CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saint Joseph Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $169
  • Cash Discount Price: $483
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saint Joseph Regional Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $483. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.69x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$483

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $483 (198%)
Insurance Median: $169 (69%)
Cash: $483 (198% of Medicare)
Ins. Median: $169 (69% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $52 - $444 21%
UnitedHealthcare $53 - $878 22%
Aetna $75 - $2,712 31%
Align Senior Care $75 - $169 31%
Ally Align Care Adv $75 - $169 31%
American Health Advantage Of Idaho $75 - $169 31%
American Health Plan $75 - $169 31%
Aurora Special Needs $75 - $169 31%
Blue Care Network Advantage $75 - $169 31%
Blue Cross Blue Shield $75 - $891 31%
Blue Shield - De (Highmark) Medciare Advantage $75 - $169 31%
Care Dimensions $75 - $169 31%
Care Improvement Plus $75 - $169 31%
Care Resources Pace $75 - $169 31%
Careplus Health Plans $75 - $169 31%
Cca - Zing Health $75 - $169 31%
Cca Senior Care Options $75 - $169 31%
Central Valley Medical Services Corp Pace $75 - $169 31%
Champion Health Plan Mcr Advantage $75 - $169 31%
Cigna $75 - $2,671 31%
Clear Spring Health $75 - $169 31%
Clover Health $75 - $169 31%
Commonwealth Care Alliance $75 - $169 31%
Community Pace At Home $75 - $169 31%
Eddy Senior Care-Pace $75 - $169 31%
Eddy Seniorcare Pace $75 - $169 31%
Elementcare $75 - $169 31%
Evercare $75 - $169 31%
Everence $75 - $169 31%
Gateway Health Plan $75 - $169 31%
Genesys Pace Of Genesee County $75 - $169 31%
Georgia Health Advantage $75 - $169 31%
Gold Advantage $75 - $169 31%
Gpa Croell Redi Mix $75 - $169 31%
Health America Advantra $75 - $169 31%
Highmark Health Options Dual Plan $75 - $169 31%
Hope Select Pace $75 - $169 31%
Horizon Nj Total Care $75 - $169 31%
Hudson Headwaters Pace $75 - $169 31%
Humana $75 - $170 31%
Huron Valley Pace $75 - $169 31%
Innovative Integrated Health Community Plans $75 - $169 31%
Iowa Health Advantage $75 - $169 31%
Johns Hopkins Advantage Md $75 - $169 31%
Lasso Healthcare Msa $75 - $169 31%
Life St Marys Pace $75 - $169 31%
Lifecircles Pace $75 - $169 31%
Longevity Health Plan $75 - $169 31%
Longevity Ipa Of Michigan Llc Health Plan Isnp $75 - $169 31%
Martins Point Generations Advantage $75 - $169 31%
Mass General Brigham Mcr Adv $75 - $169 31%
Medicare (plans) $75 - $257 31%
Medipak Advantage $75 - $169 31%
Mercy Life $75 - $169 31%
Mercyone Cedar Valley $75 - $169 31%
Meridian Complete $75 - $252 31%
Michigan Complete Health $75 - $169 31%
Nascentia Health Plus $75 - $169 31%
New Centry Health Careplus $75 - $169 31%
Osu Prime Care Advantage $75 - $169 31%
Pace Cny $75 - $169 31%
Pace Iowa Immanuel Pathways $75 - $169 31%
Pace Of Southwest Michigan $75 - $170 31%
Pace Southeast $75 - $169 31%
Pace-Trinity Health $75 - $252 31%
