Lutheran Hospital of Indiana
Lutheran Hospital of Indiana in Fort Wayne charges 9.3x the Medicare reimbursement rate across 86 analyzed procedures, representing a significant markup for this for-profit healthcare facility.
Fort Wayne, IN 46804 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
9.33x
Charge / Medicare rate
Max markup
15.47x
Worst procedure
Procedures analyzed
86
With pricing data
Outlier procedures
7%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $108,669 | $54,334 | — | 15.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $274,374 | $137,187 | — | 15x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $390,695 | $195,347 | — | 14.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $145,351 | $72,675 | — | 13.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $366,732 | $183,366 | — | 13.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,912 | $23,956 | — | 12.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $88,482 | $44,241 | — | 12.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $64,089 | $32,044 | — | 12x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $53,478 | $26,739 | — | 12x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $224,636 | $112,318 | — | 12x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $213,919 | $106,960 | — | 11.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $471,074 | $235,537 | — | 11.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $75,787 | $37,893 | — | 11.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $139,683 | $69,842 | — | 11.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $47,335 | $23,668 | — | 11.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $62,447 | $31,224 | — | 11.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $151,803 | $75,901 | — | 10.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $154,273 | $77,136 | — | 10.9x |
| RENAL FAILURE WITH MCC | 682 | $99,625 | $49,812 | — | 10.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $43,896 | $21,948 | — | 10.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $218,606 | $109,303 | — | 10.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $240,503 | $120,252 | — | 10.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $92,414 | $46,207 | — | 10.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $60,290 | $30,145 | — | 10.2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $67,404 | $33,702 | — | 10.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $57,561 | $28,781 | — | 10.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $46,501 | $23,250 | — | 10.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $282,300 | $141,150 | — | 9.9x |
| CHEST PAIN | 313 | $38,801 | $19,400 | — | 9.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $77,783 | $38,891 | — | 9.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $138,617 | $69,308 | — | 9.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $90,415 | $45,208 | — | 9.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $277,372 | $138,686 | — | 9.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $144,201 | $72,100 | — | 9.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $101,185 | $50,592 | — | 9.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $207,823 | $103,911 | — | 9.4x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $110,025 | $55,012 | — | 9.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $219,719 | $109,859 | — | 9.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $44,625 | $22,313 | — | 9.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $136,115 | $68,058 | — | 9.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $53,871 | $26,935 | — | 9.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $176,625 | $88,312 | — | 9.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $310,252 | $155,126 | — | 9.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $210,111 | $105,055 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $39,823 | $19,912 | — | 9.2x |
| DIABETES WITH MCC | 637 | $81,359 | $40,679 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,042 | $13,521 | — | 8.9x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $97,698 | $48,849 | — | 8.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $71,702 | $35,851 | — | 8.8x |
| SEIZURES WITH MCC | 100 | $111,408 | $55,704 | — | 8.6x |
Showing 50 of 86 procedures
How LUTHERAN HOSPITAL OF INDIANA compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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