Lutheran Medical Center
Lutheran Medical Center in Wheat Ridge, Colorado charges 8.8x the Medicare reimbursement rate across 43 analyzed procedures at this nonprofit-private hospital.
Wheat Ridge, CO 80033 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.8x
Charge / Medicare rate
Max markup
14.37x
Worst procedure
Procedures analyzed
43
With pricing data
Outlier procedures
2.3%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $80,024 | $40,012 | — | 14.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $59,078 | $29,539 | — | 12.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $114,882 | $57,441 | — | 12.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $84,432 | $42,216 | — | 11.7x |
| SEIZURES WITHOUT MCC | 101 | $68,216 | $34,108 | — | 11.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $166,510 | $83,255 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,609 | $33,305 | — | 11.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,174 | $23,087 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $138,041 | $69,021 | — | 10.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $144,442 | $72,221 | — | 10.5x |
| RENAL FAILURE WITH CC | 683 | $61,572 | $30,786 | — | 10.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $48,610 | $24,305 | — | 10x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $63,935 | $31,967 | — | 9.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $61,226 | $30,613 | — | 9.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $45,491 | $22,745 | — | 9.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $65,355 | $32,678 | — | 9.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $88,348 | $44,174 | — | 9.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $44,032 | $22,016 | — | 9.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $111,167 | $55,584 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $74,115 | $37,057 | — | 8.8x |
| DIABETES WITH MCC | 637 | $78,773 | $39,386 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $74,813 | $37,407 | — | 8.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $66,680 | $33,340 | — | 8.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $70,321 | $35,160 | — | 8.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $61,593 | $30,797 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,095 | $25,048 | — | 8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $59,943 | $29,972 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $97,598 | $48,799 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $80,475 | $40,237 | — | 7.5x |
| RENAL FAILURE WITH MCC | 682 | $70,781 | $35,391 | — | 7.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $192,050 | $96,025 | — | 7.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $138,237 | $69,119 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $84,873 | $42,437 | — | 7.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $66,687 | $33,344 | — | 7.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $113,630 | $56,815 | — | 6.9x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $255,580 | $127,790 | — | 6.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $46,973 | $23,487 | — | 6.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $72,630 | $36,315 | — | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $92,115 | $46,058 | — | 6.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $118,352 | $59,176 | — | 6.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $183,775 | $91,887 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $31,005 | $15,502 | — | 5.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $50,409 | $25,204 | — | 5.1x |
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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