Peak Pace Solutions $75 - $169 31%
Perennial Advantage $75 - $169 31%
Preferred Care Partners $75 - $169 31%
Presbyterian Senior Plan $75 - $169 31%
Provider Partners Health Plan Of Illinois $75 - $169 31%
Pruitthealth Premier $75 - $169 31%
Reliance Community Care Partners Care Resources Pace $75 - $169 31%
Rx Allwin $75 - $169 31%
Rx Grane Grnmedd $75 - $169 31%
Rx Retiree Rx Care $75 - $169 31%
Scan Health Plan Mcr Ipa Meritage Oon $75 - $169 31%
Secure Horizons Ma Pffs $75 - $169 31%
Serenity Pace $75 - $169 31%
Siouxland Pace $75 - $169 31%
Solis Health Plans $75 - $169 31%
Sunnyview-Pace Finance Dept $75 - $169 31%
Texan Plus $75 - $169 31%
The Health Plan $75 - $169 31%
Thome Pace $75 - $169 31%
Todays Options $75 - $169 31%
Tribute Health Plans $75 - $169 31%
Um Health Advantage $75 - $169 31%
Union Health Service $75 - $169 31%
Welbe Health $75 - $169 31%
Wellmed $75 - $169 31%
Albany County Correctional Facility $76 - $170 31%
Ambetter / Centene $76 - $170 31%
Amish Mennonite $76 - $170 31%
Ascension St. Vincent Public Safety Medical $76 - $170 31%
Bcccp-Michigan $76 - $170 31%
Bccp $76 - $170 31%
Bmc Healthnet $76 - $170 31%
Breast Grant-Connecticut $76 - $170 31%
Broward County Dept Of Health $76 - $170 31%
California Health And Wellness $76 - $170 31%
Cardinal Innovations Lme $76 - $170 31%
Care Connections Of Northern Iowa $76 - $170 31%
Care Oregon Ohp $76 - $170 31%
Cencal Health Plan $76 - $170 31%
Cenpatico $76 - $170 31%
Champva $76 - $170 31%
Chhuny $76 - $170 31%
Childrens Comm Health Plan $76 - $170 31%
Childrens Medical Services Title 19 $76 - $170 31%
City Of Philadelphia $76 - $170 31%
Cmh Allegan County $76 - $170 31%
Cmh Ausable Valley $76 - $170 31%
Cmh Barry County $76 - $170 31%
Cmh Bay-Arenac County $76 - $170 31%
Cmh Berrien County $76 - $170 31%
Cmh Cass County $76 - $170 31%
Cmh Central Mi County $76 - $170 31%
Cmh Clinton-Eaton-Ingham County $76 - $170 31%
Cmh Detroit Wayne Integrated Health Network $76 - $170 31%
Cmh Genesee County $76 - $170 31%
Cmh Ionia County $76 - $170 31%
Cmh Jackson County/Lifeways $76 - $170 31%
Cmh Kalamazoo $76 - $170 31%
Cmh Kent County $76 - $170 31%
Cmh Lenawee County $76 - $170 31%
Cmh Livingston County $76 - $170 31%
Cmh Macomb $76 - $170 31%
Cmh Misc $76 - $170 31%
Cmh Monroe County $76 - $170 31%
Cmh Montcalm County $76 - $170 31%
Cmh Muskegon County $76 - $170 31%
Cmh Newaygo County $76 - $170 31%
Cmh North Country $76 - $170 31%
Cmh Northern Lakes County $76 - $170 31%
Cmh Oakland County $76 - $170 31%
Cmh Ottawa County $76 - $170 31%
Cmh Van Buren County $76 - $170 31%
Cmh Washtenaw County $76 - $170 31%
Cmh Wayne County/Carelink $76 - $170 31%
Cmh Wayne Cty/Com Liv Svcs $76 - $170 31%
Cmh West Mi County $76 - $170 31%
Community Benefit Health $76 - $170 31%
Community Care Behavorial Health $76 - $170 31%
Community Care Partners $76 - $170 31%
Community Health Choice $76 - $170 31%
Connections Csp $76 - $170 31%
County Coroner $76 - $263 31%
County Funding Generic $76 - $170 31%
