Price AtlasInteractive atlas · All states · techysurgeon.comLake Cumberland Regional Hospital: what a joint replacement costs
Somerset, KY 42503 · CMS Certification Number 180132. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Lake Cumberland Regional Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,473 |
| Shoulder replacement | — | — | — | $15,948 |
| Hip replacement after a fracture (DRG 522) | $15,630 | $135,208 | 8.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,505 | — | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $26,505 | — | 1 |
From the hospital's price-transparency file (2026-07-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-30); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 215 beds
Kentucky requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Lake Cumberland Regional Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,473 per outpatient hip or knee replacement case (APC 5115, 49 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Lake Cumberland Regional Hospital?
Yes for Medicare facility payments. Lake Cumberland Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,082 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Lake Cumberland Regional Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $26,505 across 1 insurer.