Memorial Hospital Of South Bend Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hospital Of South Bend, South Bend, IN in 2024, from traditional Medicare claims. Back to the Memorial Hospital Of South Bend profile, with quality ratings, finances and negotiated rates.
2,506
Medicare inpatient discharges
In 86 published DRGs
1.88
Case mix index
IPPS FY 2027
18%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
2,262
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system558 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 125 | $41,407 | $8,571 | $10,228 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 76 | $47,847 | $10,666 | $11,818 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 39 | $25,512 | $4,758 | $6,302 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 35 | $35,626 | $5,637 | $8,800 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 34 | $31,842 | $6,200 | $7,865 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $90,845 | $11,181 | $22,439 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 28 | $138,899 | $23,129 | $34,308 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $41,668 | $8,704 | $10,292 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 21 | $182,882 | $34,592 | $45,172 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $17,441 | $3,064 | $4,308 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $61,241 | $14,215 | $15,126 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $62,321 | $15,805 | $15,393 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $34,458 | $5,564 | $8,511 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $117,727 | $18,637 | $29,079 | 2.87 |
| Chest painMS-DRG 313, medical | 14 | $20,041 | $4,620 | $4,950 | 0.72 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $204,289 | $26,301 | $50,459 | 4.04 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $92,949 | $18,191 | $22,958 | 2.55 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $37,307 | $6,869 | $9,215 | 0.97 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $94,886 | $14,006 | $23,437 | 2.09 |
Respiratory system365 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 95 | $53,598 | $8,946 | $13,239 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 72 | $55,498 | $10,627 | $13,708 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 34 | $33,649 | $5,336 | $8,311 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $40,438 | $7,213 | $9,988 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $52,833 | $8,511 | $13,050 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $42,534 | $6,997 | $10,506 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $48,364 | $8,939 | $11,946 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $167,648 | $35,958 | $41,409 | 4.71 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $32,163 | $5,554 | $7,944 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $109,982 | $17,225 | $27,165 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $31,410 | $5,640 | $7,758 | 0.82 |
Infectious and parasitic diseases303 discharges in 3 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 | 225 | $64,971 | $13,120 | $16,048 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 47 | $35,434 | $6,501 | $8,752 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $182,162 | $37,829 | $44,994 | 5.00 |
Nervous system272 discharges in 12 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 | $55,772 | $13,326 | $13,776 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 53 | $39,696 | $6,282 | $9,805 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 20 | $208,092 | $38,145 | $51,399 | 5.67 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $33,743 | $7,067 | $8,334 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 19 | $45,003 | $6,922 | $11,116 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 19 | $21,447 | $5,583 | $5,297 | 0.91 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 18 | $94,348 | $12,215 | $23,304 | 1.81 |
| Seizures with MCCMS-DRG 100, medical | 17 | $64,867 | $15,781 | $16,022 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $33,300 | $4,992 | $8,225 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $40,670 | $4,278 | $10,046 | 0.69 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 13 | $188,899 | $35,621 | $46,658 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $50,845 | $10,803 | $12,559 | 1.79 |
Musculoskeletal system and connective tissue246 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 43 | $90,824 | $13,221 | $22,433 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 39 | $28,228 | $6,156 | $6,972 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 27 | $303,999 | $49,328 | $75,088 | 6.12 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $82,533 | $13,277 | $20,386 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $141,094 | $21,708 | $34,850 | 2.95 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 15 | $189,775 | $20,973 | $46,874 | 2.96 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $67,587 | $10,931 | $16,694 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $24,844 | $5,709 | $6,136 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $174,127 | $23,482 | $43,009 | 3.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $27,606 | $5,081 | $6,819 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $109,056 | $16,435 | $26,937 | 2.40 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $139,236 | $12,694 | $34,391 | 1.88 |
