Healthcare Pricing Data: MISHAWAKA, IN
2 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
4.9x
Across all procedures
vs National Average
-32%
Chargemaster rates
About This Data
MISHAWAKA, IN has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 4.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in MISHAWAKA is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC (DRG 455), with an average chargemaster rate of $187,541 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $187,541 | 2 | 5.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $88,991 | 2 | 7.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $130,314 | 1 | 8.7x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $124,555 | 1 | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $117,913 | 1 | 4.0x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $114,077 | 1 | 4.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $108,770 | 1 | 4.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $101,247 | 1 | 4.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $101,113 | 1 | 5.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $77,274 | 1 | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $76,203 | 1 | 6.0x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $66,620 | 1 | 3.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $66,596 | 1 | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $66,067 | 1 | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $63,576 | 1 | 6.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,564 | 1 | 4.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $56,368 | 1 | 6.0x |
| RENAL FAILURE WITH MCC | 682 | $55,388 | 1 | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $53,822 | 1 | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $53,383 | 1 | 4.0x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $52,698 | 1 | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $51,778 | 1 | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $49,172 | 1 | 5.0x |
| SEIZURES WITH MCC | 100 | $48,953 | 1 | 3.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,817 | 1 | 4.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $44,664 | 1 | 5.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,693 | 1 | 4.0x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $41,676 | 1 | 3.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $37,279 | 1 | 4.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $36,173 | 1 | 3.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in MISHAWAKA With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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