Indiana / Lutheran Hospital of Indiana

CMS certification 150017 · Fort Wayne, IN · 1 entry in CMS's price-transparency list

Lutheran Hospital of Indiana: charges and Medicare payments

Lutheran Hospital of Indiana reported 2,617 Medicare inpatient stays across 85 DRGs in 2024. Across them it charged 8.22 times what it was paid — among the higher ratios in Indiana, number 4 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 255 stays at an average charge of $117,558, 30% above the national average. It also billed 1,788 outpatient services, charging 12.08 times what Medicare paid.

1Medicare inpatient stays 2,617
2Charge ÷ paid, inpatient 8.22×
3Rank in IN (highest ratio = 1) 4 of 70
4CMS price-transparency actions 1

Average charge per stay at Lutheran Hospital of Indiana, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 85 DRGs that can be compared with the national average, Lutheran Hospital of Indiana charged more than the national average in 64 (75%). 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	255	$117,558	+30%	$14,651
291 Heart Failure and Shock with MCC	119	$70,000	+24%	$9,902
274 Percutaneous and Other Intracardiac Procedures without MCC	101	$222,223	+42%	$23,759
267 Endovascular Cardiac Valve Replacement and Supplement...	82	$296,332	+34%	$35,347
460 Spinal Fusion except Cervical without MCC	75	$420,087	+147%	$36,660
853 Infectious and Parasitic Diseases with O.R. Procedures with...	72	$347,226	+52%	$34,600
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	65	$51,278	+28%	$8,122
193 Simple Pneumonia and Pleurisy with MCC	63	$86,227	+44%	$9,934
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	55	$63,414	+5%	$9,786
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	53	$97,296	-3%	$13,113
552 Medical Back Problems without MCC	51	$43,365	-11%	$9,623
378 Gastrointestinal Hemorrhage with CC	49	$60,146	+24%	$7,953
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	49	$65,486	+34%	$7,958
309 Cardiac Arrhythmia and Conduction Disorders with CC	48	$34,788	-4%	$5,933
280 Acute Myocardial Infarction, Discharged Alive with MCC	41	$90,229	+19%	$12,257
177 Respiratory Infections and Inflammations with MCC	40	$104,993	+49%	$12,264
322 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$141,246	+23%	$14,131
286 Circulatory Disorders except AMI, with Cardiac...	39	$129,793	+16%	$16,575
287 Circulatory Disorders except AMI, with Cardiac...	39	$87,806	+37%	$8,605
682 Renal Failure with MCC	38	$85,930	+30%	$11,169
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	37	$61,002	+9%	$7,895
312 Syncope and Collapse	37	$53,059	+17%	$6,818
683 Renal Failure with CC	35	$58,820	+45%	$7,617
321 Percutaneous Cardiovascular Procedures with Intraluminal...	34	$210,951	+29%	$21,939
377 Gastrointestinal Hemorrhage with MCC	33	$102,251	+20%	$12,986
689 Kidney and Urinary Tract Infections with MCC	33	$61,716	+20%	$8,592
266 Endovascular Cardiac Valve Replacement and Supplement...	31	$355,317	+25%	$44,564
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$47,564	+28%	$6,297
190 Chronic Obstructive Pulmonary Disease with MCC	29	$98,982	+96%	$9,385
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$65,752	+16%	$9,599
690 Kidney and Urinary Tract Infections without MCC	28	$50,830	+34%	$6,493
194 Simple Pneumonia and Pleurisy with CC	26	$51,615	+34%	$6,356
208 Respiratory System Diagnosis with Ventilator Support <=96...	26	$154,797	+14%	$20,287
698 Other Kidney and Urinary Tract Diagnoses with MCC	26	$89,060	+21%	$11,834
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$67,416	+10%	$10,117
313 Chest Pain	23	$48,900	+22%	$5,478
243 Permanent Cardiac Pacemaker Implant with CC	22	$149,708	+35%	$17,077
270 Other Major Cardiovascular Procedures with MCC	22	$333,342	+29%	$37,791
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	22	$204,584	-5%	$32,818
189 Pulmonary Edema and Respiratory Failure	21	$59,824	+4%	$9,396
329 Major Small and Large Bowel Procedures with MCC	21	$278,892	+30%	$31,043
389 Gastrointestinal Obstruction with CC	21	$32,252	-17%	$6,362
281 Acute Myocardial Infarction, Discharged Alive with CC	20	$52,845	+5%	$6,930
394 Other Digestive System Diagnoses with CC	20	$46,215	-2%	$7,530
299 Peripheral Vascular Disorders with MCC	19	$53,837	-28%	$11,382
480 Hip and Femur Procedures except Major Joint with MCC	19	$265,514	+91%	$27,086
637 Diabetes with MCC	19	$76,571	+15%	$11,287
069 Transient Ischemia without Thrombolytic	18	$40,779	-19%	$6,361
178 Respiratory Infections and Inflammations with CC	18	$62,265	+37%	$7,865
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	18	$630,991	+58%	$59,312
233 Coronary Bypass with Cardiac Catheterization or Open...	18	$517,686	+34%	$65,001
516 Other Musculoskeletal System and Connective Tissue O.R....	18	$113,223	+11%	$15,480
235 Coronary Bypass without Cardiac Catheterization with MCC	17	$406,584	+39%	$45,094
314 Other Circulatory System Diagnoses with MCC	17	$89,766	-5%	$14,898
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$83,344	+28%	$11,292
305 Hypertension without MCC	16	$29,111	-27%	$6,297
481 Hip and Femur Procedures except Major Joint with CC	16	$158,546	+57%	$16,107
551 Medical Back Problems with MCC	16	$121,282	+54%	$15,080
101 Seizures without MCC	15	$31,667	-35%	$7,016
300 Peripheral Vascular Disorders with CC	15	$55,324	+12%	$8,396

