MEMORIAL HOSPITAL OF SOUTH BEND

CCN 150058

45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
40,315
Insurances with rates
38
CPT / HCPCS codes
15,968
Source MRF

Most expensive procedures (gross)

707201004
$68,011
carmustine 7.7 mg Implant Dev (per box, qty #8)
Gross
$104,632
707201004
$68,011
carmustine 7.7 mg Implant Dev (per box, qty #8)
Gross
$104,632
625151565
$64,999
MITRACLIP G4 SYSTEM
Gross
$99,999
625152171
$64,999
GENERATOR IMPLANTABLE PULSE
Gross
$99,999
625165124
$64,999
PLUG VASCULAR AMPLATZER AMULET 18MM
Gross
$99,999
625165123
$64,999
PLUG VASCULAR AMPLATZER AMULET 16MM
Gross
$99,999
625165284
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 20CM
Gross
$99,999
625165119
$64,999
PLUG VASCULAR AMPLATZER AMULET 25MM
Gross
$99,999
625142101
$64,999
SYSTEM CARDIOMEMS PA SENSOR AND DELIVERY
Gross
$99,999
625149893
$64,999
DEVICE IMPELLA CP SMART ASSIT CP C8 OPTICAL
Gross
$99,999
625149934
$64,999
STENT TAG CONFORM THORACIC SG AC 26MMX26MMX10CM 20FR
Gross
$99,999
625150092
$64,999
VALVE HEART SAPIEN ULTRA 23MM (THV) W/COMMANDER SYSTEM
Gross
$99,999
625149937
$64,999
STENT TAG CONFORM THORACIC SG AC 28MMX28MMX10CM 20FR
Gross
$99,999
625149950
$64,999
STENT TAG CONFORM THORACIC SG AC 37MMX37MMX10CM 22FR
Gross
$99,999
625150093
$64,999
VALVE HEART SAPIEN ULTRA 26MM (THV) W/COMMANDER SYSTEM
Gross
$99,999
625155997
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 23MM
Gross
$99,999
625155999
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 29MM
Gross
$99,999
625155998
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 26MM
Gross
$99,999
625149292
$64,999
VALVE EVOLUT FX 29MM
Gross
$99,999
625149291
$64,999
VALVE EVOLUT FX 26MM
Gross
$99,999
625149629
$64,999
IMPLANT AUTOLOGOUS CULTURED CHONDROCYTES SINGLE
Gross
$99,999
625143680
$64,999
S-ICD EMBLEM MRI
Gross
$99,999
625151565
$64,999
MITRACLIP G4 SYSTEM
Gross
$99,999
625152171
$64,999
GENERATOR IMPLANTABLE PULSE
Gross
$99,999
625165124
$64,999
PLUG VASCULAR AMPLATZER AMULET 18MM
Gross
$99,999
625165123
$64,999
PLUG VASCULAR AMPLATZER AMULET 16MM
Gross
$99,999
625165284
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 20CM
Gross
$99,999
625165119
$64,999
PLUG VASCULAR AMPLATZER AMULET 25MM
Gross
$99,999
625142101
$64,999
SYSTEM CARDIOMEMS PA SENSOR AND DELIVERY
Gross
$99,999
625149893
$64,999
DEVICE IMPELLA CP SMART ASSIT CP C8 OPTICAL
Gross
$99,999
625149934
$64,999
STENT TAG CONFORM THORACIC SG AC 26MMX26MMX10CM 20FR
Gross
$99,999
625150092
$64,999
VALVE HEART SAPIEN ULTRA 23MM (THV) W/COMMANDER SYSTEM
Gross
$99,999
625149937
$64,999
STENT TAG CONFORM THORACIC SG AC 28MMX28MMX10CM 20FR
Gross
$99,999
625149950
$64,999
STENT TAG CONFORM THORACIC SG AC 37MMX37MMX10CM 22FR
Gross
$99,999
625150093
$64,999
VALVE HEART SAPIEN ULTRA 26MM (THV) W/COMMANDER SYSTEM
Gross
$99,999
625155997
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 23MM
Gross
$99,999
625155999
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 29MM
Gross
$99,999
625155998
$64,999
SYSTEM SAPIEN 3 ULTRA RESILIA THV 26MM
Gross
$99,999
625149292
$64,999
VALVE EVOLUT FX 29MM
Gross
$99,999
625149291
$64,999
VALVE EVOLUT FX 26MM
Gross
$99,999
625149629
$64,999
IMPLANT AUTOLOGOUS CULTURED CHONDROCYTES SINGLE
Gross
$99,999
625143680
$64,999
S-ICD EMBLEM MRI
Gross
$99,999
625164211
$63,063
DEFIBRILLATOR COBALT XT HF CRT-D MRI SURESCAN DUAL CHAMBER
Gross
$97,020
625156339
$63,063
DEFIBRILLATOR COBALT XT HF QUAD CRT-D MRI SURESCAN
Gross
$97,020
625157917
$63,063
DEFIBRILATOR CRT HF MRI DF1 COBALT XT
Gross
$97,020
625164211
$63,063
DEFIBRILLATOR COBALT XT HF CRT-D MRI SURESCAN DUAL CHAMBER
Gross
$97,020
625156339
$63,063
DEFIBRILLATOR COBALT XT HF QUAD CRT-D MRI SURESCAN
Gross
$97,020
625157917
$63,063
DEFIBRILATOR CRT HF MRI DF1 COBALT XT
Gross
$97,020
707270221
$61,581
polatuzumab vedotin-piiq 140 mg/7 mL Inj
Gross
$94,740
707270221
$61,581
polatuzumab vedotin-piiq 140 mg/7 mL Inj
Gross
$94,740
Showing top 50 of 40,315 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.