Indiana / Memorial Hospital of South Bend

CMS certification 150058 · South Bend, IN · 7 entries in CMS's price-transparency list

Memorial Hospital of South Bend: charges and Medicare payments

Memorial Hospital of South Bend reported 2,506 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 4.58 times what it was paid — mid-range in Indiana, number 25 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 225 stays at an average charge of $64,971, 28% below the national average. It also billed 2,262 outpatient services, charging 7.68 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,506
  2. 2Charge ÷ paid, inpatient 4.58×
  3. 3Rank in IN (highest ratio = 1) 25 of 70
  4. 4CMS price-transparency actions 7
DRG 871$64,971DRG 291$41,407DRG 885$35,219DRG 189$53,598DRG 280$47,847DRG 177$55,498DRG 064$55,772DRG 065$39,696DRG 378$31,710DRG 872$35,434
Average charge per stay at Memorial Hospital of South Bend, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 86 DRGs that can be compared with the national average, Memorial Hospital of South Bend charged more than the national average in 7 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC225$64,971-28%$14,840
291 Heart Failure and Shock with MCC125$41,407-27%$10,146
885 Psychoses96$35,219-20%$11,200
189 Pulmonary Edema and Respiratory Failure95$53,598-7%$10,297
280 Acute Myocardial Infarction, Discharged Alive with MCC76$47,847-37%$12,009
177 Respiratory Infections and Inflammations with MCC72$55,498-21%$12,368
064 Intracranial Hemorrhage or Cerebral Infarction with MCC53$55,772-44%$14,812
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...53$39,696-29%$8,852
378 Gastrointestinal Hemorrhage with CC52$31,710-35%$8,344
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC47$35,434-28%$9,297
690 Kidney and Urinary Tract Infections without MCC44$26,435-30%$6,587
481 Hip and Femur Procedures except Major Joint with CC43$90,824-10%$17,983
683 Renal Failure with CC41$27,325-33%$7,102
309 Cardiac Arrhythmia and Conduction Disorders with CC39$25,512-29%$6,330
552 Medical Back Problems without MCC39$28,228-42%$10,229
377 Gastrointestinal Hemorrhage with MCC38$54,388-36%$14,005
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...37$28,501-29%$6,473
682 Renal Failure with MCC37$64,256-3%$13,183
312 Syncope and Collapse35$35,626-22%$7,441
194 Simple Pneumonia and Pleurisy with CC34$33,649-12%$6,634
281 Acute Myocardial Infarction, Discharged Alive with CC34$31,842-37%$7,440
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...34$37,991-37%$9,962
603 Cellulitis without MCC33$28,533-23%$7,320
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...33$29,296-21%$6,460
698 Other Kidney and Urinary Tract Diagnoses with MCC33$56,000-24%$12,878
322 Percutaneous Cardiovascular Procedures with Intraluminal...31$90,845-21%$17,182
853 Infectious and Parasitic Diseases with O.R. Procedures with...31$182,162-20%$43,486
190 Chronic Obstructive Pulmonary Disease with MCC29$40,438-20%$8,834
193 Simple Pneumonia and Pleurisy with MCC28$52,833-12%$10,835
274 Percutaneous and Other Intracardiac Procedures without MCC28$138,899-11%$24,389
689 Kidney and Urinary Tract Infections with MCC28$34,972-32%$8,955
454 Combined Anterior and Posterior Spinal Fusion with CC27$303,999+9%$51,042
522 Hip Replacement with Principal Diagnosis of Hip Fracture...25$82,533-19%$16,167
308 Cardiac Arrhythmia and Conduction Disorders with MCC24$41,668-26%$9,710
178 Respiratory Infections and Inflammations with CC22$42,534-6%$8,296
699 Other Kidney and Urinary Tract Diagnoses with CC22$27,823-41%$7,895
948 Signs and Symptoms without MCC22$30,592-20%$6,475
267 Endovascular Cardiac Valve Replacement and Supplement...21$182,882-17%$35,732
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC21$17,441-39%$5,055
389 Gastrointestinal Obstruction with CC21$32,684-16%$6,665
023 Craniotomy with Major Device Implant or Acute Complex Cns...20$208,092-26%$39,932
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale20$48,364-26%$10,765
480 Hip and Femur Procedures except Major Joint with MCC20$141,094+2%$23,399
071 Other Cerebrovascular Disorders with CC19$33,743-33%$8,308
092 Other Disorders of Nervous System with CC19$45,003-13%$8,228
101 Seizures without MCC19$21,447-56%$7,923
036 Carotid Artery Stent Procedures without CC/MCC18$94,348+7%$15,354
163 Major Chest Procedures with MCC18$167,648-20%$37,544
286 Circulatory Disorders except AMI, with Cardiac...18$61,241-45%$17,483
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...18$47,457-22%$10,304
638 Diabetes with CC18$28,154-32%$7,148
100 Seizures with MCC17$64,867-31%$16,937
191 Chronic Obstructive Pulmonary Disease with CC17$32,163-19%$6,792
208 Respiratory System Diagnosis with Ventilator Support <=96...17$109,982-19%$20,415
069 Transient Ischemia without Thrombolytic16$33,300-34%$6,301
812 Red Blood Cell Disorders without MCC16$28,784-35%$7,517
243 Permanent Cardiac Pacemaker Implant with CC15$62,321-44%$17,187
287 Circulatory Disorders except AMI, with Cardiac...15$34,458-46%$10,886
321 Percutaneous Cardiovascular Procedures with Intraluminal...15$117,727-28%$23,688
472 Cervical Spinal Fusion with CC15$189,775+33%$25,785

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Hospital of South Bend charged $64,971 on average, 3% more than the Indiana average of $63,232, and was paid $14,840 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Memorial Hospital of South Bend charged $41,407 on average, 1% more than the Indiana average of $40,842, and was paid $10,146 against a state average of $10,315. For Psychoses (DRG 885), Memorial Hospital of South Bend charged $35,219 on average, 7% more than the Indiana average of $32,829, and was paid $11,200 against a state average of $11,239. For Pulmonary Edema and Respiratory Failure (DRG 189), Memorial Hospital of South Bend charged $53,598 on average, 30% more than the Indiana average of $41,261, and was paid $10,297 against a state average of $10,352. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,284 was 22% below the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,748 was 19% below the state average of $10,786. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,241 was 6% below the state average of $14,051. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $17,315 was 26% below the state average of $23,462.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Memorial Hospital of South Bend in South Bend, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.