60/100
#967 nationally
Saint Joseph Regional Medical Center
5215 Holy Cross Pkwy, Mishawaka, IN 46545 · (574) 335-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Saint Joseph Regional Medical Center billed $4.21 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 86
- inpatient and outpatient combined
- Rank in IN
- #22
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 58% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 76% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
342 | $16,381 | $2,498 | -16% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
267 | $62,894 | $11,901 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
218 | $57,633 | $15,891 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
191 | $8,034 | $1,467 | -20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
110 | $18,168 | $2,895 | -5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
107 | $39,084 | $10,510 | -10% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
69 | $44,985 | $13,248 | -27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
67 | $11,287 | $1,831 | -13% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
65 | $8,682 | $1,682 | -26% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
59 | $32,488 | $10,905 | -30% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$27,101 | $2,887 | +49% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$36,556 | $4,778 | +33% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$13,613 | $1,418 | +21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$24,084 | $2,931 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$41,153 | $5,182 | +17% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$23,737 | $3,219 | +15% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$58,289 | $9,922 | +14% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$66,925 | $9,500 | +12% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$76,946 | $29,165 | -47% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$12,553 | $3,195 | -46% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$43,749 | $13,686 | -38% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$113,282 | $39,752 | -37% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$11,211 | $2,552 | -37% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$61,403 | $13,370 | -36% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$24,302 | $7,042 | -34% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$67,551 | $17,538 | -34% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.