Memorial Hospital of South Bend
Memorial Hospital of South Bend charges 5.2x the Medicare reimbursement rate across 88 analyzed procedures, placing this South Bend nonprofit among hospitals with moderate pricing markups.
South Bend, IN 46601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.2x
Charge / Medicare rate
Max markup
8.12x
Worst procedure
Procedures analyzed
88
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $231,471 | $115,735 | — | 8.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $60,054 | $30,027 | — | 7.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $84,838 | $42,419 | — | 7.6x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $208,341 | $104,170 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $51,523 | $25,761 | — | 7.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $101,913 | $50,957 | — | 7.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $104,665 | $52,333 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $26,104 | $13,052 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $46,038 | $23,019 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $83,864 | $41,932 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,742 | $16,371 | — | 6.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $123,912 | $61,956 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,590 | $26,295 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,895 | $20,447 | — | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $34,079 | $17,040 | — | 6.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,059 | $26,529 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $92,414 | $46,207 | — | 6.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $143,903 | $71,952 | — | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $86,955 | $43,478 | — | 6.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $280,592 | $140,296 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $75,618 | $37,809 | — | 5.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $84,648 | $42,324 | — | 5.9x |
| SYNCOPE AND COLLAPSE | 312 | $32,515 | $16,258 | — | 5.8x |
| DIABETES WITH CC | 638 | $35,063 | $17,531 | — | 5.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $34,016 | $17,008 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $44,379 | $22,189 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,787 | $17,894 | — | 5.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $138,839 | $69,419 | — | 5.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $353,610 | $176,805 | — | 5.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $164,275 | $82,138 | — | 5.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $35,517 | $17,758 | — | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $42,657 | $21,329 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,601 | $12,801 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,711 | $23,355 | — | 5.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $28,889 | $14,445 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,279 | $14,639 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,307 | $8,153 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $31,393 | $15,696 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,968 | $13,484 | — | 5.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $70,149 | $35,075 | — | 5.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $210,906 | $105,453 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,728 | $21,364 | — | 5.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $31,436 | $15,718 | — | 5.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $184,880 | $92,440 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $29,587 | $14,793 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $108,343 | $54,171 | — | 5.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $39,019 | $19,510 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $27,128 | $13,564 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $106,332 | $53,166 | — | 5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $35,016 | $17,508 | — | 5x |
Showing 50 of 88 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use