Lake Cumberland Regional Hospital

305 Langdon Street · Somerset, KY 42503

🤖AI Overview

⚠️ This hospital charges 8.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$177.4M

Medicare Payments

$21.2M

Discharges

2,003

Avg Length of Stay

4.8 days

Markup Ratio

8.4x

Risk Score

1.95

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Lake Cumberland Regional Hospital charges an average of $88,576 per discharge, but Medicare only pays $10,590 — a markup of 8.4x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

8.4x

State Avg

5.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$88,576

State Avg

$68,838

National Avg

$69,838

Avg Length of Stay

This Hospital

4.8 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

19.4%

65–74

31.9%

75–84

31.3%

85+

17.4%

Gender

52.4%

Female

47.6%

Male

Dual Eligibility

38.9%

Dual Eligible

61.1%

Non-Dual

Race & Ethnicity

White

97.3%

Black

0.9%

Other

1.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Ischemic Heart Disease

52.4%

Arthritis

47.6%

Diabetes

46.8%

Anxiety

43.2%

Mood Disorders

41.5%

COPD

40.8%

Heart Failure

38.9%

Depression

38.4%

Atrial Fibrillation

35.8%

Chronic Kidney Disease

35.2%

Tobacco Use

29.8%

Alzheimer's/Dementia

21.7%

Stroke/TIA

20.8%

Cancer

18.1%

Osteoporosis

15.3%

Substance Use

13.1%

Bipolar Disorder

11.4%

Asthma

9.8%

Schizophrenia/Psychosis

9.1%

Parkinson's

4.6%

PTSD

3.8%

ADHD/Conduct Disorders

2.7%

Personality Disorders

2.0%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.