HCA Healthcare · Bountiful, UT
5 of 5
CMS star rating
93
Beds
3,200
Inpatient discharges a year
$129.1M
Net patient revenue a year
31
In-network payers
Lakeview Hospital is a 93-bed voluntary non-profit - other hospital in Bountiful, UT, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 305 disclosed rate categories.
The 24 services Lakeview Hospital 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.
Childbirth · Inpatient
MS-DRG 807
$8,493 - $14,016
from 4 insurers · median $9,701
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
$12,788 - $20,584
from 4 insurers · median $13,699
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
Medicine & Surgery · Inpatient
MS-DRG 460
$54,622 - $91,990
from 4 insurers · median $68,829
14 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 49505
$5,074 - $8,540
from 3 insurers · median $8,267
30 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 74177
$510 - $1,234
from 4 insurers · median $859
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,493 - $14,016
from 4 insurers · median $9,701
CMS lists this service as CPT 59610, 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
Medicine & Surgery
CPT 47562
$3,145 - $15,824
from 3 insurers · median $13,574
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$185 - $3,153
from 4 insurers · median $1,921
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$31,248 - $58,438
from 4 insurers · median $45,285
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$2,814 - $15,824
from 3 insurers · median $14,119
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$25,585 - $55,158
from 4 insurers · median $41,545
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$1,746 - $4,640
from 4 insurers · median $2,891
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,712 - $4,640
from 4 insurers · median $2,891
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$479 - $4,640
from 4 insurers · median $1,971
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 27446
$5,312 - $47,431
from 4 insurers · median $26,918
333 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$128 - $431
from 4 insurers · median $181
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$245 - $1,089
from 4 insurers · median $374
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,173 - $23,165
from 4 insurers · median $10,356
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$2,676 - $3,249
from 2 insurers · median $2,962
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$659 - $1,513
from 4 insurers · median $846
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,791 - $15,824
from 3 insurers · median $13,574
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,114 - $15,943
from 3 insurers · median $15,824
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$1,797 - $7,048
from 3 insurers · median $4,726
46 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$149 - $213
from 4 insurers · median $193
Common here, based on CMS Medicare volume
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 | 256% | 12 | 4 |
| Insurer B* | 24 | 240% | 17 | 4 |
| Insurer C* | 17 | 223% | 8 | 4 |
| Insurer D* | 23 | 139% | 12 | 4 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 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 Lakeview Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$129.1M net patient revenue
Ownership and leadership
Owned by HCA Healthcare Inc
The employer identification numbers (EINs) health plans and networks list for Lakeview Hospital 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 |
|---|---|---|
| 87-0322019Lakeview Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 52 more | 1528010451 Hospital Corporation Of Utah1497709471 Hospital Corporation Of Utah1689628661 Hospital Corporation Of Utahand 1 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.
630 East Medical Drive, Bountiful, UT 84010
(801) 299-2200
How Lakeview Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 2 measures
1 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 5 measures
2 better, 3 no different, 0 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
67%
Lower than 65% 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 80% 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
124 min
Lower 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
88%
Higher than 95% 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 | 5 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | Better on 1 of 2 measures | |
| Readmissions | Better on 2 of 5 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 | 67% | 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 | 124 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 88% | 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 Lakeview Hospital's inpatient payments for its readmissions, quality and cost results.
