Saint Joseph Regional Medical Center

Mishawaka, Indiana 46545

CCN: 150012 Acute Care Hospitals Emergency Services
2/5
CMS Star Rating
Below Average
61
DRG Categories
1,916
Total Discharges
$50,662
Avg Charges
$13,383
Avg Payment
$10,799
Avg Medicare
3.79x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Below Average
Safety of Care
Above Average
Readmissions
Same as Average
Patient Experience
Reported
Indiana Average Rating
3.33 / 5 This hospital is below average
12 five-star hospitals of rated in Indiana
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private

Compared to Indiana Average

How this hospital compares to the average of 80 hospitals in Indiana

Average Charges
$50,662 -30%
State avg: $72,140
Average Payment
$13,383 -10%
State avg: $14,942
Charge-to-Payment Ratio
3.79x Below avg
State avg: 4.69x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 250 $53,383 $15,279 3.49x
291 HEART FAILURE AND SHOCK WITH MCC 139 $34,388 $10,028 3.43x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 85 $56,564 $15,091 3.75x
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC 61 $45,817 $13,268 3.45x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 54 $44,664 $10,864 4.11x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 54 $27,889 $7,872 3.54x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 50 $33,044 $8,678 3.81x
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 43 $24,462 $6,477 3.78x
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 42 $117,913 $39,328 3x
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 41 $31,723 $7,975 3.98x
603 CELLULITIS WITHOUT MCC 40 $26,439 $7,374 3.59x
682 RENAL FAILURE WITH MCC 40 $55,388 $13,475 4.11x
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 39 $33,573 $9,915 3.39x
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 38 $30,190 $9,458 3.19x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 38 $28,090 $6,713 4.18x
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 37 $35,461 $8,007 4.43x
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 37 $34,141 $9,534 3.58x
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 37 $43,693 $11,994 3.64x
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC 34 $108,770 $24,503 4.44x
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC 33 $34,522 $8,854 3.9x

Showing top 20 of 61 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

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