The Orthopaedic Hospital Of Lutheran Health Networ

7952 W Jefferson Blvd, Ft Wayne, IN 46804 · (260) 435-2999

Among the highest charge markups in the country

For every $1 of care Medicare actually paid for here, The Orthopaedic Hospital Of Lutheran Health Networ billed $12.20 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.

See all 19 prices How we grade

Charge-to-payment: 12.2x; volume-weighted across all its priced work
Procedures priced: 19; inpatient and outpatient combined
Rank in IN: #72; lower markup ranks higher
CMS quality stars: Not rated; 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.

Inpatient charge markup 1.0/35

Better than 3% of U.S. hospitals.

Outpatient charge markup 2.5/25

Better than 10% of U.S. hospitals.

Price level vs national median 3.0/30

Better than 10% of U.S. hospitals.

Price consistency 1.9/10

Better than 20% 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	524	$142,194	$11,201	+128%
Level 4 Musculoskeletal Procedures APC 5114 · Hospital outpatient visit	230	$61,277	$5,785	+54%
Level 2 Musculoskeletal Procedures APC 5112 · Hospital outpatient visit	186	$22,928	$1,220	+104%
Level 3 Musculoskeletal Procedures APC 5113 · Hospital outpatient visit	183	$31,881	$2,522	+56%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	137	$180,669	$15,922	+118%
Spinal Fusion Except Cervical without Major Complications MS-DRG 460 · Inpatient stay	59	$421,006	$25,580	+190%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	54	$28,951	$1,526	+155%
Level 3 Excision/ Biopsy/ Incision and Drainage APC 5073 · Hospital outpatient visit	30	$22,371	$2,357	+27%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	27	$169,489	$13,570	+112%
Hip or Thigh Bone Surgery (with complications) MS-DRG 481 · Inpatient stay	26	$121,995	$17,137	+46%

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
Spinal Fusion Except Cervical without Major Complications MS-DRG 460 · Inpatient stay	$421,006	$25,580	+190%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	$28,951	$1,526	+155%
Level 5 Musculoskeletal Procedures APC 5115 · Hospital outpatient visit	$142,194	$11,201	+128%
Revision of Hip or Knee Replacement without Complications/mcc MS-DRG 468 · Inpatient stay	$238,455	$19,307	+120%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	$180,669	$15,922	+118%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	$169,489	$13,570	+112%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc MS-DRG 455 · Inpatient stay	$364,060	$33,669	+106%
Level 2 Musculoskeletal Procedures APC 5112 · Hospital outpatient visit	$22,928	$1,220	+104%

Where it charges least relative to everyone else

Procedure	Charged	Actually paid	vs national
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications MS-DRG 493 · Inpatient stay	$114,434	$15,955	+12%
Level 3 Excision/ Biopsy/ Incision and Drainage APC 5073 · Hospital outpatient visit	$22,371	$2,357	+27%
Hip or Thigh Bone Surgery (with complications) MS-DRG 481 · Inpatient stay	$121,995	$17,137	+46%
Level 4 Musculoskeletal Procedures APC 5114 · Hospital outpatient visit	$61,277	$5,785	+54%
Cervical Spinal Fusion with Complications MS-DRG 472 · Inpatient stay	$186,082	$21,864	+56%
Level 3 Musculoskeletal Procedures APC 5113 · Hospital outpatient visit	$31,881	$2,522	+56%
Revision of Hip or Knee Replacement with Complications MS-DRG 467 · Inpatient stay	$220,728	$23,519	+70%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications MS-DRG 522 · Inpatient stay	$149,866	$13,683	+75%

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.

Lower markups near Ft Wayne

A
Parkview Noble Hospital
2.1x · Kendallville, IN
B
Monroe Hospital
2.8x · Bloomington, IN
B
Marion General Hospital
2.9x · Marion, IN
C
Parkview Whitley Hospital
3.0x · Columbia City, IN
A
Daviess Community Hospital
3.2x · Washington, IN
B
Parkview Huntington Hospital
3.3x · Huntington, IN

Compare with Parkview Noble Hospital

The record

CMS provider number: 150168
Type: Acute Care Hospitals
Ownership: Proprietary
Emergency department: No
Setting: Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

Source: CMS Medicare Inpatient and Outpatient utilisation files and Hospital General Information. See the files.