-0.16% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.48% 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 Lakeview Hospital, beside the US median and the average of UT 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 | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 37 cases | 6 | 4.1 | 4.368 | Worse than 96% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 870 cases | 4 | 3.9 | 3.893 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.8 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.171 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.722 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 65 cases | 11.1 | 11 | 11.45 | Worse than 51% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 93 cases | 13.6 | 15.2 | 14.31 | Better than 74% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 48 cases | 10.9 | 11.6 | 12.74 | Better than 64% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 671 cases | 0.44 | 0.51 | 0.4975 | No Different Than the National Rate | Better than 61% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 170 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,192 cases | 0.19 | 0.2 | 0.2072 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,138 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 427 cases | 2.17 | 2.29 | 2.377 | No Different Than the National Rate | Better than 70% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 241 cases | 1.64 | 1.63 | 1.68 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 248 cases | 7.81 | 8.88 | 8.344 | No Different Than the National Rate | Better than 74% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 423 cases | 3.37 | 3.4 | 3.179 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 220 cases | 4.86 | 5.105 | 5.052 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 67 cases | 1.74 | 1.72 | 1.748 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 252 cases | 1.01 | 1.02 | 1.039 | No Different Than the National Rate | Better than 53% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | -8.23 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 70 cases | -42.3 | 1.25 | -40.47 | Better than 94% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 94 cases | -45.9 | 3.85 | -32.08 | Better than 97% 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 · 44 cases | 13.4 | 12.9 | 13.09 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 9.769 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 425 cases | 0.9 | 1 | 1.024 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 48 cases | 13.9 | 14.4 | 13.77 | Better than 72% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.1 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.52 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 95 cases | 20 | 21.3 | 20.41 | Better than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 38 cases | 5.7 | 5.8 | 5.645 | Better than 52% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 150 cases | 15.7 | 17.2 | 16.57 | Better than 96% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1904 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.802 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 277 | 1,370 | 2,848 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.18 | 0.9835 | 3.107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.436 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4316 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1853 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.835 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 326 | 1,799 | 2,623 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.214 | 1.377 | 3.251 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.341 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.462 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2843 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 21 | 61 | 87.77 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.564 | 1.591 | 2.645 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 1.667 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7303 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.111 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.35 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 68 | 38 | 63.94 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.6 | 0.328 | 0.5736 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.1875 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.2934 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2058 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.041 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 14,252 | 14,451 | 26,685 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.493 | 0.567 | 1.633 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.7 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.4628 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.01 | 0.127 | 0.1297 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.001 | 0.747 | 1.215 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 13,054 | 13,646 | 22,549 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.926 | 5.683 | 14.07 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.95 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.203 | 0.279 | 0.2259 | No Different than National Benchmark | Better than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 454 cases | 80 | 73 | 78.52 | Better than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 454 cases | 6 | 8 | 6 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 454 cases | 14 | 18 | 15.48 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 91 | 87 | 89.74 | Better than 81% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 454 cases | 4 | 4 | 4.029 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 454 cases | 79 | 80 | 80.75 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 92 | 91 | 92.15 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 454 cases | 3 | 4 | 3.159 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 454 cases | 4 | 3 | 3.824 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 454 cases | 18 | 16 | 16.09 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 454 cases | 78 | 79 | 82.32 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 91 | 91 | 92.35 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 454 cases | 6 | 5 | 4.136 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 454 cases | 3 | 3 | 3.765 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 454 cases | 16 | 16 | 13.55 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 454 cases | 59 | 61 | 62.91 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 78 | 77 | 78.21 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 454 cases | 18 | 19 | 16.82 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 454 cases | 3 | 3 | 2.912 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 454 cases | 23 | 19 | 20.27 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 88 | 86 | 88.15 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 454 cases | 12 | 13 | 11.3 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 454 cases | 4 | 3 | 3.882 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 454 cases | 88 | 87 | 88.7 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 454 cases | 11 | 14 | 12.34 | Better than 77% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 454 cases | 89 | 86 | 87.66 | Better than 77% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 73 | 74 | 77.59 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 7 | 7 | 5.537 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 20 | 19 | 16.88 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 76 | 77 | 80.66 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 6 | 6 | 4.61 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 18 | 17 | 14.73 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 85 | 85 | 87.83 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 4 | 3 | 2.78 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 11 | 11 | 9.39 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 454 cases | 8 | 8 | 6.341 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 454 cases | 21 | 20 | 16.09 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 454 cases | 71 | 72 | 77.57 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 88 | 88 | 89.94 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 454 cases | 3 | 3 | 3.824 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 454 cases | 73 | 74 | 75.76 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 454 cases | 9 | 9 | 8.146 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 454 cases | 18 | 16 | 16.1 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 73 | 75 | 75.51 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 5 | 5 | 4.39 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 454 cases | 22 | 20 | 20.1 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 78 | 77 | 78.83 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 3 | 4 | 3.024 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 454 cases | 19 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 87 | 86 | 87.8 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 2 | 3 | 2.171 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 454 cases | 11 | 11 | 10.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 454 cases | 61 | 59 | 62.3 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 454 cases | 7 | 9 | 7.977 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 454 cases | 32 | 31 | 29.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 84 | 82 | 83.41 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 454 cases | 4 | 3 | 3.735 | 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 · 454 cases | 6 | 5 | 3.909 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 454 cases | 67 | 71 | 76.52 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 454 cases | 86 | 87 | 89.74 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 454 cases | 27 | 23 | 19.57 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 454 cases | 3 | 4 | 4.265 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 454 cases | 46 | 47 | 48.73 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 454 cases | 28 | 30 | 27.17 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 454 cases | 26 | 22 | 24.1 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 454 cases | 4 | 3 | 3.794 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 454 cases | 12 | 12 | 9.976 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 454 cases | 88 | 88 | 90.02 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | 7.571 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8571 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,086 cases | 86 | 79 | 87.42 | Better than 62% 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 · 419 cases | 125 | 154 | 140 | Better than 75% 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 · 397 cases | 124 | 148 | 135 | Better 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 · 18 cases | 319 | 247 | 233 | Worse than 74% 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 | Not Available | 231 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 15,780 cases | 0 | 1 | 0.7179 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 71 | 74 | 69.3 | Worse than 55% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 95.56 | |||
| 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 | Not Available | 43.67 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,150 cases | 17 | 15 | 13.68 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 121 cases | 88 | 65 | 67.25 | Better than 95% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 37 cases | 95 | 73 | 73.54 | Better than 93% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 100 | 88 | 83.55 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 121 cases | 93 | 82 | 83.47 | Better than 90% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 97 cases | 99 | 94 | 91.88 | Better than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.4 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 884 cases | 98 | 90 | 84.69 | Better than 84% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 422 cases | 99 | 97 | 96.55 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.1 | 5 | 5.754 | Better than 84% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8 | 6.6 | 6.782 | Worse than 66% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1 | 0.99 | 0.9613 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 50 | 20 | 22.61 | Better than 89% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 12.5 | 5 | 5.682 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 26.21 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 6.983 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 52 | 34 | 49.55 | Better than 78% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 13 | 8.75 | 13.06 | Better than 77% of US hospitals | |
| VBP safety domain scoreFY 2026 | 100 | 40 | 54.56 | Better than 99% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 25 | 10 | 13.82 | Better than 99% of US hospitals | |
| VBP total performance scoreFY 2026 | 50.5 | 29.5 | 37.92 | Better than 94% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 36 | 42.5 | 63.33 | 30 | 26.67 | 50 |
| VBP clinical outcomes weighted domain score | 12 | 10.63 | 15.83 | 10 | 8.889 | 12.5 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 10 | 50 | 20 | 0 |
| VBP efficiency and cost reduction weighted domain score | 6.667 | Not Available | 2.5 | 16.67 | 6.667 | 0 |
| VBP person and community engagement domain score | 38 | Not Available | Not Available | 34 | 24 | 52 |
