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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Memorial Hospital Of South Bend

Beacon Health System · South Bend, IN

615 North Michigan Street, South Bend, IN 46601(574) 647-1000

2 of 5

CMS star rating

422

Beds

17,498

Inpatient discharges a year

$716M

Net patient revenue a year

39

In-network payers

Photo 1: LittleT889, CC BY 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Memorial Hospital Of South Bend is a 422-bed voluntary non-profit - private hospital in South Bend, IN, affiliated with Beacon Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 183 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
150058
NPI
1295772093
Health system
Beacon Health System
Teaching
Teaching hospital
County
St. Joseph County
Metro area
South Bend-Mishawaka, IN-MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2004

Prices for common services

The 24 services Memorial Hospital Of South Bend most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$11,909

negotiated rate

Blue Cross$11,909

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,001 - $3,982

from 4 insurers · median $2,784

Aetna$1,975
Insurer A*$1,001
Insurer B*$3,594
Insurer C*$3,982
Medicare $332Nearby hospitals $779258% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$15,817

negotiated rate

Blue Cross$15,817

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$48,926

negotiated rate

Blue Cross$48,926
Medicare $27,255Nearby hospitals $57,83615% below nearby hospitals

44 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Memorial Hospital Of South Bend

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*14
353%
86
Insurer B*13
311%
64
Insurer C*19
276%
116
Insurer D*23
168%
514

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Memorial Hospital Of South Bend, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    2 of 5 stars

    • 205 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.12%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 46 services, including trauma care
    • 800 affiliated clinicians
    See doctors and services
  • Finances

    $716M net patient revenue

    • Operating margin on patient care 6.3%
    • $15.8M unreimbursed and uncompensated care
    • $103.8M net income
    See finances
  • Ownership and leadership

    Owned by Beacon Health System Inc

    • Private (not for profit)
    • Kreg Gruber, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Memorial Hospital Of South Bend in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-0868132Memorial Hospital Of South Bend63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1295772093 Memorial Hospital Of South Bend1881177756 Memorial Hospital Of South Bend1376841395 Memorial Hospital Of South Bendand 7 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

615 North Michigan Street, South Bend, IN 46601

(574) 647-1000

Get directions

Frequently asked questions

About Memorial Hospital Of South Bend's rates and hospital price transparency.

How much does an MRI cost at Memorial Hospital Of South Bend?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Hospital Of South Bend range from $511 to $2,033 across 4 insurers. Cigna's rate is $2,033. The median at nearby comparable hospitals is $852. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Memorial Hospital Of South Bend?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Hospital Of South Bend range from $1,001 to $3,982 across 4 insurers. Aetna's rate is $1,975. The median at nearby comparable hospitals is $779. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Memorial Hospital Of South Bend?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Memorial Hospital Of South Bend range from $491 to $3,122 across 4 insurers. UnitedHealthcare's rate is $3,122. The median at nearby comparable hospitals is $2,869. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Memorial Hospital Of South Bend?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Hospital Of South Bend range from $11,909 to $11,909 across 1 insurers. Blue Cross Blue Shield's rate is $11,909. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Memorial Hospital Of South Bend?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Of South Bend range from $140 to $358 across 4 insurers. Cigna's rate is $268. The median at nearby comparable hospitals is $202. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Memorial Hospital Of South Bend's CMS star rating?

Memorial Hospital Of South Bend has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Memorial Hospital Of South Bend a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Memorial Hospital Of South Bend for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Memorial Hospital Of South Bend for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Memorial Hospital Of South Bend's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Memorial Hospital Of South Bend?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (225 discharges), heart failure and shock with mcc (125 discharges), psychoses (96 discharges).

What is Memorial Hospital Of South Bend's case mix index?

Memorial Hospital Of South Bend's Medicare case mix index is 1.88 for fiscal year 2027, higher than 69% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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