MEMORIAL HOSPITAL OF SOUTH BEND

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

CPT / HCPCS codes

15,968

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
707201004	carmustine 7.7 mg Implant Dev (per box, qty #8)	$104,632	$68,011	—	—	10
707201004	carmustine 7.7 mg Implant Dev (per box, qty #8)	$104,632	$68,011	—	—	13
625151565	MITRACLIP G4 SYSTEM	$99,999	$64,999	—	—	10
625152171	GENERATOR IMPLANTABLE PULSE	$99,999	$64,999	—	—	10
625165124	PLUG VASCULAR AMPLATZER AMULET 18MM	$99,999	$64,999	—	—	10
625165123	PLUG VASCULAR AMPLATZER AMULET 16MM	$99,999	$64,999	—	—	10
625165284	SYSTEM SAPIEN 3 ULTRA RESILIA THV 20CM	$99,999	$64,999	—	—	10
625165119	PLUG VASCULAR AMPLATZER AMULET 25MM	$99,999	$64,999	—	—	10
625142101	SYSTEM CARDIOMEMS PA SENSOR AND DELIVERY	$99,999	$64,999	—	—	10
625149893	DEVICE IMPELLA CP SMART ASSIT CP C8 OPTICAL	$99,999	$64,999	—	—	10
625149934	STENT TAG CONFORM THORACIC SG AC 26MMX26MMX10CM 20FR	$99,999	$64,999	—	—	10
625150092	VALVE HEART SAPIEN ULTRA 23MM (THV) W/COMMANDER SYSTEM	$99,999	$64,999	—	—	10
625149937	STENT TAG CONFORM THORACIC SG AC 28MMX28MMX10CM 20FR	$99,999	$64,999	—	—	10
625149950	STENT TAG CONFORM THORACIC SG AC 37MMX37MMX10CM 22FR	$99,999	$64,999	—	—	10
625150093	VALVE HEART SAPIEN ULTRA 26MM (THV) W/COMMANDER SYSTEM	$99,999	$64,999	—	—	10
625155997	SYSTEM SAPIEN 3 ULTRA RESILIA THV 23MM	$99,999	$64,999	—	—	10
625155999	SYSTEM SAPIEN 3 ULTRA RESILIA THV 29MM	$99,999	$64,999	—	—	10
625155998	SYSTEM SAPIEN 3 ULTRA RESILIA THV 26MM	$99,999	$64,999	—	—	10
625149292	VALVE EVOLUT FX 29MM	$99,999	$64,999	—	—	10
625149291	VALVE EVOLUT FX 26MM	$99,999	$64,999	—	—	10
625149629	IMPLANT AUTOLOGOUS CULTURED CHONDROCYTES SINGLE	$99,999	$64,999	—	—	10
625143680	S-ICD EMBLEM MRI	$99,999	$64,999	—	—	10
625151565	MITRACLIP G4 SYSTEM	$99,999	$64,999	—	—	13
625152171	GENERATOR IMPLANTABLE PULSE	$99,999	$64,999	—	—	13
625165124	PLUG VASCULAR AMPLATZER AMULET 18MM	$99,999	$64,999	—	—	13
625165123	PLUG VASCULAR AMPLATZER AMULET 16MM	$99,999	$64,999	—	—	13
625165284	SYSTEM SAPIEN 3 ULTRA RESILIA THV 20CM	$99,999	$64,999	—	—	13
625165119	PLUG VASCULAR AMPLATZER AMULET 25MM	$99,999	$64,999	—	—	13
625142101	SYSTEM CARDIOMEMS PA SENSOR AND DELIVERY	$99,999	$64,999	—	—	13
625149893	DEVICE IMPELLA CP SMART ASSIT CP C8 OPTICAL	$99,999	$64,999	—	—	13
625149934	STENT TAG CONFORM THORACIC SG AC 26MMX26MMX10CM 20FR	$99,999	$64,999	—	—	13
625150092	VALVE HEART SAPIEN ULTRA 23MM (THV) W/COMMANDER SYSTEM	$99,999	$64,999	—	—	13
625149937	STENT TAG CONFORM THORACIC SG AC 28MMX28MMX10CM 20FR	$99,999	$64,999	—	—	13
625149950	STENT TAG CONFORM THORACIC SG AC 37MMX37MMX10CM 22FR	$99,999	$64,999	—	—	13
625150093	VALVE HEART SAPIEN ULTRA 26MM (THV) W/COMMANDER SYSTEM	$99,999	$64,999	—	—	13
625155997	SYSTEM SAPIEN 3 ULTRA RESILIA THV 23MM	$99,999	$64,999	—	—	13
625155999	SYSTEM SAPIEN 3 ULTRA RESILIA THV 29MM	$99,999	$64,999	—	—	13
625155998	SYSTEM SAPIEN 3 ULTRA RESILIA THV 26MM	$99,999	$64,999	—	—	13
625149292	VALVE EVOLUT FX 29MM	$99,999	$64,999	—	—	13
625149291	VALVE EVOLUT FX 26MM	$99,999	$64,999	—	—	13
625149629	IMPLANT AUTOLOGOUS CULTURED CHONDROCYTES SINGLE	$99,999	$64,999	—	—	13
625143680	S-ICD EMBLEM MRI	$99,999	$64,999	—	—	13
625164211	DEFIBRILLATOR COBALT XT HF CRT-D MRI SURESCAN DUAL CHAMBER	$97,020	$63,063	—	—	10
625156339	DEFIBRILLATOR COBALT XT HF QUAD CRT-D MRI SURESCAN	$97,020	$63,063	—	—	10
625157917	DEFIBRILATOR CRT HF MRI DF1 COBALT XT	$97,020	$63,063	—	—	10
625164211	DEFIBRILLATOR COBALT XT HF CRT-D MRI SURESCAN DUAL CHAMBER	$97,020	$63,063	—	—	13
625156339	DEFIBRILLATOR COBALT XT HF QUAD CRT-D MRI SURESCAN	$97,020	$63,063	—	—	13
625157917	DEFIBRILATOR CRT HF MRI DF1 COBALT XT	$97,020	$63,063	—	—	13
707270221	polatuzumab vedotin-piiq 140 mg/7 mL Inj	$94,740	$61,581	—	—	10
707270221	polatuzumab vedotin-piiq 140 mg/7 mL Inj	$94,740	$61,581	—	—	13

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.