| VBP person and community engagement weighted domain score | 12.67 | Not Available | Not Available | 11.33 | 8 | 13 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 100 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 25 |
| VBP total performance score | 31.33 | Not Available | Not Available | 38 | 23.56 | 50.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.96 | 0.9995 | 0.9397 | Better than 75% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9512 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9764 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 68 cases | 1.06 | 0.9983 | 0.9374 | Worse than 82% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.935 | 0.9955 | 0.9471 | Better than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.99 | 0.9732 | 0.9419 | 0.951 | 0.947 | 0.96 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9933 | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9607 | 0.9647 | 0.9881 | 1.028 | 1.099 | 1.06 |
| READM-30-HIP-KNEE-HRRP | 1.027 | 1.021 | 0.8968 | 0.8664 | N/A | N/A |
| READM-30-PN-HRRP | 0.9444 | 0.944 | 0.9347 | 0.95 | 0.9359 | 0.935 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lakeview Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.3544 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3659 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.3921 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5785 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8742 | 0.9628 | 0.914 | Better than 80% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.876 | 0.7945 | 0.6329 | Worse than 56% of US hospitals | |
| Total HAC scoreFY 2026 | -0.7385 | -0.0453 | -0.4019 | Better than 89% 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 | No | No | No |
| Total HAC score | -0.6633 | -1.11 | 0 | -0.8888 | -1.204 | -0.7385 |
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
117
Medicare-certified beds
157
Registered nurses (full-time equivalent)
1976
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lakeview Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
3,200
Inpatient discharges
Medicare 21%, Medicaid 6%
13,264
Inpatient days
41% of available bed days used
343
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831011). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lakeview Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,949 | 1,158 | 10,157 | 13,264 |
| Discharges | 661 | 185 | 2,354 | 3,200 |
| Average length of stay | 2.9 days | 6.3 days | 4.3 days | 4.1 days |
| Average daily census | 5.3 | 3.2 | 27.8 | 36.3 |
2,344
Medicare Advantage days
712 discharges
1,958
Medicaid managed care days
341 discharges
589
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 85 | 9,959 | 1,537 | 33% |
| Intensive care unit | 8 | 2,091 | 412 | 72% |
| Nursery | 1,214 | |||
| Subprovider - ipf | 694 | 100 | 57% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lakeview Hospital treats Medicare patients for most often, in 2024. 224 Medicare discharges in 10 published DRGs; 45% surgical; 66% 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 | 77 | $73,889 | $12,100 | $11,083 | 1.98 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 34 | $159,614 | $29,658 | $23,942 | 4.61 |
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $56,993 | $7,557 | $8,549 | 1.28 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 18 | $138,810 | $16,330 | $20,822 | 2.67 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 13 | $48,197 | $9,443 | $7,230 | 1.70 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $150,560 | $20,816 | $22,584 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $111,989 | $13,350 | $16,798 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $95,170 | $12,044 | $14,276 | 1.88 |
| Renal failure with CCMS-DRG 683, medical | 11 | $34,858 | $5,320 | $5,229 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $227,603 | $30,233 | $34,140 | 5.00 |
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) Lakeview Hospital billed Medicare for most in 2024: 851 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 333 | 308 | $88,588 | $10,082 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 84 | 81 | $27,314 | $1,906 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 48 | 42 | $15,801 | $1,129 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 29 | $14,683 | $1,378 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $67,122 | $5,106 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 33 | $132,401 | $14,572 | $15,763 |
| Level 1 Endovascular ProceduresAPC 5191 | 31 | 31 | $38,429 | $2,098 | $2,208 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 30 | $30,269 | $2,469 | $2,636 |
| Level 2 Upper GI ProceduresAPC 5302 | 27 | 26 | $22,658 | $1,317 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 25 | 23 | $50,787 | $2,389 | $2,629 |
See all 19 Medicare outpatient services at Lakeview Hospital
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 Lakeview Hospital 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 1,242 in 2020 to 1,166 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 84010 | 519 | 45% | 1,630 | $44.1M | 42% | 48% |
| 84014 | 159 | 14% | 412 | $13.7M | 41% | 46% |
| 84087 | 134 | 11% | 426 | $11.8M | 49% | 52% |
| 84054 | 116 | 10% | 376 | $10M | 35% | 30% |
| 84025 | 90 | 8% | 290 | $8M | 21% | 25% |
| 84041 | 42 | 4% | 165 | $5.5M | 4% | 3% |
| 84037 | 36 | 3% | 111 | $3.9M | 5% | 6% |
| 84015 | 28 | 2% | 70 | $3.5M | 2% | 2% |
| 84075 | 14 | 1% | 25 | $1.7M | 3% | |
| 84116 | 14 | 1% | 38 | $1.5M | 2% | 5% |
| 84404 | 14 | 1% | 27 | $1M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,166 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 Lakeview Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
2
Cardiac catheterization rooms
8
Psychiatric unit beds
157
Registered nurses
4
Pharmacists
9
Respiratory therapists
5
Physical therapists
2
Occupational therapists
5
Radiology technicians
1
Nuclear medicine technicians
9
Medical technologists
1
Dietitians
4
Social workers
122
Other personnel
Source: CMS Provider of Services file.
212 clinicians who bill Medicare list Lakeview Hospital 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.
Belisario Arango, MD
Hematology & Oncology Physician
NPI 1295976827
See commercial rates for Belisario Arango, MDLauren Zollinger, M.D., M.P.H.
Diagnostic Radiology Physician
NPI 1548443716
See commercial rates for Lauren Zollinger, M.D., M.P.H.Peter Fenton, M.D.
Gastroenterology Physician
NPI 1952311797
See commercial rates for Peter Fenton, M.D.Wayne Ormsby, M.D.
Medical Oncology Physician
NPI 1851417158
See commercial rates for Wayne Ormsby, M.D.Tyler Williams, M.D.
Internal Medicine Physician
NPI 1073798377
See commercial rates for Tyler Williams, M.D.Tracy Robinson, M.D.
Diagnostic Radiology Physician
NPI 1689998924
See commercial rates for Tracy Robinson, M.D.David Smith, M.D.
Internal Medicine Physician
NPI 1154575637
See commercial rates for David Smith, M.D.Braiden Heaps, M.D.
