South Bend, IN 46601 · CMS Certification Number 150058. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,754 | $139,236 | 8.3× | $11,862 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,167 | $82,533 | 5.1× | — |
Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 463 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Memorial Hospital of South Bend an average of $16,754 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,862 per outpatient case (APC 5115, 77 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $139,236, 8.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. South Bend Clinic & Surgicenter the, an orthopedic surgery center 1.4 mi away, is paid about $8,775 by Medicare for a knee replacement (CPT 27447), $7,979 less than an inpatient stay at Memorial Hospital of South Bend. Not every patient is a surgery-center candidate.
Medicare paid Memorial Hospital of South Bend more than 91% of the 34 Indiana hospitals that report inpatient hip or knee replacement.