Covid19 Hrsa Uninsured Testing And Treatment Fund $76 - $170 31%
Dean Wi Badgercare $76 - $170 31%
Delaware County Department Of Health $76 - $170 31%
Delaware First Health $76 - $170 31%
Delta Dental Nj $76 - $170 31%
Dph Tb Program $76 - $170 31%
Dscc $76 - $170 31%
Eastpointe Lme $76 - $170 31%
Family Health Network $76 - $170 31%
Freedom First Healthcare $76 - $170 31%
Fresno County Ccs $76 - $170 31%
Ghc Scw Wi Badgercare $76 - $170 31%
Harbor Health $76 - $170 31%
Health Safety Net $76 - $170 31%
Healthy Blue Ne $76 - $170 31%
Hennepin Health $76 - $170 31%
Id County Ada $76 - $170 31%
Id County Canyon $76 - $170 31%
Id County Cat Fund $76 - $170 31%
Id County Other $76 - $170 31%
Id County Payette $76 - $170 31%
Idaho Dept Health And Wellfare $76 - $170 31%
Idaho Womens Health Check $76 - $170 31%
Indiana Breast Cervical Cancer $76 - $170 31%
Inland Empire Health Plan $76 - $170 31%
Intercommunity Health Ohp $76 - $170 31%
Iowa Total Care $76 - $170 31%
Jai Medical System $76 - $170 31%
Kern Family Health Plan $76 - $170 31%
Keystone First $76 - $170 31%
Keystone First Chip $76 - $170 31%
La Care Health Plan $76 - $170 31%
Lakeland Care Inc $76 - $170 31%
Managed Health Services - Indiana $76 - $350 31%
Maryland Breast & Cervical Program $76 - $170 31%
Maryland Healthy Smiles - Scion Dental $76 - $170 31%
Maryland Physicians Care $76 - $170 31%
Massachusetts Behavioral Health Partnership $76 - $170 31%
Mdwise $76 - $350 31%
Medi-Cal $76 - $170 31%
Medi-Cal Healthnet $76 - $170 31%
Medstar Dc Healthy Family $76 - $170 31%
Medstar Md Health Choice $76 - $170 31%
Mo Home State Health Plan $76 - $170 31%
Molina Centennial Care $76 - $170 31%
Nascentia Health Options $76 - $170 31%
Nebraska Total Care $76 - $170 31%
New York Cancer Services Program $76 - $170 31%
Nextlevel Health $76 - $170 31%
Oregon Screenwise $76 - $170 31%
Paramount Advantage $76 - $170 31%
Parkland Community Health Plan $76 - $170 31%
Partners Behavioral Lme $76 - $170 31%
Peach State Healthplan $76 - $170 31%
Philadelphia County Funding $76 - $170 31%
Presbyterian Centennial Care $76 - $170 31%
Prestige Health Choice $76 - $170 31%
Priority Partners $76 - $170 31%
Robert F Sing Program $76 - $170 31%
Rx 340B Pass Along $76 - $170 31%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $76 - $170 31%
Rx Medi-Cal $76 - $170 31%
Rx Meridian Rx $76 - $170 31%
Ryan White Florida Mssrp $76 - $170 31%
Sandhills Center Lme $76 - $170 31%
Screening For Life $76 - $170 31%
St Joseph County Hlth Dpt $76 - $379 31%
Stephenson Cty Health $76 - $170 31%
Sunshine State Health Plan $76 - $170 31%
Superior Health $76 - $170 31%
Tenncare $76 - $170 31%
Texas Children'S Health Plan $76 - $170 31%
Tricare $76 - $170 31%
Trillium Community Ohp $76 - $170 31%
Triwest Health Alliance $76 - $170 31%
Tufts Health Public Plans $76 - $170 31%
Us Family Health Plan $76 - $170 31%
Vaya Health Lme $76 - $170 31%
Veterans Eval Services $76 - $170 31%
Washtenaw Health Plan $76 - $170 31%
Wellsense Health Plan $76 - $170 31%
Wi Womens Wellness $76 - $170 31%
Andrie Inc $77 - $172 32%
East Greenbush Central School District $77 - $172 32%
Genex Wc $77 - $172 32%
Healthsmart Workers Comp $77 - $172 32%
Jag Source $77 - $172 32%
New York State Insurance Fund $77 - $172 32%
Njm Insurance Group $77 - $172 32%
Rx Heatlhcomp $77 - $172 32%
Rx Restat $77 - $172 32%
Rx Saif Opdp Wc $77 - $172 32%
Rx Worker'S Comp $77 - $172 32%
Veterans Administration $77 - $172 32%
Wc Accident Fund $77 - $172 32%
Wc Ace $77 - $172 32%
Wc Acs Federal Employees $77 - $172 32%
Wc Acuity $77 - $172 32%
Wc Advantage $77 - $172 32%
Wc Aegis $77 - $172 32%
Wc Aig $77 - $172 32%
Wc Aims $77 - $172 32%
Wc Alaska National Ins $77 - $172 32%
Wc Align Network $77 - $4,173 32%
Wc Allied $77 - $172 32%
Wc Am Trust N America $77 - $172 32%
Wc American Claims Mgmt $77 - $172 32%
Wc Amerisure $77 - $172 32%
Wc Amtrust $77 - $172 32%
Wc Asu Risk Mgt $77 - $172 32%
Wc Benetech $77 - $172 32%
Wc Berkley Admin $77 - $172 32%
Wc Broadspire $77 - $172 32%
Wc Broward County $77 - $172 32%
Wc Bunch & Associates $77 - $172 32%
Wc California State Comp Ins $77 - $172 32%
Wc California State Ins Fund $77 - $172 32%
Wc Capitol Area Health Consortium $77 - $172 32%
Wc Ccmsi $77 - $172 32%
Wc Chartis $77 - $172 32%
Wc Chubb $77 - $172 32%
Wc Cirma $77 - $172 32%
Wc City Of Albany $77 - $172 32%
Wc City Of Sioux City $77 - $172 32%
Wc Claims Mgmt Inc $77 - $172 32%
Wc Cna $77 - $172 32%
Wc Comp One Admin C/O Manageability $77 - $172 32%
Wc Compone Admin $77 - $172 32%
Wc Corvel $77 - $172 32%
Wc Ct Healthcare Trust $77 - $172 32%
Wc Donegal Insurance Group $77 - $172 32%
Wc Emc Insurance Company $77 - $172 32%
Wc Employee Mutual $77 - $172 32%
Wc Enablecomp $77 - $172 32%
Wc Erie $77 - $172 32%
Wc Esis $77 - $172 32%
Wc Evolutions $77 - $172 32%
Wc Fcci $77 - $172 32%
Wc Fed Ex $77 - $172 32%
Wc Federal Black Lung $77 - $172 32%
Wc Federated $77 - $172 32%
Wc Finley Occupational Health $77 - $172 32%
Wc First Agency/Occunet $77 - $172 32%
Wc Ford Motor $77 - $172 32%
Wc Fresno Unified Emp $77 - $172 32%
Wc Gallagher Bassett $77 - $172 32%
Wc General Motors $77 - $172 32%
Wc Generic $77 - $172 32%
Wc Genex Care For Ohio $77 - $172 32%
Wc Great West Casualty $77 - $172 32%
Wc Guarantee Insurance $77 - $172 32%
Wc Guard Insurance Company $77 - $172 32%
Wc Hab $77 - $172 32%
Wc Hartford $77 - $172 32%
Wc Hastings $77 - $172 32%
Wc Health Management $77 - $172 32%
Wc Heritage Summit $77 - $172 32%
Wc Hireright $77 - $172 32%
Wc Horizon $77 - $172 32%
Wc Icw Group $77 - $172 32%
Wc Idaho State Ins Fund $77 - $172 32%
Wc Intercare Insurance $77 - $172 32%
Wc Intermountain $77 - $172 32%
Wc Johns Eastern $77 - $172 32%
Wc Kemberton $77 - $172 32%
Wc Key Ins & Benefit Solutions $77 - $172 32%
Wc Liberty Mutual $77 - $172 32%
Wc Mac Risk Management $77 - $172 32%
Wc Massachusetts $77 - $172 32%
Wc Mdia $77 - $172 32%
Wc Meadowbrook Claim $77 - $172 32%
Wc Medical Administrators $77 - $172 32%
Wc Meijers $77 - $172 32%