Kidney and urinary tract218 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 44 | $26,435 | $4,928 | $6,530 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 41 | $27,325 | $5,844 | $6,749 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 37 | $64,256 | $11,483 | $15,871 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $56,000 | $11,566 | $13,832 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $34,972 | $7,666 | $8,638 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 22 | $27,823 | $7,068 | $6,872 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $47,922 | $8,923 | $11,837 | 1.35 |
Digestive system216 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 52 | $31,710 | $6,645 | $7,832 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $54,388 | $12,765 | $13,434 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 37 | $28,501 | $5,106 | $7,040 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $32,684 | $5,299 | $8,073 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $47,457 | $8,360 | $11,722 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $28,765 | $6,109 | $7,105 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $44,296 | $9,722 | $10,941 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $195,035 | $35,628 | $48,174 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $35,534 | $7,474 | $8,777 | 1.04 |
Endocrine, nutritional and metabolic98 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 | 34 | $37,991 | $8,746 | $9,384 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $29,296 | $5,291 | $7,236 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 18 | $28,154 | $5,789 | $6,954 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $56,207 | $9,765 | $13,883 | 1.45 |
Mental diseases and disorders96 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 96 | $35,219 | $8,947 | $8,699 | 1.37 |
Skin, subcutaneous tissue and breast33 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 33 | $28,533 | $5,776 | $7,048 | 0.88 |
Blood and immune system31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $28,784 | $6,232 | $7,110 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $44,654 | $9,601 | $11,029 | 1.40 |
Liver, gallbladder and pancreas26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $28,847 | $4,929 | $7,125 | 0.86 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $46,587 | $11,308 | $11,507 | 1.63 |
Factors influencing health status22 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 | 22 | $30,592 | $5,480 | $7,556 | 0.80 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $20,021 | $4,564 | $4,945 | 0.74 |
Other11 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 | 11 | $218,032 | $42,206 | $53,854 | 4.74 |
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 | 385 | 361 | $14,284 | $1,910 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 195 | 178 | $8,748 | $1,141 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 129 | 109 | $13,241 | $1,392 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 108 | 94 | $17,315 | $2,432 | $2,629 |
| Level 3 Airway EndoscopyAPC 5153 | 106 | 103 | $10,127 | $1,206 | $1,264 |
| Level 5 Urology and Related ServicesAPC 5375 | 92 | 86 | $26,604 | $3,679 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 90 | 90 | $26,355 | $4,056 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 87 | 87 | $21,087 | $2,112 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 82 | 75 | $18,268 | $2,262 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 80 | 61 | $5,113 | $1,368 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 77 | 75 | $76,723 | $10,229 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 67 | 65 | $80,087 | $8,039 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 45 | $14,285 | $2,402 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 52 | 50 | $15,295 | $2,693 | $2,833 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 45 | 42 | $12,352 | $1,995 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 37 | $16,900 | $2,094 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 40 | 38 | $59,422 | $5,144 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 39 | 38 | $19,080 | $1,122 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 37 | 36 | $53,005 | $3,888 | $4,338 |
| Level 2 Intraocular ProceduresAPC 5492 | 37 | 34 | $32,823 | $2,844 | $3,116 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 37 | 36 | $7,403 | $1,678 | $1,780 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 36 | 36 | $35,145 | $7,997 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 36 | 36 | $50,978 | $7,652 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 35 | 34 | $7,086 | $1,150 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 34 | 31 | $11,251 | $1,375 | $1,445 |
| Level 4 Endovascular ProceduresAPC 5194 | 28 | 24 | $130,557 | $14,161 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 27 | 22 | $76,241 | $3,213 | $3,946 |
| Level 5 ENT ProceduresAPC 5165 | 26 | 26 | $22,666 | $4,211 | $4,436 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 24 | $13,937 | $2,154 | $2,389 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $110,155 | $27,970 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $24,218 | $4,413 | $4,982 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $22,072 | $3,576 | $3,792 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 15 | 14 | $125,026 | $18,430 | $21,117 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $38,655 | $5,701 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 13 | $16,069 | $2,545 | $2,930 |
| Level 3 Upper GI ProceduresAPC 5303 | 14 | $13,007 | $1,563 | $2,888 | |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $41,263 | $6,680 | $7,291 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $36,072 | $4,921 | $5,183 |
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.