Indiana / Lutheran Kosciusko Hospital
CMS certification 150133 · Warsaw, IN
Lutheran Kosciusko Hospital: charges and Medicare payments
Lutheran Kosciusko Hospital reported 278 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 6.93 times what it was paid — among the higher ratios in Indiana, number 7 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: 71 stays at an average charge of $88,706, 2% below the national average. It also billed 282 outpatient services, charging 16.62 times what Medicare paid.
- 1Medicare inpatient stays 278
- 2Charge ÷ paid, inpatient 6.93×
- 3Rank in IN (highest ratio = 1) 7 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Lutheran Kosciusko Hospital charged more than the national average in 10 (83%). 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 | 71 | $88,706 | -2% | $14,935 |
| 291 Heart Failure and Shock with MCC | 40 | $83,839 | +49% | $9,913 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $43,298 | +14% | $6,251 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $75,797 | +7% | $12,604 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $52,274 | +30% | $6,111 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $67,683 | +38% | $8,042 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $68,267 | +14% | $9,505 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $68,914 | +24% | $7,511 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $65,553 | +16% | $9,018 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $50,258 | +31% | $6,872 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $49,607 | -3% | $8,665 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $56,580 | +12% | $8,555 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 85 | $36,016 | $2,423 |
| Level 1 Laparoscopy and Related Services | 35 | $75,785 | $5,039 |
| Level 2 Upper GI Procedures | 29 | $13,775 | $1,654 |
| Level 1 Endovascular Procedures | 26 | $45,565 | $2,917 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $18,161 | $1,397 |
| Level 4 Musculoskeletal Procedures | 20 | $86,119 | $6,393 |
| Level 3 Vascular Procedures | 20 | $31,855 | $2,849 |
| Level 3 Musculoskeletal Procedures | 17 | $33,498 | $2,757 |
| Level 5 Musculoskeletal Procedures | 15 | $126,241 | $11,747 |
| Level 4 Urology and Related Services | 13 | $44,637 | $3,115 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lutheran Kosciusko Hospital charged $88,706 on average, 40% more than the Indiana average of $63,232, and was paid $14,935 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Lutheran Kosciusko Hospital charged $83,839 on average, 105% more than the Indiana average of $40,842, and was paid $9,913 against a state average of $10,315. For Kidney and Urinary Tract Infections without MCC (DRG 690), Lutheran Kosciusko Hospital charged $43,298 on average, 56% more than the Indiana average of $27,724, and was paid $6,251 against a state average of $6,802. For Respiratory Infections and Inflammations with MCC (DRG 177), Lutheran Kosciusko Hospital charged $75,797 on average, 47% more than the Indiana average of $51,549, and was paid $12,604 against a state average of $12,977. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,016 was 96% above the state average of $18,399. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $75,785 was 67% above the state average of $45,492. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,775 was 6% above the state average of $13,048. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $45,565 was 42% above the state average of $32,147.
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.