7M |
| Operating expenses | $188.9M | $204.3M | $221M | $232.9M | $250.8M | $265.6M |
| Operating margin | -13.2% | 1.3% | -1.7% | -2.7% | -8.3% | -6.3% |
| Net income | -$18.9M | $27.9M | -$6M | $3M | $1.3M | $4.2M |
| Total assets | $243M | $256.4M | $261.9M | $249.6M | $252.2M | $264.5M |
| Discharges | 4,632 | 4,709 | 5,100 | 5,150 | 4,963 | 4,678 |
| Inpatient days | 16,342 | 18,292 | 21,110 | 19,566 | 18,383 | 17,733 |
| Medicare Advantage days | 2,252 | 3,903 | 5,447 | 6,132 | 6,132 | 6,227 |
| Beds | 116 | 116 | 121 | 121 | 121 | 121 |
| Employees (FTE) | 832 | 898 | 871 | 941 | 1,003 | 1,024 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lake Regional Health System reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $1.9M | $38.1M | $108.8M | 0.35 | 2,903 |
| Operating room | $4.3M | $15.9M | $52M | 0.31 | 17,192 |
| Radiology-diagnostic | $5.7M | $15.6M | $198.1M | 0.08 | 16,603 |
| Impl. dev. charged to patients | $14.5M | $44.8M | 0.32 | ||
| Clinic | $4.7M | $13M | $41.1M | 0.32 | 28,051 |
| Laboratory | $1.9M | $12M | $138.9M | 0.09 | 8,404 |
| Emergency | $4.4M | $12M | $81.1M | 0.15 | 23,047 |
| Radiology-therapeutic | $3.8M | $8.1M | $23.2M | 0.35 | 16,168 |
| Rural health clinic viii | $3.3M | $7.3M | $8M | 0.91 | |
| Observation beds (non-distinct part | $5.6M | $7.7M | 0.73 | ||
| Respiratory therapy | $2.4M | $5.4M | $59.1M | 0.09 | 3,621 |
| Rural health clinic ii | $2.8M | $5.2M | $6M | 0.88 | |
| Physical therapy | $79,333 | $5.2M | $13.3M | 0.40 | 7,873 |
| Rural health clinic vi | $2.5M | $4.8M | $5.1M | 0.94 | |
| Cardiac catheterization | $1.1M | $4.5M | $55.6M | 0.08 | 3,997 |
| Rural health clinic iii | $2.2M | $4.2M | $3.8M | 1.11 | |
| Rural health clinic x | $2.5M | $3.8M | $3.1M | 1.22 | |
| Rural health clinic v | $1.8M | $3.2M | $3.1M | 1.03 | |
| Home health agency | $1.2M | $2.7M | $3M | 0.90 | |
| Rural health clinic vii | $1.1M | $2M | $2.1M | 0.94 | |
| Rural health clinic ix | $910,707 | $1.8M | $2.4M | 0.77 | |
| Wound clinic | $243,350 | $1.8M | $5.1M | 0.35 | 5,779 |
| Cardiac rehabilitation | $752,566 | $1.8M | $2.7M | 0.65 | 4,505 |
| Delivery room & labor room | $1.4M | $5.4M | 0.26 | 4,034 | |
| Medical supplies charged to patient | $227,904 | $1.2M | $938,436 | 1.26 | 3,178 |
| Sleep lab | $381,021 | $1.1M | $3.2M | 0.35 | 3,286 |
| Heart & vascular | $382,540 | $1.1M | $566,120 | 1.89 | |
| Anesthesiology | $128,666 | $1M | $11.6M | 0.09 | 1,458 |
| Orthopedic surgery | $546,497 | $919,092 | $1.2M | 0.76 | |
| Pain clinic | $155,515 | $732,375 | $1.8M | 0.40 | 3,834 |
| Speech pathology | $3,449 | $538,676 | $1.3M | 0.41 | 922 |
| Rural health clinic | $228,088 | $519,775 | $601,048 | 0.86 | |
| Cardiovascular | $249,789 | $410,130 | $199,532 | 2.06 | |
| Urology | $241,167 | $398,135 | $524,979 | 0.76 | |
| Gastroenterology | $214,129 | $354,837 | $704,858 | 0.50 | |
| General surgery | $217,052 | $354,724 | $417,778 | 0.85 | |
| Cardio surgery | $151,676 | $267,535 | $77,971 | 3.43 | |
| Neurology | $141,456 | $241,987 | $433,125 | 0.56 | |
| Sleep medicine | $126,507 | $205,475 | $107,928 | 1.90 | |
| Pulmonology | $101,879 | $174,173 | $286,366 | 0.61 | |
| Foot & ankle | $68,186 | $121,308 | $187,410 | 0.65 | |
| Nephrology | $45,091 | $79,583 | $70,452 | 1.13 | |
