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Short Term Acute Care HospitalPhysician

Unity Physicians Hospital

Medical Facilities Corporation · Mishawaka, IN

4455 Edison Lakes Parkway, Mishawaka, IN 46545(574) 231-6800

Not rated by CMS

CMS star rating

29

Beds

328

Inpatient discharges a year

$116.4M

Net patient revenue a year

24

In-network payers

About this hospital

Unity Physicians Hospital is a 29-bed physician hospital in Mishawaka, IN, affiliated with Medical Facilities Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 152 disclosed rate categories.

  • Helipad
CCN
150177
NPI
1518197011
Website
unityphysicianshospital.com
Health system
Medical Facilities Corporation
Teaching
No Medicare-funded residents
County
St. Joseph County
Metro area
South Bend-Mishawaka, IN-MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
2009
Last CMS survey
2012

Prices for common services

The 24 services Unity Physicians Hospital 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$312 - $616

from 3 insurers · median $466

Blue Cross$466
Insurer A*$312
Insurer B*$616
Medicare $339Nearby hospitals $84845% below nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$430 - $965

from 4 insurers · median $781

Aetna$430
Insurer A*$738
Insurer B*est.$825
Insurer C*$965
Medicare $531Nearby hospitals $1,99461% below nearby hospitals

Common here, based on CMS Medicare volume

Orthopedics and pain

Partial knee replacement

CPT 27446

$17,574 - $74,482

from 3 insurers · median $22,671

UnitedHealthcare$22,671
Insurer A*$17,574
Insurer B*est.$74,482
Medicare $12,480Nearby hospitals $43,40548% below nearby hospitals

420 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$542 - $5,779

from 2 insurers · median $3,161

UnitedHealthcare$542
Insurer A*$5,779
Medicare $298Nearby hospitals $983222% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Unity Physicians Hospital

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*8
352%
01
Insurer B*24
173%
911
Insurer C*11
131%
011
Insurer D*9
88%
08

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Unity Physicians Hospital, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanBanner HealthCenteneGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    Not rated by CMS

    • No Medicare readmissions penalty
    See quality ratings

  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 22 services
    • 78 affiliated clinicians
    See doctors and services

  • Finances

    $116.4M net patient revenue

    • Operating margin on patient care 1.8%
    • $116,320 unreimbursed and uncompensated care
    • $2.5M net income
    See finances

  • Ownership and leadership

    Owned by Physicians Asc Management LLC

    • Physician ownership
    • Tami Johnson, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-2194353Unity Surgical Arts38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 33 more1376148593 United Surgeons LLC1518197011 United Surgeons LLC1407801145 Unity Surgical Artsand 3 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

4455 Edison Lakes Parkway, Mishawaka, IN 46545

(574) 231-6800

Get directions

Frequently asked questions

About Unity Physicians Hospital's rates and hospital price transparency.

How much does an MRI cost at Unity Physicians Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Unity Physicians Hospital range from $328 to $1,121 across 4 insurers. Aetna's rate is $328. The median at nearby comparable hospitals is $865. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Unity Physicians Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Unity Physicians Hospital range from $312 to $616 across 3 insurers. Blue Cross Blue Shield's rate is $466. The median at nearby comparable hospitals is $848. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Unity Physicians Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Unity Physicians Hospital range from $2,113 to $2,113 across 1 insurers. UnitedHealthcare's rate is $2,113. The median at nearby comparable hospitals is $2,588. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Unity Physicians Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Unity Physicians Hospital range from $100 to $100 across 1 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $212. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Unity Physicians Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Unity Physicians Hospital for fiscal year 2027.

Does Medicare penalize Unity Physicians Hospital for readmissions?

No. Unity Physicians Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Unity Physicians Hospital?

In 2024, the most common were combined anterior and posterior spinal fusion without cc/mcc (15 discharges), revision of hip or knee replacement without cc/mcc (15 discharges).

What is Unity Physicians Hospital's case mix index?

Unity Physicians Hospital's Medicare case mix index is 3.16 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does Unity Physicians Hospital admit?

Unity Physicians Hospital reported 328 inpatient discharges and 740 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Unity Physicians Hospital have?

Unity Physicians Hospital reported 143 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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