Orthopaedic Surgery Physician
NPI 1245625102
See commercial rates for Braiden Heaps, M.D.Scott Hacking, M.D.
Interventional Cardiology Physician
NPI 1992712285
See commercial rates for Scott Hacking, M.D.Hu Ding, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1710923552
See commercial rates for Hu Ding, MDRoja Mulamalla, MD
Cardiovascular Disease Physician
NPI 1396869681
See commercial rates for Roja Mulamalla, MDBradley Waterman, MD
Urology Physician
NPI 1699718809
See commercial rates for Bradley Waterman, MDClint Wooten, MD
Orthopaedic Surgery Physician
NPI 1730317652
See commercial rates for Clint Wooten, MDMark Martinez, MD
Pulmonary Disease Physician
NPI 1508861964
See commercial rates for Mark Martinez, MDChristopher Kim, MD
Cardiovascular Disease Physician
NPI 1457650442
See commercial rates for Christopher Kim, MDDaniel Orme, MD
Neurology Physician
NPI 1922660950
See commercial rates for Daniel Orme, MDDaniel Humiston, MD
Cardiovascular Disease Physician
NPI 1780679829
See commercial rates for Daniel Humiston, MDAlex Nelson, M.D.
Interventional Pain Medicine Physician
NPI 1730405408
See commercial rates for Alex Nelson, M.D.Tony Trinh, M.D.
Diagnostic Radiology Physician
NPI 1730528308
See commercial rates for Tony Trinh, M.D.Jason Kirkham, M.D.
Diagnostic Radiology Physician
NPI 1164421798
See commercial rates for Jason Kirkham, M.D.Brian Montgomery, MD
Urology Physician
NPI 1356788301
See commercial rates for Brian Montgomery, MDJoshua Oaks, M.D.
Internal Medicine Physician
NPI 1205221405
See commercial rates for Joshua Oaks, M.D.Daniel Fronk, MD
Cardiovascular Disease Physician
NPI 1639515869
See commercial rates for Daniel Fronk, MDAdriene Eastaway, MD
Diagnostic Radiology Physician
NPI 1164940821
See commercial rates for Adriene Eastaway, 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 Lakeview Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $680.1M | 527.0% |
| Inpatient | $257.8M | 199.7% |
| Outpatient | $422.3M | 327.2% |
| Contractual allowances and discounts | -$551M | -427.0% |
| Net patient revenue | $129.1M | 100.0% |
| Operating expenses | -$70.7M | -54.8% |
| Operating income from patient care | $58.3M | 45.2% |
| Other income | $314,355 | 0.2% |
| Net income | $58.6M | 45.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $136.5M | 20.1% |
| Medicaid (including managed care) | $60M | 8.8% |
| Other payers and self-pay | $483.5M | 71.1% |
| Total charges | $680.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, 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.
Computed from Lakeview Hospital's latest cost report.
45.2%
Operating margin
Operating income from patient care / net patient revenue
45.3%
Total margin
Net income / net patient revenue plus other income
50.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
54% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.22
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
77.1%
Return on assets
Net income for a year / total assets
14.9%
Return on equity
Net income for a year / fund balance
-0.87
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.69
Current ratio
Current assets / current liabilities
4.03
Quick ratio
Cash, temporary investments and net receivables / current liabilities
86 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
47 days
Days in patient receivables
Net patient receivables / daily net patient revenue
45 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.70
Asset turnover
Total revenue for a year / total assets
10.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lakeview Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $76.1M in total assets and a $392.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $15.2M | 19.9% |
| Patient receivables, net | $16.8M | 22.0% |
| Inventory | $3M | 4.0% |
| Total current assets | $37.1M | 48.8% |
| Property and equipment, net of depreciation | $34.9M | 45.9% |
| Investments and other assets | $4M | 5.3% |
| Total assets | $76.1M | 100.0% |
| Current liabilities | $7.9M | 10.4% |
| Long-term debt | -$340.5M | -447.5% |
