Missouri / Lake Regional Health System
CMS certification 260186 · Osage Beach, MO · 3 entries in CMS's price-transparency list
Lake Regional Health System: charges and Medicare payments
Lake Regional Health System reported 768 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 3.07 times what it was paid — among the lower ratios in Missouri, number 47 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 123 stays at an average charge of $40,218, 55% below the national average. It also billed 1,861 outpatient services, charging 6.65 times what Medicare paid.
- 1Medicare inpatient stays 768
- 2Charge ÷ paid, inpatient 3.07×
- 3Rank in MO (highest ratio = 1) 47 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 27 DRGs that can be compared with the national average, Lake Regional Health System 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 123 | $40,218 | -55% | $16,454 |
| 193 Simple Pneumonia and Pleurisy with MCC | 79 | $33,380 | -44% | $11,164 |
| 291 Heart Failure and Shock with MCC | 75 | $27,567 | -51% | $10,878 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $51,846 | -32% | $13,580 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $30,823 | -46% | $10,401 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $25,837 | -28% | $6,305 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $31,975 | -38% | $9,906 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $29,059 | -59% | $14,083 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $49,070 | -51% | $17,498 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $29,583 | -40% | $8,646 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $50,552 | -9% | $8,704 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $29,403 | -27% | $6,652 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $63,531 | -38% | $17,862 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $31,829 | -44% | $10,120 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $32,367 | -33% | $8,424 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $29,766 | -41% | $9,193 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $16,012 | -44% | $4,626 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $109,347 | -33% | $24,342 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $26,354 | -30% | $6,830 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $37,469 | -38% | $11,137 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $27,775 | -62% | $13,905 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $37,227 | -26% | $7,723 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $82,979 | -28% | $18,648 |
| 682 Renal Failure with MCC | 15 | $40,175 | -39% | $12,767 |
| 683 Renal Failure with CC | 15 | $23,408 | -42% | $7,609 |
| 389 Gastrointestinal Obstruction with CC | 12 | $19,306 | -50% | $6,742 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $72,733 | -68% | $41,954 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Regional Health System charged $40,218 on average, 45% less than the Missouri average of $72,886, and was paid $16,454 against a state average of $15,808. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lake Regional Health System charged $33,380 on average, 30% less than the Missouri average of $47,966, and was paid $11,164 against a state average of $10,821. For Heart Failure and Shock with MCC (DRG 291), Lake Regional Health System charged $27,567 on average, 41% less than the Missouri average of $46,468, and was paid $10,878 against a state average of $10,539. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lake Regional Health System charged $51,846 on average, 16% less than the Missouri average of $61,361, and was paid $13,580 against a state average of $13,093. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,639 was 0% below the state average of $20,571. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,238 was 51% below the state average of $10,642. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,590 was 33% above the state average of $23,828. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $9,163 was 51% below the state average of $18,762.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lake Regional Health System in Osage Beach, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-19 (CMS case 7065)
- CAP Request — 2026-05-21 (CMS case 7065)
- Closure Notice — 2026-07-08 (CMS case 7065)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.