Indiana / The Orthopaedic Hospital of Lutheran Health Networ
CMS certification 150168 · Fort Wayne, IN · 1 entry in CMS's price-transparency list
The Orthopaedic Hospital of Lutheran Health Networ: charges and Medicare payments
The Orthopaedic Hospital of Lutheran Health Networ reported 234 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 11.99 times what it was paid — among the higher ratios in Indiana, number 2 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 460, Spinal Fusion except Cervical without MCC: 59 stays at an average charge of $421,006, 147% above the national average. It also billed 1,355 outpatient services, charging 14.42 times what Medicare paid.
- 1Medicare inpatient stays 234
- 2Charge ÷ paid, inpatient 11.99×
- 3Rank in IN (highest ratio = 1) 2 of 70
- 4CMS price-transparency actions 1
Inpatient stays
For the 11 DRGs that can be compared with the national average, The Orthopaedic Hospital of Lutheran Health Networ charged more than the national average in 10 (91%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 460 Spinal Fusion except Cervical without MCC | 59 | $421,006 | +147% | $25,580 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 27 | $169,489 | +82% | $13,570 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $121,995 | +21% | $17,137 |
| 467 Revision of Hip or Knee Replacement with CC | 19 | $220,728 | +40% | $23,519 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 19 | $238,455 | +92% | $19,307 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $149,866 | +46% | $13,683 |
| 472 Cervical Spinal Fusion with CC | 16 | $186,082 | +30% | $21,864 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 14 | $193,125 | +53% | $16,878 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 13 | $364,060 | +79% | $33,669 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 11 | $420,823 | +50% | $40,664 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $114,434 | -4% | $15,955 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 524 | $142,194 | $11,201 |
| Level 4 Musculoskeletal Procedures | 230 | $61,277 | $5,785 |
| Level 2 Musculoskeletal Procedures | 186 | $22,928 | $1,220 |
| Level 3 Musculoskeletal Procedures | 183 | $31,881 | $2,522 |
| Level 6 Musculoskeletal Procedures | 137 | $180,669 | $15,922 |
| Level 1 Nerve Procedures | 54 | $28,951 | $1,526 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 30 | $22,371 | $2,357 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $19,556 | $1,232 |
Against the Indiana average
For Spinal Fusion except Cervical without MCC (DRG 460), The Orthopaedic Hospital of Lutheran Health Networ charged $421,006 on average, 72% more than the Indiana average of $245,306, and was paid $25,580 against a state average of $32,243. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), The Orthopaedic Hospital of Lutheran Health Networ charged $169,489 on average, 93% more than the Indiana average of $87,743, and was paid $13,570 against a state average of $14,506. For Hip and Femur Procedures except Major Joint with CC (DRG 481), The Orthopaedic Hospital of Lutheran Health Networ charged $121,995 on average, 39% more than the Indiana average of $87,728, and was paid $17,137 against a state average of $16,468. For Revision of Hip or Knee Replacement with CC (DRG 467), The Orthopaedic Hospital of Lutheran Health Networ charged $220,728 on average, 57% more than the Indiana average of $140,917, and was paid $23,519 against a state average of $26,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $142,194 was 85% above the state average of $77,048. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $61,277 was 31% above the state average of $46,938. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $22,928 was 63% above the state average of $14,035. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $31,881 was 32% above the state average of $24,205.
Price-transparency record
CMS's enforcement list records these actions for a hospital named The Orthopaedic Hospital of Lutheran Health Networ 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 — 2025-07-17 (CMS case 5845)
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.