| Total liabilities | -$316.6M | -416.2% |
| Fund balance (net assets) | $392.7M | 516.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lakeview Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.1M
Bad debt
Patient bills written off as uncollectible, at charges
-$14.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$197,832
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$3.7M
Total unreimbursed and uncompensated care
5.2% 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 831011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lakeview Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $91.9M | $108.5M | $111.5M | $114.1M | $124.9M | $129.1M |
| Operating expenses | $66.5M | $68.9M | $74.4M | $66.5M | $67.4M | $70.7M |
| Operating margin | 27.6% | 36.5% | 33.2% | 41.7% | 46.0% | 45.2% |
| Net income | $25.8M | $38.1M | $37.4M | $47.9M | $58.1M | $58.6M |
| Total assets | $67.4M | $71.2M | $69.9M | $73.9M | $77.3M | $76.1M |
| Discharges | 3,214 | 3,211 | 2,981 | 3,004 | 3,089 | 3,200 |
| Inpatient days | 11,659 | 12,695 | 12,126 | 11,331 | 11,606 | 13,264 |
| Medicare Advantage days | 1,590 | 2,153 | 2,205 | 1,973 | 2,191 | 2,344 |
| Beds | 88 | 92 | 92 | 72 | 92 | 93 |
| Employees (FTE) | 343 | 340 | 338 | 334 | 339 | 343 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lakeview Hospital 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 |
|---|---|---|---|---|---|
| Operating room | $3.9M | $12M | $79.7M | 0.15 | 17,951 |
| Impl. dev. charged to patients | $11M | $79.8M | 0.14 | ||
| Medical supplies charged to patient | $5.5M | $59.4M | 0.09 | 1,876 | |
| Emergency | $2.1M | $5M | $65.5M | 0.08 | 7,587 |
| Laboratory | $1.2M | $4.9M | $36.5M | 0.13 | 3,011 |
| Drugs charged to patients | $860,370 | $4M | $27.1M | 0.15 | 1,400 |
| Delivery room & labor room | $1M | $2.3M | $6.8M | 0.34 | 2,988 |
| Radiology-diagnostic | $597,495 | $2.2M | $5.2M | 0.43 | 6,161 |
| Physical therapy | $927,706 | $2.1M | $5.9M | 0.36 | 625 |
| Respiratory therapy | $883,011 | $2.1M | $5.5M | 0.38 | 1,071 |
| Cardiac catheterization | $848,658 | $2.1M | $56.3M | 0.04 | 2,048 |
| Ct scan | $758,511 | $1.7M | $72M | 0.02 | 1,142 |
| Radioisotope | $422,318 | $1.1M | $10M | 0.11 | 914 |
| Ultra sound | $515,492 | $1.1M | $12.1M | 0.09 | 1,187 |
| Clinic | $461,919 | $980,957 | $16.2M | 0.06 | |
| Recovery room | $425,133 | $974,589 | $10M | 0.10 | 952 |
| Observation beds (non-distinct part | $941,558 | $5.2M | 0.18 | ||
| Wound care center | $345,849 | $806,120 | $5.8M | 0.14 | |
| Electrocardiology | $233,205 | $636,661 | $4.4M | 0.14 | 296 |
| Behavioral health iop | $150,782 | $431,830 | $1.3M | 0.33 | |
| Endoscopy | $154,815 | $325,457 | $3.3M | 0.10 | 410 |
| Mri | $151,708 | 1,200 | |||
| Anesthesiology | $77,195 | $23.5M | 0.00 | 100 | |
| Renal dialysis | $71,851 | $563,048 | 0.13 | ||
| Electroencephalography | $17,862 | $31,879 | $143,165 | 0.22 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $4.3M | $16.9M | $57.3M | 0.29 | 39,330 |
| Intensive care unit | $1.6M | $4.1M | $19.1M | 0.22 | 6,006 |
| Nursery | $1M | $2.1M | $6.6M | 0.32 | 935 |
| Subprovider - ipf | $969,451 | $1.2M | $4.7M | 0.25 | 1,919 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.1M | $16.4M | 54,439 | $57.39 | 10,845 |
| Employee benefits department | $75,464 | $6.1M | 1,599 | $47.18 | 1,108 |
| Operation of plant | $431,112 | $4.4M | 11,400 | $37.80 | 24,921 |
| Cap rel costs-mvble equip | $4.3M | ||||
| Cap rel costs-bldg & fixt | $2.3M | 146,427 | |||
| Nursing administration | $1.7M | $2.1M | 39,385 | $42.34 | 1,892 |
| Housekeeping | $598,318 | $1M | 27,396 | $21.83 | 846 |
| Cafeteria | $632,370 | 19,411 | $27.29 | 1,254 | |
| Dietary | $851,074 | $575,681 | 11,761 | $27.29 | 4,354 |
| Medical records & library | $480,219 | 362 | |||
| Laundry & linen service | $45,772 | $363,795 | 2,175 | $21.04 | 1,227 |
| Cap rel costs-pob bldg | $175,562 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831011, 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.
