Lutheran Hospital Of Indiana Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lutheran Hospital Of Indiana, Fort Wayne, IN in 2024, from traditional Medicare claims. Back to the Lutheran Hospital Of Indiana profile, with quality ratings, finances and negotiated rates.
2,617
Medicare inpatient discharges
In 85 published DRGs
2.19
Case mix index
IPPS FY 2027
29%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,788
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system912 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 119 | $70,000 | $8,312 | $9,380 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 101 | $222,223 | $22,528 | $29,778 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 82 | $296,332 | $34,713 | $39,709 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 48 | $34,788 | $4,459 | $4,662 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 41 | $90,229 | $10,474 | $12,091 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 40 | $141,246 | $11,866 | $18,927 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 39 | $129,793 | $14,230 | $17,392 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 39 | $87,806 | $6,248 | $11,766 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 37 | $53,059 | $5,614 | $7,110 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 34 | $210,951 | $20,320 | $28,267 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 31 | $355,317 | $43,728 | $47,612 | 6.25 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $65,752 | $6,895 | $8,811 | 1.20 |
| Chest painMS-DRG 313, medical | 23 | $48,900 | $4,353 | $6,553 | 0.72 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 22 | $149,708 | $14,297 | $20,061 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 22 | $333,342 | $35,942 | $44,668 | 5.06 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $52,845 | $5,340 | $7,081 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 19 | $53,837 | $9,988 | $7,214 | 1.58 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 18 | $630,991 | $57,356 | $84,553 | 7.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 18 | $517,686 | $45,372 | $69,370 | 7.80 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 17 | $406,584 | $34,315 | $54,482 | 5.88 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $89,766 | $13,874 | $12,029 | 2.09 |
| Hypertension without MCCMS-DRG 305, medical | 16 | $29,111 | $4,267 | $3,901 | 0.75 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $55,324 | $6,997 | $7,413 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $206,402 | $24,795 | $27,658 | 3.35 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 14 | $289,876 | $25,747 | $38,843 | 3.90 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 13 | $120,488 | $12,223 | $16,145 | 1.83 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $307,914 | $22,234 | $41,260 | 3.46 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $186,130 | $23,502 | $24,941 | 3.46 |
Infectious and parasitic diseases391 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 255 | $117,558 | $12,753 | $15,753 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 72 | $347,226 | $32,767 | $46,528 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $65,486 | $6,520 | $8,775 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $329,263 | $45,164 | $44,121 | 6.96 |
Respiratory system261 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 63 | $86,227 | $8,270 | $11,554 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 40 | $104,993 | $10,689 | $14,069 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $98,982 | $8,021 | $13,264 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $51,615 | $4,790 | $6,916 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $154,797 | $18,667 | $20,743 | 2.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $59,824 | $8,152 | $8,016 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $62,265 | $6,194 | $8,343 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $83,344 | $8,529 | $11,168 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $268,789 | $30,277 | $36,018 | 4.71 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $190,064 | $14,193 | $25,469 | 2.55 |
Digestive system248 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 65 | $51,278 | $5,042 | $6,871 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $60,146 | $6,452 | $8,060 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $102,251 | $11,731 | $13,702 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 24 | $67,416 | $8,534 | $9,034 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 21 | $278,892 | $25,978 | $37,372 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $32,252 | $4,737 | $4,322 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $46,215 | $6,474 | $6,193 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $153,227 | $16,279 | $20,532 | 2.37 |
Musculoskeletal system and connective tissue206 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 75 | $420,087 | $27,236 | $56,292 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 51 | $43,365 | $5,626 | $5,811 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 19 | $265,514 | $25,454 | $35,579 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 18 | $113,223 | $13,681 | $15,172 | 2.04 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $158,546 | $13,025 | $21,245 | 2.07 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $121,283 | $13,226 | $16,252 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $35,059 | $5,169 | $4,698 | 0.90 |
Nervous system200 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 53 | $97,296 | $11,661 | $13,038 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 37 | $61,002 | $5,848 | $8,174 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $40,779 | $4,890 | $5,464 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 15 | $31,667 | $5,625 | $4,243 | 0.91 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $124,525 | $16,124 | $16,686 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 14 | $51,396 | $8,549 | $6,887 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 14 | $87,038 | $11,589 | $11,663 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $356,410 | $30,595 | $47,759 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $51,702 | $9,236 | $6,928 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $49,200 | $6,094 | $6,593 | 1.03 |
Kidney and urinary tract173 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 38 | $85,930 | $9,785 | $11,515 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 35 | $58,820 | $5,489 | $7,882 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $61,716 | $6,744 | $8,270 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $50,830 | $5,182 | $6,811 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $89,060 | $9,815 | $11,934 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $45,201 | $5,991 | $6,057 | 1.02 |
Endocrine, nutritional and metabolic116 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 55 | $63,414 | $8,453 | $8,497 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 31 | $47,564 | $4,184 | $6,374 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $76,571 | $9,716 | $10,260 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $54,580 | $5,568 | $7,314 | 0.90 |
Liver, gallbladder and pancreas52 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 15 | $155,558 | $11,022 | $20,845 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $68,565 | $6,546 | $9,188 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $64,931 | $13,555 | $8,701 | 1.92 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $43,077 | $5,828 | $5,772 | 0.86 |
Other22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 22 | $204,584 | $31,158 | $27,414 | 4.74 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $32,366 | $4,663 | $4,337 | 0.80 |
Transplants, ECMO and tracheostomy (pre-MDC)12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 12 | $1,056,933 | $118,548 | $141,629 | 21.32 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $38,227 | $4,911 | $5,122 | 0.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 205 | 194 | $25,377 | $1,932 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 198 | 175 | $14,039 | $1,356 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 162 | 158 | $46,520 | $2,067 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 143 | 139 | $219,742 | $19,513 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 142 | 138 | $30,348 | $2,282 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 111 | 107 | $11,721 | $1,166 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 104 | 97 | $106,891 | $8,311 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 62 | 54 | $58,632 | $4,056 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 62 | 59 | $67,273 | $4,094 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 59 | 51 | $140,888 | $13,618 | $14,606 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 49 | $61,890 | $5,057 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $92,370 | $7,867 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 47 | 45 | $55,700 | $3,795 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 35 | 35 | $248,195 | $28,074 | $29,375 |
| Level 2 Vascular ProceduresAPC 5182 | 32 | 31 | $11,109 | $1,152 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 29 | 28 | $33,868 | $2,609 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 28 | 26 | $24,227 | $2,033 | $2,176 |
| Complex GI ProceduresAPC 5331 | 28 | 21 | $65,343 | $4,118 | $4,263 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 26 | $113,240 | $7,396 | $8,164 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 25 | 25 | $129,455 | $10,303 | $10,772 |
| Level 5 Airway EndoscopyAPC 5155 | 22 | 19 | $38,779 | $4,698 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $45,642 | $2,503 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $27,302 | $2,048 | $2,141 |
| Level 5 ENT ProceduresAPC 5165 | 19 | 19 | $68,744 | $3,997 | $4,436 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 19 | 19 | $25,984 | $1,682 | $1,780 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 18 | 18 | $59,331 | $6,126 | $6,514 |
| Level 3 Upper GI ProceduresAPC 5303 | 18 | 17 | $25,751 | $2,765 | $2,888 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 17 | 17 | $241,323 | $24,599 | $26,955 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $39,626 | $2,747 | $2,930 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 12 | $20,766 | $1,228 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 11 | $28,132 | $1,594 | $1,752 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.