| Rheumatology | $35,416 | $58,981 | $57,807 | 1.02 | |
| Durable medical equip-rented | $16,398 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $13.5M | $23.3M | $28.3M | 0.83 | 44,142 |
| Intensive care unit | $2.5M | $6.3M | $8.8M | 0.72 | 9,615 |
| Skilled nursing facility | $912,163 | $2.5M | $1.2M | 2.19 | 7,711 |
| Nursery | $915,218 | $2.6M | 0.35 | 2,089 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $12.4M | $42.3M | 344,753 | $36.05 | 92,877 |
| Employee benefits department | $84,808 | $27.5M | 6,240 | $13.59 | |
| Cap rel costs-mvble equip | $9.8M | ||||
| Operation of plant | $2.2M | $5.4M | 80,065 | $27.79 | 17,054 |
| Medical records & library | $4.8M | $5.2M | 135,954 | $35.27 | 4,782 |
| Cap rel costs-bldg & fixt | $4.2M | 401,455 | |||
| Dietary | $1,471 | $2.1M | 25 | $59.43 | 14,529 |
| Housekeeping | $1.3M | $2.1M | 64,194 | $19.70 | 874 |
| Nursing administration | $1.8M | $1.9M | 30,142 | $58.85 | 626 |
| Central services & supply | $742,223 | $722,017 | 28,855 | $25.72 | 8,940 |
| Laundry & linen service | $302,264 | $535,510 | 16,925 | $17.86 | 8,130 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829468, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Lake Regional Health System for an inpatient stay.
1.71
Case mix index
Higher than 53% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
25.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,206
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).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.68 | 1.68 | 1.78 | 1.79 | 1.70 | 1.64 | 1.71 |
| Wage index | 0.839 | 0.826 | 0.830 | 0.828 | 0.940 | 0.967 | 0.951 |
| Readmissions adjustment | -0.99% | -0.98% | -0.64% | -0.32% | -0.49% | -0.33% | -0.24% |
| Value-based purchasing adjustment | +0.19% | +0.88% | +0.88% | +0.98% | -0.03% | +1.20% | +0.88% |
| Medicare inpatient stays | 1,943 | 1,943 | 1,779 | 1,492 | 1,510 | 1,361 | 1,206 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Lake Regional Health System's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 20 of 27 are shown.
| Name | Title |
|---|---|
| Kevin Mcroberts | CEO |
| Melissa Hunter | COO |
| Patrick Neece | CIO |
| Jaren Pippitt | Chief Administrative Officer |
| Thomas Williams | VP Of Human Resources |
| Jennifer Bethurem | VP Of Public Affairs |
| Paula Littleton | CFO, Beg. 07/2024 |
| Charles Mcelyea | Assistant Secretary |
| Alan Mead MD | Vice President |
| Dennis Michaelree | Secretary |
| Jason Hulett | President |
| Wayne Compton | Treasurer |
| Dennis Lockard | CFO End 07/24 |
Board members: Kevin Byrne DO, John Patton, Jeffery Jones, Corey Ten Bensel, Gregory Anderson, James Judas Jr, John Caine, John Parrish, Karen Faiferlick, Larry Shields, Mark Rector, W Todd Cooper.
Source: IRS Form 990 Part VII filed by Lake Regional Health System (EIN 23-7339737), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2017
340B ID SCH260186-00, registered as a sole community hospital; 24 registered outpatient sites; 82 active contract pharmacies. Authorizing official: Paula Littleton, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Aledade 241 National MSSP Enhanced
ACO A5775, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Lake Regional Health System's legal name.
