Saint Joseph Regional Medical Center

5215 Holy Cross Pkwy · Mishawaka, IN 46545

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$157.6M

Medicare Payments

$34.9M

Discharges

2,965

Avg Length of Stay

4.6 days

Markup Ratio

4.5x

Risk Score

2.11

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Saint Joseph Regional Medical Center charges an average of $53,151 per discharge, but Medicare only pays $11,783 — a markup of 4.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

4.5x

State Avg

5.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$53,151

State Avg

$69,396

National Avg

$69,838

Avg Length of Stay

This Hospital

4.6 days

State Avg

4.8 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

11.5%

65–74

35.0%

75–84

32.3%

85+

21.2%

Gender

53.7%

Female

46.3%

Male

Dual Eligibility

23.4%

Dual Eligible

76.6%

Non-Dual

Race & Ethnicity

White

87.8%

Black

6.6%

Hispanic

2.0%

Asian

0.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

52.1%

Diabetes

43.5%

Chronic Kidney Disease

42.2%

Heart Failure

39.2%

Ischemic Heart Disease

38.7%

Mood Disorders

38.2%

Atrial Fibrillation

37.1%

Depression

35.5%

Anxiety

32.4%

COPD

30.9%

Alzheimer's/Dementia

21.7%

Cancer

18.7%

Osteoporosis

16.8%

Stroke/TIA

16.4%

Tobacco Use

14.6%

Asthma

11.0%

Substance Use

10.2%

Bipolar Disorder

5.1%

Parkinson's

4.7%

Schizophrenia/Psychosis

4.4%

ADHD/Conduct Disorders

2.0%

PTSD

1.8%

Personality Disorders

1.6%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.