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Short Term Acute Care HospitalGovernment - Local

Lakes Regional Healthcare

Avera Health · Spirit Lake, IA

2301 Highway 71 South, Spirit Lake, IA 51360(712) 336-1230

2 of 5

CMS star rating

44

Beds

1,014

Inpatient discharges a year

$68.8M

Net patient revenue a year

34

In-network payers

About this hospital

Lakes Regional Healthcare is a 44-bed government - local hospital in Spirit Lake, IA, affiliated with Avera Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 267 disclosed rate categories.

  • Medicare-dependent hospital
CCN
160124
NPI
1508862012
Website
avera.org
Health system
Avera Health
Teaching
No Medicare-funded residents
County
Dickinson County
Metro area
Spirit Lake, IA MicroSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-6037582Lakes Regional Healthcare58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more1508862012 Lakes Regional Healthcare1932163904 Lakes Regional Healthcare1972566875 Lakes Regional Healthcareand 11 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

2301 Highway 71 South, Spirit Lake, IA 51360

(712) 336-1230

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Frequently asked questions

About Lakes Regional Healthcare's rates and hospital price transparency.

What is Lakes Regional Healthcare's CMS star rating?

Lakes Regional Healthcare 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 Lakes Regional Healthcare a teaching hospital?

CMS reports no Medicare-funded interns or residents at Lakes Regional Healthcare for fiscal year 2027.

Does Medicare penalize Lakes Regional Healthcare for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lakes Regional Healthcare's base inpatient payments by an estimated 2.62% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Lakes Regional Healthcare?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (34 discharges), simple pneumonia and pleurisy with cc (21 discharges), septicemia or severe sepsis without mv >96 hours with mcc (21 discharges).

What is Lakes Regional Healthcare's case mix index?

Lakes Regional Healthcare's Medicare case mix index is 1.36 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.

How many patients does Lakes Regional Healthcare admit?

Lakes Regional Healthcare reported 1,014 inpatient discharges and 3,646 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Lakes Regional Healthcare have?

Lakes Regional Healthcare reported 223 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Lakes Regional Healthcare make?

Lakes Regional Healthcare reported $68.8M in net patient revenue on $148.3M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 0.2%, and net income of $5.2M.

How much charity and uncompensated care does Lakes Regional Healthcare provide?

Lakes Regional Healthcare reported $1.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $164,495 of charity care at cost.

What is Lakes Regional Healthcare's tax ID (EIN)?

Insurers' price transparency files list Lakes Regional Healthcare under employer identification number 42-6037582 (Lakes Regional Healthcare). 58 health plans and networks list 42-6037582 for it.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • Missing, duplicate and outdated charge lines identified
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