Lrhs snf
CCN 265429, certified 1990, Medicare prospective payment
Lrhs hha
CCN 267409, certified 1995, Medicare prospective payment
Lrhs hospice
CCN 261672, certified 2017
Lake regional clinic - iberia
CCN 268710, certified 2014, Medicare cost reimbursed
Lake regional clinic - camdenton
CCN 268707, certified 2014, Medicare cost reimbursed
Lake regional clinic - osage beach
CCN 268709, certified 2014, Medicare cost reimbursed
Lake regional clinic - lake ozark
CCN 268711, certified 2014, Medicare cost reimbursed
Lake regional clinic - eldon
CCN 268705, certified 2014, Medicare cost reimbursed
Lake regional clinic - laurie
CCN 268708, certified 2014, Medicare cost reimbursed
Lake regional clinic - lebanon
CCN 268785, certified 2022, Medicare cost reimbursed
Lake regional clinic - camdenton ec
CCN 268787, certified 2022, Medicare cost reimbursed
Lake regional clinic - ob/gyn
CCN 268786, certified 2022, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Lake Regional Health System's latest Medicare cost report (HCRIS).
About Lake Regional Health System's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lake Regional Health System range from $856 to $2,565 across 4 insurers. Blue Cross Blue Shield's rate is $2,053. The median at nearby comparable hospitals is $747. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lake Regional Health System range from $486 to $3,538 across 4 insurers. Aetna's rate is $486. The median at nearby comparable hospitals is $535. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lake Regional Health System range from $407 to $3,354 across 4 insurers. Cigna's rate is $2,182. The median at nearby comparable hospitals is $2,110. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Lake Regional Health System range from $2,009 to $9,774 across 4 insurers. Aetna's rate is $3,000. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lake Regional Health System range from $197 to $608 across 4 insurers. Aetna's rate is $197. The median at nearby comparable hospitals is $133. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lake Regional Health System has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Lake Regional Health System for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lake Regional Health System's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (123 discharges), simple pneumonia and pleurisy with mcc (79 discharges), heart failure and shock with mcc (75 discharges).
Lake Regional Health System's Medicare case mix index is 1.71 for fiscal year 2027, higher than 53% of hospitals paid under the inpatient prospective payment system.
Lake Regional Health System reported 4,678 inpatient discharges and 17,733 inpatient days from May 1, 2024 to Apr 30, 2025.
Lake Regional Health System reported 1,024 full-time-equivalent employees on payroll from May 1, 2024 to Apr 30, 2025.
Lake Regional Health System reported $249.7M in net patient revenue on $918.3M of gross charges for May 1, 2024 to Apr 30, 2025, an operating margin of -6.3%, and net income of $4.2M.
Lake Regional Health System reported $17.6M of unreimbursed and uncompensated care for May 1, 2024 to Apr 30, 2025, including $7.2M of charity care at cost.
Lake Regional Health System's Medicare enrollment lists Jason Hulett as Vice President since 2022. Its 2024 IRS Form 990 lists Kevin Mcroberts as CEO.
Insurers' price transparency files list Lake Regional Health System under employer identification number 23-7339737 (Lake Regional Health System). 59 health plans and networks list 23-7339737 for it.
Yes. HRSA's 340B database lists Lake Regional Health System (340B ID SCH260186-00) as a participating sole community hospital since 2017, with 82 active contract pharmacies.
409 clinicians who bill Medicare list Lake Regional Health System as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (53), diagnostic radiology physician (34), family medicine physician (30).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lake Regional Health System, effective 2022.
CMS lists 24 services at Lake Regional Health System, including Anesthesia, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit, Dental Care, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lake Regional Health System came from ZIP codes 65020 (370), 65536 (235), 65065 (215).
Lake Regional Health System has 121 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 99 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Lake Regional Health System is located at 54 Hospital Drive, Osage Beach, MO 65065. Its main phone number is (573) 348-8000.
Lake Regional Health System's CMS Certification Number (CCN), also called its Medicare provider number, is 260186.
The National Provider Identifier (NPI) on file for Lake Regional Health System is 1386619450.
Lake Regional Health System lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
309 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers