Memorial Hospital of South Bend — ER visit prices
← Hospital overviewVerified from Memorial Hospital of South Bend’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
5 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ED Level 1 (Brief) (1-2) Inpatient | 99281 CPT | $281 | $183 | $56.20 – $230 | — | |
| ED Level 2 (Limited) (3-5) Inpatient | 99282 CPT | $503 | $327 | $101 – $412 | — | |
| ED Level 3 (Intermediate) (6-8) Inpatient | 99283 CPT | $826 | $537 | $165 – $677 | — | |
| ED Level 4 (Extended) (9-13) Inpatient | 99284 CPT | $1,291 | $839 | $258 – $1,059 | — | |
| ED Level 5 (Comprehensive) (>/=14) Inpatient | 99285 CPT | $1,925 | $1,251 | $385 – $1,579 | — |