Lake Cumberland Regional Hospital
Somerset, Kentucky 42503
Billing Grade
F
Relative fairness percentile: P81
Avg Markup
31.5x
CMS Stars
N/A
Patient Experience
Not Reported
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Last updated: 2026-02-18
Average markup vs Medicare: 31.5x
Cash/self-pay discount avg: 40.0%
Charity care (% revenue): N/A
State rank by markup: 2
Billing Grade Position
This hospital marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| CPT | Description | Hospital | Cash | Medicare | Markup |
|---|---|---|---|---|---|
| 20610 | Joint Injection (drainage) | $4195.58 | $1678.23 | $39.75 | 105.5x |
| 23472 | Shoulder Replacement | $51813.69 | $51813.69 | $1300.30 | 39.8x |
| 11042 | Wound Debridement | $1324.25 | $529.70 | $55.78 | 23.7x |
| 22630 | Arthrd pst tq 1ntrspc lum | $11304.64 | $11304.64 | $1510.72 | 7.5x |
| 10060 | Abscess Drainage | $644.05 | $257.62 | $100.54 | 6.4x |
| 22551 | Cervical Spine Fusion | $9369.23 | $3747.69 | $1604.91 | 5.8x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Lake Cumberland Regional Hospital
Last updated: 2026-02-18
Lake Cumberland Regional Hospital currently shows a billing grade of F with an average markup around 31.5x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, ask for the cash/self-pay schedule first. Recent cash discounts are around 40.0%, which can be a practical anchor in your negotiation.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
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· Grade D
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Encompass Health Rehabilitation Hospital of Northern Kentucky
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Georgetown Community Hospital
· Grade F
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Manchester Memorial Hospital
· Grade C
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Memorial Hospital
· Grade F
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Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.