The factors Medicare uses to set what it pays Lakeview Hospital for an inpatient stay.
1.96
Case mix index
Higher than 76% 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).
25.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
650
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 1.92 | 1.92 | 1.90 | 2.05 | 2.01 | 2.12 | 1.96 |
| Wage index | 0.959 | 0.964 | 0.972 | 0.926 | 0.931 | 0.985 | 0.961 |
| Readmissions adjustment | -1.31% | -0.58% | -0.45% | 0.00% | -0.09% | -0.26% | -0.16% |
| Value-based purchasing adjustment | -0.52% | +0.01% | +0.01% | -0.38% | +1.61% | +0.11% | +1.48% |
| Medicare inpatient stays | 1,051 | 1,051 | 760 | 691 | 618 | 586 | 650 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lakeview Hospital reports to Medicare as owners or with operational control.
HCA Healthcare Inc
5% or greater indirect ownership interest, 100%, since 2017
HCA Inc
5% or greater indirect ownership interest, 100%, since 2007
Healthtrust Inc - The Hospital Company
5% or greater indirect ownership interest, 100%, since 2007
Utah Medco LLC
5% or greater direct ownership interest, 100%, since 2007
Hercules Holding II
5% or greater indirect ownership interest, 18%, since 2016
Frisco Holding II
5% or greater indirect ownership interest, 16.3%, since 2026
Sources: CMS Hospital All Owners.
The officers and board members on Lakeview Hospital'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 32 of 35 are shown.
Lakeview hospital - psych
CCN 46S042, certified 1983, Medicare prospective payment
Source: Worksheet S-2 Part I of Lakeview Hospital's latest Medicare cost report (HCRIS).
About Lakeview Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lakeview Hospital range from $659 to $1,513 across 4 insurers. Aetna's rate is $1,513. The median at nearby comparable hospitals is $1,121. 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 Lakeview Hospital range from $510 to $1,234 across 4 insurers. Aetna's rate is $1,234. The median at nearby comparable hospitals is $1,328. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lakeview Hospital range from $1,746 to $4,640 across 4 insurers. Blue Cross Blue Shield's rate is $3,057. The median at nearby comparable hospitals is $1,383. 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 Lakeview Hospital range from $8,493 to $14,016 across 4 insurers. Cigna's rate is $14,016. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lakeview Hospital range from $128 to $431 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $303. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Lakeview Hospital range from $25,585 to $55,158 across 4 insurers. Aetna's rate is $25,585. The median at nearby comparable hospitals is $26,361. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lakeview Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Lakeview Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lakeview Hospital's base inpatient payments by an estimated 0.16% 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 (77 discharges), combined anterior and posterior spinal fusion without cc/mcc (34 discharges), heart failure and shock with mcc (22 discharges).
Lakeview Hospital's Medicare case mix index is 1.96 for fiscal year 2027, higher than 76% of hospitals paid under the inpatient prospective payment system.
Lakeview Hospital reported 3,200 inpatient discharges and 13,264 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Lakeview Hospital reported 343 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Lakeview Hospital reported $129.1M in net patient revenue on $680.1M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 45.2%, and net income of $58.6M.
Lakeview Hospital reported $3.7M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $3.1M of charity care at cost.
Lakeview Hospital's Medicare enrollment lists Edwin W Robinson as Vice President since 2025.
Insurers' price transparency files list Lakeview Hospital under employer identification number 87-0322019 (Lakeview Hospital). 57 health plans and networks list 87-0322019 for it.
212 clinicians who bill Medicare list Lakeview Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (27), family medicine physician (21), diagnostic radiology physician (19).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lakeview Hospital, effective 2022.
In its Medicare enrollment, Lakeview Hospital reports HCA Healthcare Inc as 5% or greater indirect ownership interest (100%).
CMS lists 41 services at Lakeview Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lakeview Hospital came from ZIP codes 84010 (519), 84014 (159), 84087 (134).
Lakeview Hospital has 93 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 117 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Lakeview Hospital is located at 630 East Medical Drive, Bountiful, UT 84010. Its main phone number is (801) 299-2200.
Lakeview Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 460042.
The National Provider Identifier (NPI) on file for Lakeview Hospital is 1528010451.
Lakeview Hospital is affiliated with HCA Healthcare.
Lakeview Hospital lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
305 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