Ungraded
#1,638 nationally
Unity Physicians Hospital
4455 Edison Lakes Pkwy, Mishawaka, IN 46545 · (574) 231-6800
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Unity Physicians Hospital billed $6.12 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
- 6.1x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in IN
- #43
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
420 | $77,558 | $11,789 | +24% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
86 | $88,285 | $16,606 | +6% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
51 | $35,158 | $6,355 | -12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
41 | $8,148 | $2,103 | -31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
20 | $10,026 | $3,146 | -51% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
16 | $3,123 | $1,532 | -73% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
15 | $97,346 | $18,539 | -10% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
15 | $180,504 | $31,248 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
14 | $14,076 | $2,921 | -31% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$77,558 | $11,789 | +24% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$88,285 | $16,606 | +6% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$180,504 | $31,248 | about average |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$97,346 | $18,539 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$35,158 | $6,355 | -12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,148 | $2,103 | -31% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$14,076 | $2,921 | -31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,026 | $3,146 | -51% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$3,123 | $1,532 | -73% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,026 | $3,146 | -51% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$14,076 | $2,921 | -31% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,148 | $2,103 | -31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$35,158 | $6,355 | -12% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$97,346 | $18,539 | -10% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$180,504 | $31,248 | about average |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$88,285 | $16,606 | +6% |
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.