76/100
#462 nationally
Lutheran Hospital
1730 West 25Th Street, Cleveland, OH 44113 · (216) 696-4300
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Lutheran Hospital billed $3.36 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in OH
- #18
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 75% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 75% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
624 | $38,848 | $11,118 | -38% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
94 | $32,376 | $6,004 | -19% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
50 | $16,247 | $2,763 | -20% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
45 | $101,159 | $49,879 | -54% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
44 | $12,354 | $1,648 | +9% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
38 | $50,031 | $14,904 | -37% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
37 | $21,157 | $7,571 | -35% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
34 | $19,242 | $2,337 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
26 | $8,538 | $1,372 | -24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
22 | $52,776 | $14,614 | -19% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$12,354 | $1,648 | +9% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$32,472 | $7,599 | +6% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$19,242 | $2,337 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$44,131 | $10,901 | -5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$38,223 | $9,748 | -12% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$32,376 | $6,004 | -19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$52,776 | $14,614 | -19% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,247 | $2,763 | -20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$101,159 | $49,879 | -54% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
$78,385 | $30,522 | -45% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$97,614 | $40,071 | -45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$38,848 | $11,118 | -38% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$50,031 | $14,904 | -37% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$57,457 | $14,922 | -35% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$21,157 | $7,571 | -35% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
$56,045 | $14,668 | -35% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.