Showing the 60 most frequent of 85 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	205	$25,377	$2,439
Level 2 Upper GI Procedures	198	$14,039	$1,702
Level 1 Endovascular Procedures	162	$46,520	$2,901
Level 3 Electrophysiologic Procedures	143	$219,742	$21,145
Level 3 Vascular Procedures	142	$30,348	$2,870
Level 2 Excision/ Biopsy/ Incision and Drainage	111	$11,721	$1,466
Level 3 Endovascular Procedures	104	$106,891	$9,943
Level 2 Endovascular Procedures	62	$58,632	$5,108
Level 1 Laparoscopy and Related Services	62	$67,273	$5,161
Level 4 Endovascular Procedures	59	$140,888	$15,185
Level 4 Musculoskeletal Procedures	50	$61,890	$6,376
Level 3 Pacemaker and Similar Procedures	48	$92,370	$9,499
Level 4 Vascular Procedures	47	$55,700	$4,790
Level 2 ICD and Similar Procedures	35	$248,195	$29,706
Level 2 Vascular Procedures	32	$11,109	$1,448
Level 4 Airway Endoscopy	29	$33,868	$3,298
Level 3 Lower GI Procedures	28	$24,227	$2,543
Complex GI Procedures	28	$65,343	$5,168
Level 2 Laparoscopy and Related Services	27	$113,240	$9,037
Level 5 Musculoskeletal Procedures	25	$129,455	$11,935
Level 5 Airway Endoscopy	22	$38,779	$5,953
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	21	$45,642	$3,133
Level 3 Excision/ Biopsy/ Incision and Drainage	19	$27,302	$2,575
Level 5 ENT Procedures	19	$68,744	$5,074
Level 3 Extraocular, Repair, and Plastic Eye Procedures	19	$25,984	$2,112

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lutheran Hospital of Indiana charged $117,558 on average, 86% more than the Indiana average of $63,232, and was paid $14,651 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Lutheran Hospital of Indiana charged $70,000 on average, 71% more than the Indiana average of $40,842, and was paid $9,902 against a state average of $10,315. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Lutheran Hospital of Indiana charged $222,223 on average, 61% more than the Indiana average of $138,034, and was paid $23,759 against a state average of $24,860. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Lutheran Hospital of Indiana charged $296,332 on average, 41% more than the Indiana average of $209,909, and was paid $35,347 against a state average of $35,980. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,377 was 38% above the state average of $18,399. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,039 was 8% above the state average of $13,048. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,520 was 45% above the state average of $32,147. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $219,742 was 24% above the state average of $177,300.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lutheran Hospital of Indiana in Fort Wayne, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-21 (CMS case 3992)

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.