Memorial Hospital of South Bend

South Bend, IN

Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $871 $1,340 0.9×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,362.40 $2,096 1.5×
Transforaminal epidural injection, lumbar/sacral (64483) $1,791.40 $2,756 1.9×
CT head/brain without contrast (70450) $892.45 $1,373 8.1×
MRI brain without contrast (70551) $1,320.80 $2,032 5.2×
MRI brain with contrast (70552) $1,320.80 $2,032 3.6×
MRI brain without and with contrast (70553) $1,651.65 $2,541 4.5×
X-ray lower spine, 4+ views (72110) $337.35 $519 3.0×
MRI lumbar spine without contrast (72148) $1,320.80 $2,032 5.2×
CT pelvis with contrast (72193) $1,764.10 $2,714 9.5×
MRI lower-extremity joint without contrast (73721) $1,320.80 $2,032 5.2×
CT abdomen and pelvis with contrast (74177) $3,235.70 $4,978 8.8×
Ultrasound, abdomen complete (76700) $666.90 $1,026 6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $401.05 $617 3.6×
Ultrasound, transvaginal (76830) $406.90 $626 3.7×
Mammography, one breast (diagnostic) (77065) $364 $560 4.2×
Mammography, both breasts (diagnostic) (77066) $473.85 $729 4.3×
Mammography, screening (bilateral) (77067) $322.40 $496 3.5×
Basic metabolic panel (80048) $79.30 $122 9.4×
Comprehensive metabolic panel (80053) $67.60 $104 6.4×
Lipid panel (80061) $192.40 $296 14.4×
Renal function panel (80069) $128.70 $198 14.8×
Hepatic function panel (80076) $86.45 $133 10.6×
Urinalysis, non-automated, with microscopy (81000) $7.15 $11 1.8×
PSA, total (84153) $230.75 $355 12.5×
Thyroid stimulating hormone (TSH) (84443) $230.75 $355 13.7×
CBC with automated differential (85025) $64.35 $99 8.3×
CBC, automated (85027) $91.65 $141 14.2×
Prothrombin time (PT) (85610) $50.05 $77 11.7×
Partial thromboplastin time (PTT) (85730) $74.10 $114 12.3×
Psychotherapy, 60 minutes (90837) $313.30 $482 1.7×
Left heart catheterization (93452) $7,794.80 $11,992 2.3×
Sleep study (attended polysomnography) (95810) $2,987.40 $4,596 3.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $86.45 $133 3.0×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
$68.90–$198.90 $106–$306 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$115.05–$300.95 $177–$463 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$214.50–$387.40 $330–$596 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (CSV, 102.2 MB) ↓ — captured 2026-10-01

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