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LUTHERAN HOSPITAL OF INDIANA

FORT WAYNE, IN 46804 · Acute Care Hospitals

86 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

86

With CMS pricing data

Avg Charge-to-Medicare Ratio

9.3x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Proprietary

Above 90th Percentile

7%

Compared to IN hospitals

Understanding Your Costs

When you receive a bill from LUTHERAN HOSPITAL OF INDIANA, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, LUTHERAN HOSPITAL OF INDIANA lists chargemaster rates that average 9.3x the corresponding Medicare reimbursement amount across 86 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in IN has a chargemaster-to-Medicare ratio of 5.0x, with ratios across the state ranging from 1.6x to 13.0x. At 9.3x, this facility’s average ratio is above the state median. 80 hospitals in IN report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at LUTHERAN HOSPITAL OF INDIANA is EXTRACRANIAL PROCEDURES WITHOUT CC/MCC (DRG 039). The listed chargemaster rate is $108,669, while Medicare reimburses $7,024 for the same procedure — a ratio of 15.5x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

6 of 86 procedures (7%) at this facility have listed rates above the 90th percentile compared to other IN hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

LUTHERAN HOSPITAL OF INDIANA is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$108,669$7,02415.5x
1th
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CERVICAL SPINAL FUSION WITH CC472$274,374$18,30915.0x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$390,695$27,23914.3x
1th
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$145,351$10,69613.6x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$366,732$27,37613.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$47,912$3,74312.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$88,482$7,00412.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$64,089$5,33412.0x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$53,478$4,45812.0x
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OTHER VASCULAR PROCEDURES WITH CC253$224,636$18,75112.0x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$213,919$17,99611.9x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$471,074$40,71311.6x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$75,787$6,67411.4x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$139,683$12,35911.3x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$47,335$4,23711.2x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$62,447$5,63311.1x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$151,803$13,91510.9x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$154,273$14,16810.9x
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RENAL FAILURE WITH MCC682$99,625$9,18910.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$43,896$4,18310.5x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$218,606$20,86910.5x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$240,503$23,18010.4x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$92,414$9,00510.3x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$60,290$5,90810.2x
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PERIPHERAL VASCULAR DISORDERS WITH CC300$67,404$6,60710.2x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$57,561$5,66110.2x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$46,501$4,60510.1x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$282,300$28,5669.9x
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CHEST PAIN313$38,801$3,9839.7x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$77,783$8,0079.7x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$138,617$14,3749.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$90,415$9,4599.6x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$277,372$29,1219.5x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$144,201$15,1899.5x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$101,185$10,6949.5x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$207,823$22,0679.4x
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CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$110,025$11,7809.3x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$219,719$23,6139.3x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$44,625$4,7999.3x
1th
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$136,115$14,6549.3x
1th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$53,871$5,8169.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$176,625$19,0879.3x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$310,252$33,7809.2x
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OTHER VASCULAR PROCEDURES WITH MCC252$210,111$22,9209.2x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$39,823$4,3499.2x
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DIABETES WITH MCC637$81,359$9,0209.0x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$27,042$3,0358.9x
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DISORDERS OF THE BILIARY TRACT WITH MCC444$97,698$11,0028.9x
1th
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HEART FAILURE AND SHOCK WITH MCC291$71,702$8,1238.8x
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SEIZURES WITH MCC100$111,408$12,9518.6x
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Showing 50 of 86 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across IN hospitals

1.6x
Median: 5.0x
13.0x
9.3x

80 hospitals in IN report pricing data to CMS. This facility's average ratio of 9.3x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About LUTHERAN HOSPITAL OF INDIANA

How much does LUTHERAN HOSPITAL OF INDIANA charge compared to Medicare?

According to CMS IPPS data, LUTHERAN HOSPITAL OF INDIANA's listed chargemaster rates average 9.3x the Medicare reimbursement amount across 86 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at LUTHERAN HOSPITAL OF INDIANA?

The procedure with the highest chargemaster-to-Medicare ratio at LUTHERAN HOSPITAL OF INDIANA is EXTRACRANIAL PROCEDURES WITHOUT CC/MCC (DRG 039), with a listed charge of $108,669 compared to Medicare reimbursement of $7,024 — a ratio of 15.5x. Source: CMS IPPS Provider Summary.

Is LUTHERAN HOSPITAL OF INDIANA expensive compared to other IN hospitals?

LUTHERAN HOSPITAL OF INDIANA's average chargemaster-to-Medicare ratio is 9.3x. Ratios vary significantly across IN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for LUTHERAN HOSPITAL OF INDIANA come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from LUTHERAN HOSPITAL OF INDIANA is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does LUTHERAN HOSPITAL OF INDIANA in FORT WAYNE, IN accept Medicare?

LUTHERAN HOSPITAL OF INDIANA is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact LUTHERAN HOSPITAL OF INDIANA directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.