Price AtlasInteractive atlas · All states · techysurgeon.comMemorial Hospital of South Bend: what a joint replacement costs
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.
Medicare prices at Memorial Hospital of South Bend
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,717 | 1.7× | $19,811–$31,759 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $31,759 | 1.9× | 1 |
| Cha | $30,670 | 1.8× | 1 |
| Immergrun | $24,764 | 1.5× | 1 |
| Plain Church | $19,811 | 1.2× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Memorial Hospital of South Bend for a knee or hip replacement?
In 2024 the average total payment to Memorial Hospital of South Bend for an inpatient hip or knee replacement stay was $16,754 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,862 per outpatient case (APC 5115, 77 cases).
What is Memorial Hospital of South Bend's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $139,236, 8.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Memorial Hospital of South Bend?
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.
How does Memorial Hospital of South Bend compare with other Indiana hospitals?
Memorial Hospital of South Bend's average total payment per Medicare stay is higher than 91% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Memorial Hospital of South Bend for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,717 across 4 insurers, ranging from $19,811 to $31,759.