Lake Health
Lake Health in Concord, Ohio charges 5.9x the Medicare reimbursement rate across 61 analyzed procedures, positioning this nonprofit hospital within the moderate range of pricing variations.
Concord, OH 44077 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.92x
Charge / Medicare rate
Max markup
10.78x
Worst procedure
Procedures analyzed
61
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $36,588 | $18,294 | — | 10.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $50,197 | $25,099 | — | 8.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $32,819 | $16,409 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,415 | $21,707 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,354 | $19,677 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,539 | $9,770 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,026 | $15,013 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,899 | $13,450 | — | 7.4x |
| CHEST PAIN | 313 | $27,454 | $13,727 | — | 7.4x |
| DYSEQUILIBRIUM | 149 | $26,503 | $13,251 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,510 | $14,255 | — | 7.1x |
| DIABETES WITH CC | 638 | $32,853 | $16,426 | — | 7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,657 | $12,828 | — | 6.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $40,803 | $20,401 | — | 6.7x |
| RENAL FAILURE WITH CC | 683 | $32,887 | $16,444 | — | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $46,610 | $23,305 | — | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $28,303 | $14,151 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $50,138 | $25,069 | — | 6.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,954 | $22,477 | — | 6.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $47,955 | $23,977 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,014 | $12,507 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,119 | $20,559 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,468 | $27,734 | — | 6.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $61,589 | $30,794 | — | 6.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $38,102 | $19,051 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $15,531 | $7,765 | — | 6.1x |
| DIABETES WITH MCC | 637 | $49,891 | $24,946 | — | 6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $48,423 | $24,211 | — | 5.9x |
| RENAL FAILURE WITH MCC | 682 | $50,222 | $25,111 | — | 5.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,293 | $12,146 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $64,227 | $32,114 | — | 5.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,399 | $15,199 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,626 | $21,313 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $26,934 | $13,467 | — | 5.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $63,577 | $31,789 | — | 5.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $30,914 | $15,457 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,698 | $14,849 | — | 5.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $24,657 | $12,328 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $35,309 | $17,654 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,433 | $14,716 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $55,670 | $27,835 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $24,805 | $12,403 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $58,439 | $29,219 | — | 5.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $55,627 | $27,813 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,907 | $12,454 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $66,507 | $33,253 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $88,119 | $44,059 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,105 | $17,553 | — | 4.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $122,419 | $61,210 | — | 4.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $56,607 | $28,303 | — | 4.6x |
Showing 50 of 61 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use