How many shoppable procedure prices are published for The Orthopaedic Hospital of Lutheran Health Networ?

The Orthopaedic Hospital of Lutheran Health Networ in Ft Wayne, IN currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The Orthopaedic Hospital of Lutheran Health Networ's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The Orthopaedic Hospital of Lutheran Health Networ's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 38 Beds · urban Updated: 2026-04-01

The Orthopaedic Hospital of Lutheran Health Networ

7952 W Jefferson Blvd, Ft Wayne, IN 46804 · 113 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.17×vs. Fair Market Price

Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 64% of the Time

File Completeness61

Price Logic70

Peer Alignment76

Clean Billing93

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.17× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,811), The Orthopaedic Hospital of Lutheran Health Networ commands a 1.17× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#56 of 107 in IN · 51st State Percentile#1,914 of 3,385 in U.S. · 56th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (69/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.17× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.15× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.36×) jump +18% above the median procedure ratio (Q50 1.15×)
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 & ER0.73× Divergence

1.1× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 0.96× · Q50 1.15× · Q75 1.36×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.5× MedicareGood

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

64% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at The Orthopaedic Hospital of Lutheran Health Networ

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 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`	—	$22,034	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,880	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,303	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,843	$8,223	1.1×
C-section delivery (full package) CPT Code: `59510`	$1,510	$2,412	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$1,306	$2,197	$2,680	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,710	$1,120	$855	1.3×
Total knee replacement CPT Code: `27447`	$1,030	$1,030	$13,523	unverified
Total hip replacement CPT Code: `27130`	$963	$963	$13,413	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,386	$756	$511	unverified
Blood transfusion CPT Code: `36430`	$516	$700	$498	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,884	$632	$448	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$501	$501	$2,540	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$886	$505	$369	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$909	$458	$338	1.4×
Bunion correction surgery CPT Code: `28296`	$474	$474	$3,446	0.1×
MRI, brain (no contrast) CPT Code: `70551`	$908	$464	$343	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$425	$425	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$431	$431	$3,629	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$155	$404	$272	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,347	$402	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,256	$362	$258	1.4×
Breast lump removal CPT Code: `19120`	$366	$366	$3,875	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$333	$333	$6,109	unverified
CT scan, head (with contrast) CPT Code: `70460`	$409	$306	$242	1.3×
CT scan, sinuses CPT Code: `70486`	$496	$265	$166	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$78	$282	$185	1.5×
Rabies immune globulin HCPCS Code: `90375`	$3,484	$286	$322	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$932	$265	$167	unverified
Ultrasound, pelvis CPT Code: `76856`	$128	$199	$130	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$240	$199	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$439	$199	$134	1.5×
CT scan, pelvis CPT Code: `72192`	$1,045	$216	$163	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,387	$216	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,362	$216	$169	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$241	$241	$1,021	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$223	$223	$1,256	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$863	$221	$160	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$528	$216	$126	unverified
X-ray, hip CPT Code: `73502`	$182	$138	$93	1.5×
X-ray, lower back CPT Code: `72110`	$248	$160	$112	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$166	$166	$981	0.2×
X-ray, chest (two views) CPT Code: `71046`	$225	$172	$93	unverified
X-ray, shoulder CPT Code: `73030`	$229	$127	$92	1.4×
X-ray, foot CPT Code: `73630`	$253	$127	$92	1.4×
X-ray, hand CPT Code: `73130`	$216	$127	$93	1.4×
X-ray, ankle CPT Code: `73610`	$196	$127	$93	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$42	$122	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$357	$141	$151	0.9×
X-ray, pelvis CPT Code: `72170`	$111	$114	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$146	$138	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$147	$94	$64	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$111	$110	$86	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$276	$96	$93	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$27	$86	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$41	$105	$110	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$103	$103	$987	0.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$109	$109	$583	unverified
Typhoid vaccine HCPCS Code: `90675`	$871	$326	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$255	$198	$140	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$50	$40	1.3×
Blood antibody screen CPT Code: `86850`	$40	$57	$46	1.2×
Orthotic fitting and training CPT Code: `97760`	$61	$63	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$58	$55	$45	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$72	$72	$181	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$63	$33	$27	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$42	$35	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$29	$25	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$63	$45	$56	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$43	$54	$203	0.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$48	$48	$166	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$47	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$73	$18	$14	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$47	$19	$20	0.9×
Physical therapy (gait training) CPT Code: `97116`	$82	$42	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$55	$40	$34	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$100	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$8	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$28	$10	$10	1.0×
Blood test, vitamin D CPT Code: `82306`	$76	$30	$31	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$26	$33	$37	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$89	$48	$38	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$19	$3	$3	1.0×
Blood test, lipase CPT Code: `83690`	$83	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$24	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$23	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$58	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$48	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$102	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$17	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$134	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$36	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$95	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$29	$6	$7	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$19	$21	$25	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$37	$30	$39	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$6	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$20	$2	$3	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$27	$27	$111	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$19	$19	$201	unverified
Flu vaccine injection HCPCS Code: `G0008`	$13	$13	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$13	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	unverified

Showing top 25 high-impact procedures of 113 total

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

Audit a Bill or Quote at The Orthopaedic Hospital of Lutheran Health Networ (Zero PHI Required)

CMS CCN: 150168

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $22,034

1. Amount on Your Bill or Quote ($) Pre-filled with The Orthopaedic Hospital of Lutheran Health Networ’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 The Orthopaedic Hospital of Lutheran Health Networ'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 +$33,795 Above Fair BaseRate

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

Your bill ($52,882) is $33,795 above the denoised Fair BaseRate ($19,087) and 3.7× 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)

Public IRS & CMS ownership records classify The Orthopaedic Hospital of Lutheran Health Networ 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 Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)73%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

CMS Price Transparency Administrative Enforcement Log

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

2025-07-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (434 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for The Orthopaedic Hospital of Lutheran Health Networ.

Price Index: 1.13× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-46.7%

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 78/100 · Corroborated CMS CCN 150168

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 150168) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows17,653 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150168

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