Ohio / Lutheran Hospital
CMS certification 360087 · Cleveland, OH
Lutheran Hospital: charges and Medicare payments
Lutheran Hospital reported 285 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.83 times what it was paid — among the lower ratios in Ohio, number 82 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 454, Combined Anterior and Posterior Spinal Fusion with CC: 45 stays at an average charge of $101,159, 64% below the national average. It also billed 890 outpatient services, charging 4.47 times what Medicare paid.
- 1Medicare inpatient stays 285
- 2Charge ÷ paid, inpatient 2.83×
- 3Rank in OH (highest ratio = 1) 82 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Lutheran Hospital 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 |
|---|---|---|---|---|
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 45 | $101,159 | -64% | $49,879 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 38 | $50,031 | -46% | $14,904 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 37 | $21,157 | -43% | $7,571 |
| 460 Spinal Fusion except Cervical without MCC | 22 | $99,938 | -41% | $28,596 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 22 | $52,776 | -42% | $14,614 |
| 603 Cellulitis without MCC | 19 | $32,472 | -13% | $7,599 |
| 291 Heart Failure and Shock with MCC | 18 | $38,223 | -32% | $9,748 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $44,131 | -26% | $10,901 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 15 | $97,614 | -52% | $40,071 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 15 | $56,045 | -46% | $14,668 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 14 | $78,385 | -58% | $30,522 |
| 472 Cervical Spinal Fusion with CC | 12 | $84,084 | -41% | $24,330 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 12 | $57,457 | -43% | $14,922 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 624 | $38,848 | $11,118 |
| Level 4 Musculoskeletal Procedures | 94 | $32,376 | $6,004 |
| Level 3 Musculoskeletal Procedures | 50 | $16,247 | $2,763 |
| Level 1 Nerve Procedures | 44 | $12,354 | $1,648 |
| Comprehensive Observation Services | 34 | $19,242 | $2,337 |
| Level 2 Musculoskeletal Procedures | 26 | $8,538 | $1,372 |
| Level 4 Gynecologic Procedures | 18 | $13,588 | $2,612 |
Against the Ohio average
For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Lutheran Hospital charged $101,159 on average, 46% less than the Ohio average of $186,868, and was paid $49,879 against a state average of $53,586. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Lutheran Hospital charged $50,031 on average, 30% less than the Ohio average of $71,769, and was paid $14,904 against a state average of $14,325. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), Lutheran Hospital charged $21,157 on average, 24% less than the Ohio average of $27,935, and was paid $7,571 against a state average of $7,768. For Spinal Fusion except Cervical without MCC (DRG 460), Lutheran Hospital charged $99,938 on average, 21% less than the Ohio average of $126,933, and was paid $28,596 against a state average of $30,370. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,848 was 34% below the state average of $58,420. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $32,376 was 20% below the state average of $40,587. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $16,247 was 20% below the state average of $20,370. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,354 was 17% above the state average of $10,568.
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.