CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saint Joseph Regional Medical Center

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$148
about 0.6× the $244 Medicare rate · typically $140–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
About the fair price
about $21 over the fair price · 0.7× Medicare
Medicare pays $244 Fair price $148 This hospital $169 Hospital's list price $444

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $169

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $148 (about 0.6× the $244 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $169 — about the fair price. Located in Mishawaka, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $53 - $878 22%
Blue Cross Blue Shieldmajor $75 - $891 31%
Aetnamajor $75 - $2,712 31%
Cignamajor $75 - $2,671 31%
Humanamajor $75 - $170 31%
Kaiser Permanentemajor $172 - $522 71%
Ambetter (Centene) $76 - $170 31%
CareSource $100 - $391 41%
Clover Health $75 - $169 31%
GEHA $123 - $878 50%
Health Net $76 - $3,088 31%
HealthPartners $76 - $2,671 31%
Medical Mutual $2,712 1113%
Meridian $75 - $252 31%
Molina $76 - $170 31%
MVP Health Care $2,671 1096%
Paramount $76 - $170 31%
Presbyterian $75 - $170 31%
Priority Health $2,671 1096%
Tufts Health Plan $76 - $170 31%
WellMed $75 - $169 31%
WellSense $76 - $170 31%
+ 367 smaller / regional plans $75 - $4,173
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals