Lake Health: charges and Medicare payments

Lake Health reported 1,727 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 4.63 times what it was paid — among the higher ratios in Ohio, number 31 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 193 stays at an average charge of $39,066, 31% below the national average. It also billed 1,394 outpatient services, charging 6.61 times what Medicare paid.

1Medicare inpatient stays 1,727
2Charge ÷ paid, inpatient 4.63×
3Rank in OH (highest ratio = 1) 31 of 104
4CMS price-transparency actions 0

Average charge per stay at Lake Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 51 DRGs that can be compared with the national average, Lake Health charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	193	$39,066	-31%	$8,161
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	177	$55,592	-38%	$12,333
177 Respiratory Infections and Inflammations with MCC	130	$47,320	-33%	$10,431
689 Kidney and Urinary Tract Infections with MCC	68	$34,693	-32%	$7,552
193 Simple Pneumonia and Pleurisy with MCC	66	$36,797	-38%	$8,219
190 Chronic Obstructive Pulmonary Disease with MCC	57	$36,978	-27%	$7,241
682 Renal Failure with MCC	43	$39,019	-41%	$9,252
690 Kidney and Urinary Tract Infections without MCC	43	$23,276	-38%	$5,351
308 Cardiac Arrhythmia and Conduction Disorders with MCC	42	$40,386	-29%	$7,993
698 Other Kidney and Urinary Tract Diagnoses with MCC	42	$33,709	-54%	$10,341
309 Cardiac Arrhythmia and Conduction Disorders with CC	40	$23,967	-34%	$5,183
603 Cellulitis without MCC	39	$21,339	-43%	$5,642
683 Renal Failure with CC	38	$24,706	-39%	$6,091
280 Acute Myocardial Infarction, Discharged Alive with MCC	37	$53,604	-29%	$9,122
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$22,893	-43%	$5,275
189 Pulmonary Edema and Respiratory Failure	35	$41,791	-27%	$8,400
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$26,714	-28%	$5,322
481 Hip and Femur Procedures except Major Joint with CC	34	$59,402	-41%	$12,265
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$30,699	-45%	$6,512
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$37,740	-37%	$8,251
378 Gastrointestinal Hemorrhage with CC	28	$31,704	-35%	$6,374
312 Syncope and Collapse	26	$24,229	-47%	$5,558
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$42,050	-58%	$10,706
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	24	$25,865	-47%	$6,518
853 Infectious and Parasitic Diseases with O.R. Procedures with...	23	$132,040	-42%	$31,903
552 Medical Back Problems without MCC	22	$24,998	-49%	$6,515
377 Gastrointestinal Hemorrhage with MCC	21	$54,841	-36%	$10,385
281 Acute Myocardial Infarction, Discharged Alive with CC	20	$34,502	-32%	$6,256
069 Transient Ischemia without Thrombolytic	19	$26,854	-47%	$5,531
536 Fractures of Hip and Pelvis without MCC	18	$23,027	-39%	$4,907
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	17	$63,597	-38%	$13,668
638 Diabetes with CC	17	$23,084	-45%	$5,818
314 Other Circulatory System Diagnoses with MCC	16	$71,679	-24%	$15,979
389 Gastrointestinal Obstruction with CC	15	$25,586	-34%	$5,033
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	14	$34,558	-47%	$8,236
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	14	$23,912	-17%	$4,003
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$121,890	-26%	$18,818
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$85,843	-25%	$13,207
870 Septicemia or Severe Sepsis with MV >96 Hours	14	$182,878	-43%	$36,565
100 Seizures with MCC	13	$39,318	-58%	$12,499
208 Respiratory System Diagnosis with Ventilator Support <=96...	13	$55,316	-59%	$15,497
602 Cellulitis with MCC	13	$48,757	-19%	$9,351
101 Seizures without MCC	12	$24,657	-49%	$6,127
194 Simple Pneumonia and Pleurisy with CC	12	$28,216	-26%	$5,674
253 Other Vascular Procedures with CC	12	$101,600	-23%	$17,593
470 Major Hip and Knee Joint Replacement or Reattachment of...	12	$68,356	-27%	$12,320
480 Hip and Femur Procedures except Major Joint with MCC	12	$80,502	-42%	$18,324
811 Red Blood Cell Disorders with MCC	12	$54,061	-21%	$8,544
884 Organic Disturbances and Intellectual Disability	12	$31,536	-49%	$9,360
091 Other Disorders of Nervous System with MCC	11	$43,381	-48%	$11,286
812 Red Blood Cell Disorders without MCC	11	$33,771	-24%	$6,351

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	291	$15,265	$2,236
Level 2 Excision/ Biopsy/ Incision and Drainage	158	$7,325	$1,312
Level 5 Musculoskeletal Procedures	139	$54,573	$10,808
Level 4 Musculoskeletal Procedures	75	$33,397	$5,831
Level 1 Endovascular Procedures	71	$25,882	$2,645
Level 3 Electrophysiologic Procedures	59	$89,495	$19,282
Level 1 Laparoscopy and Related Services	56	$30,406	$4,856
Level 3 Vascular Procedures	54	$15,044	$2,480
Level 1 Intraocular Procedures	49	$15,733	$1,795
Level 3 Excision/ Biopsy/ Incision and Drainage	47	$15,755	$2,333
Level 2 Neurostimulator and Related Procedures	35	$23,985	$4,838
Level 3 Endovascular Procedures	29	$54,180	$9,119
Level 2 Breast/Lymphatic Surgery and Related Procedures	26	$33,983	$5,396
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$20,258	$3,254
Level 3 Musculoskeletal Procedures	22	$21,934	$2,518
Level 6 Musculoskeletal Procedures	22	$77,928	$15,230
Level 3 Lower GI Procedures	22	$13,571	$2,256
Level 4 Gynecologic Procedures	22	$14,335	$2,451
Level 5 Neurostimulator and Related Procedures	19	$107,402	$26,433
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	18	$24,379	$2,954
Level 3 Urology and Related Services	17	$8,964	$1,739
Level 4 Vascular Procedures	16	$30,228	$4,691
Level 3 Pacemaker and Similar Procedures	16	$32,078	$9,111
Level 4 Urology and Related Services	15	$17,629	$2,976
Level 2 Vascular Procedures	14	$6,848	$1,367

Against the Ohio average

For Heart Failure and Shock with MCC (DRG 291), Lake Health charged $39,066 on average, 9% less than the Ohio average of $42,986, and was paid $8,161 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Health charged $55,592 on average, 14% less than the Ohio average of $64,290, and was paid $12,333 against a state average of $15,664. For Respiratory Infections and Inflammations with MCC (DRG 177), Lake Health charged $47,320 on average, 6% less than the Ohio average of $50,577, and was paid $10,431 against a state average of $13,102. For Kidney and Urinary Tract Infections with MCC (DRG 689), Lake Health charged $34,693 on average, 1% less than the Ohio average of $35,158, and was paid $7,552 against a state average of $9,559. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,265 was 10% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,325 was 28% below the state average of $10,162. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,573 was 7% below the state average of $58,420. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $33,397 was 18% below the state average of $40,587.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.