How many shoppable procedure prices are published for Lutheran Hospital of Indiana?

Lutheran Hospital of Indiana in Fort Wayne, IN currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lutheran Hospital of Indiana's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lutheran Hospital of Indiana's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Lutheran Hospital of Indiana's CMS Care Compare overall star rating?

CMS Care Compare assigns Lutheran Hospital of Indiana an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 353 Beds · urban Updated: 2026-04-01

Lutheran Hospital of Indiana

7950 W Jefferson Blvd, Fort Wayne, IN 46804 · 121 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness95

Price Logic53

Peer Alignment61

Clean Billing97

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Lutheran Hospital of Indiana prices shoppable and inpatient services (1.5× to 1.0× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#44 of 107 in IN · 40th State Percentile#1,419 of 3,385 in U.S. · 41st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 59% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.04× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.37×) jump +32% above the median procedure ratio (Q50 1.04×)
Consolidated metro market (HHI 4,811) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.67× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+32% Upper Tail

Q25 0.91× · Q50 1.04× · Q75 1.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at Lutheran Hospital of Indiana

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,692	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,529	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,584	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,059	$8,223	1.2×
Trauma team activation HCPCS Code: `G0390`	$3,375	$3,375	$1,453	2.3×
C-section delivery (full package) CPT Code: `59510`	$1,838	$2,201	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	$1,520	$1,988	$2,680	0.7×
Total knee replacement CPT Code: `27447`	$1,148	$1,148	$13,523	0.1×
Total hip replacement CPT Code: `27130`	$1,071	$1,071	$13,413	0.1×
Blood transfusion CPT Code: `36430`	$628	$747	$498	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$978	$701	$511	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$667	$667	$2,540	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,847	$632	$448	1.4×
Bunion correction surgery CPT Code: `28296`	$632	$632	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$563	$563	$3,629	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$906	$505	$369	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$664	$500	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$763	$464	$343	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$474	$474	$3,372	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$451	$423	$272	1.6×
Breast lump removal CPT Code: `19120`	$444	$444	$3,875	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$444	$444	$6,109	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,221	$403	$303	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$359	$359	$1,021	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$356	$356	$1,256	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$684	$375	$258	unverified
CT scan, sinuses CPT Code: `70486`	$704	$384	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$876	$364	$167	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$109	$282	$181	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$94	$282	$185	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$604	$306	$242	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$894	$316	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$927	$316	$168	unverified
Rabies immune globulin HCPCS Code: `90375`	$6,504	$280	$322	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$283	$283	$981	0.3×
CT scan, pelvis CPT Code: `72192`	$1,006	$262	$163	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$369	$216	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	$156	$221	$130	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$263	$196	$134	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$634	$221	$160	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$197	$197	$987	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$138	$221	$132	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$183	$150	$123	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$186	$164	$148	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$667	$138	$151	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$145	$145	$583	0.2×
X-ray, shoulder CPT Code: `73030`	$87	$96	$92	1.0×
X-ray, foot CPT Code: `73630`	$58	$96	$92	1.0×
X-ray, hand CPT Code: `73130`	$58	$96	$93	1.0×
X-ray, ankle CPT Code: `73610`	$88	$96	$93	1.0×
X-ray, hip CPT Code: `73502`	$61	$92	$93	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$50	$85	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$52	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,612	$320	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$475	$345	$140	unverified
Flu vaccine injection HCPCS Code: `G0008`	$27	$74	$48	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$100	$82	$56	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$27	$53	$35	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$58	$55	$39	1.4×
Blood antibody screen CPT Code: `86850`	$18	$55	$46	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$131	$77	$86	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$43	$50	$40	1.3×
Care planning with family CPT Code: `90887`	$75	$61	$107	0.6×
Neurobehavioral status check CPT Code: `96116`	$79	$79	$231	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$30	$47	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$63	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$42	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$26	$40	$34	1.2×
Orthotic fitting and training CPT Code: `97760`	$33	$60	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$29	$52	$45	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$41	$38	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$31	$63	$87	0.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$78	$30	$27	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$6	$10	$10	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$11	$15	$16	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$33	$34	$37	0.9×
Speech therapy (group session) CPT Code: `92508`	$43	$24	$27	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$24	$22	$25	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$17	$12	$14	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$6	$9	$14	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$33	$33	$111	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$52	$54	$203	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$66	$42	$25	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$57	$57	$166	unverified
Physical therapy (gait training) CPT Code: `97116`	$60	$42	$33	unverified
Blood test, lipase CPT Code: `83690`	$5	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$3	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$2	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$1	$3	$3	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$3	$6	$6	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$13	$18	$19	0.9×
Hepatitis C antibody test CPT Code: `86803`	$7	$14	$15	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Culture, bacterial CPT Code: `87070`	$9	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$4	$5	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$12	$13	$18	0.7×
Blood test, magnesium CPT Code: `83735`	$3	$5	$7	0.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$4	$5	$8	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$23	$23	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$19	$19	$49	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$16	$16	$64	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$21	$21	$201	unverified
Psychological testing evaluation CPT Code: `96136`	$36	$36	$128	unverified
Blood test, liver function panel CPT Code: `80076`	$3	$5	$9	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$4	$6	$11	0.5×
X-ray, chest (two views) CPT Code: `71046`	$29	$29	$93	0.3×
X-ray, lower back CPT Code: `72110`	$33	$33	$112	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$5	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$4	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$10	$28	$31	0.9×
Blood test, calcium CPT Code: `82310`	$2	$3	$5	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$2	$4	0.5×
X-ray, chest (single view) CPT Code: `71045`	$24	$24	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$24	$24	$93	0.3×
X-ray, pelvis CPT Code: `72170`	$16	$16	$110	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$3	$8	$9	unverified
Psychological testing by technician CPT Code: `96138`	$28	$28	$395	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Lutheran Hospital of Indiana (Zero PHI Required)

CMS CCN: 150017

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $23,692

1. Amount on Your Bill or Quote ($) Pre-filled with Lutheran Hospital of Indiana’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lutheran Hospital of Indiana's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$37,774 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($56,861) is $37,774 above the denoised Fair BaseRate ($19,087) and 4.0× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 351963748

Public IRS & CMS ownership records classify Lutheran Hospital of Indiana as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait214 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lutheran Hospital of Indiana. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-21·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,589 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lutheran Hospital of Indiana.

Price Index: 0.73× regional baseline

Quality: 52/100 CMS composite

Median Household Income$68,839U.S. Census ACS

Local Uninsured Share8.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 150017 EIN 351963748

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150017) ↗ Verify IRS Form 990 (EIN 351963748) ↗ CMS HCRIS Cost Reports ↗

Published MRF File351963748_lutheran-hospital_standardcharges.csv

Publication / Vintage2026-04-01 · 1145.93 MB

Validated Rate Rows35,627 (CMS v3.0.0)

File Integrity Digest8aa27d5a90321d581a99…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy