Lakes Regional Healthcare Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lakes Regional Healthcare, Spirit Lake, IA in 2024, from traditional Medicare claims. Back to the Lakes Regional Healthcare profile, with quality ratings, finances and negotiated rates.
169
Medicare inpatient discharges
In 9 published DRGs
1.36
Case mix index
IPPS FY 2027
27%
Surgical stays
43%
Stays with complications
In DRGs with a CC or MCC
729
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue57 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 34 | $43,362 | $12,093 | $29,573 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $16,159 | $5,689 | $11,021 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $39,170 | $13,490 | $26,714 | 2.07 |
Respiratory system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $16,083 | $4,368 | $10,968 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $20,810 | $8,084 | $14,192 | 1.23 |
Infectious and parasitic diseases21 discharges in 1 DRGs
| 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 | 21 | $18,620 | $13,005 | $12,699 | 1.98 |
Circulatory system19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 19 | $19,755 | $8,394 | $13,473 | 1.28 |
Kidney and urinary tract19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $14,778 | $4,703 | $10,078 | 0.81 |
Endocrine, nutritional and metabolic16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $14,791 | $4,524 | $10,087 | 0.78 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 251 | 157 | $5,040 | $1,587 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 181 | 163 | $9,015 | $1,866 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 66 | 65 | $39,672 | $9,613 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 46 | $21,809 | $4,876 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 44 | 40 | $5,216 | $1,293 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 37 | 37 | $17,542 | $3,933 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 34 | 34 | $8,630 | $2,206 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 21 | 21 | $62,645 | $14,277 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 19 | $5,496 | $1,316 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 17 | 17 | $3,796 | $1,105 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 11 | $1,343 | $466 | $502 |
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.