Wc Memic $77 - $172 32%
Wc Mercy Workcare $77 - $172 32%
Wc Michigan $77 - $172 32%
Wc Michigan Millers Mutual $77 - $172 32%
Wc Mitchell Frankenmuth $77 - $172 32%
Wc Mra $77 - $172 32%
Wc Nationwide $77 - $172 32%
Wc Nca Comp $77 - $172 32%
Wc New York $77 - $172 32%
Wc New York Special Funds $77 - $172 32%
Wc North American Rishces $77 - $172 32%
Wc Northeast Health $77 - $172 32%
Wc Notre Dame $77 - $2,295 32%
Wc Novanet $77 - $172 32%
Wc O'Hara Corp $77 - $172 32%
Wc Occ Health Allen $77 - $172 32%
Wc Ohio Bureau $77 - $172 32%
Wc One Call Medical $77 - $172 32%
Wc Paradigm $77 - $172 32%
Wc Peerless $77 - $172 32%
Wc Pma $77 - $172 32%
Wc Praxis Health Network $77 - $172 32%
Wc Price Chopper $77 - $172 32%
Wc Procura Management $77 - $172 32%
Wc Qualcare $77 - $172 32%
Wc Quiktrip $77 - $172 32%
Wc Reny Company $77 - $172 32%
Wc Rev Claims $77 - $172 32%
Wc Risico $77 - $172 32%
Wc Rural Mutual $77 - $172 32%
Wc Saif Oregon $77 - $172 32%
Wc Secura $77 - $172 32%
Wc Sedgwick $77 - $172 32%
Wc Sentry $77 - $172 32%
Wc Sheakley Unicomp $77 - $172 32%
Wc Smile Lodge $77 - $172 32%
Wc Society $77 - $172 32%
Wc Srs $77 - $172 32%
Wc Taconic (Mro) $77 - $172 32%
Wc Taconic Farms $77 - $172 32%
Wc Travelers $77 - $172 32%
Wc Triad Group $77 - $172 32%
Wc Tristar $77 - $172 32%
Wc Troy Ny $77 - $172 32%
Wc Tyson $77 - $172 32%
Wc Unified Health Services $77 - $172 32%
Wc United Heartland $77 - $172 32%
Wc Us Dept Of Labor $77 - $172 32%
Wc Velocity $77 - $172 32%
Wc Walmart $77 - $172 32%
Wc West Bend $77 - $172 32%
Wc West Bend Mutual/Argent $77 - $172 32%
Wc Winnebago Industries $77 - $172 32%
Wc Yankee Trails $77 - $172 32%
Wc York Risk $77 - $172 32%
Wc Zenith $77 - $172 32%
Wc Zurich $77 - $172 32%
Provider Partners Health Plan Of Indiana $84 - $278 34%
Caresource $100 - $391 41%
Ameriben $115 - $2,504 47%
Geha $123 - $878 50%
Christian Brother Services $133 - $2,712 55%
Meritain $133 - $2,712 55%
Preferred One $133 - $2,712 55%
Community Health Alliance $153 - $349 63%
Allied Benefit Systems $170 - $2,712 70%
Auxiant $170 - $3,464 70%
Benefit Administrative Systems,Llc $170 - $378 70%
Custom Design Benefits $170 - $543 70%
Encore Health $170 - $2,596 70%
Key Benefit Administrator $170 - $2,596 70%
Luminare Health (Detroit) $170 - $2,504 70%
Physicians Health Plan Northern Indiana Health Insurance $170 - $762 70%
Bcn Domestic $172 - $522 71%
Blue Benefit Administrators Of Massachusetts $172 - $891 71%
Blue Care Network $172 - $891 71%
Blue Distinction Transplant $172 - $891 71%
Blue Shield - Ca $172 - $891 71%
Blue Shield - Id (Regence) $172 - $891 71%
Blue Shield - Ny Highmark Northeastern $172 - $891 71%
Blue Shield - Ny Highmark Western $172 - $891 71%
Blue Shield - Pa (Highmark) $172 - $891 71%
Blue Shield - Wa (Regence) $172 - $891 71%
Health Choices $172 - $522 71%
Kaiser Domestic $172 - $522 71%
Pre-Employment $172 - $522 71%
Wc Domestic $172 - $522 71%
Phcs $180 - $469 74%
Sagamore Health Network $181 - $3,088 74%
Signature Care $181 - $3,338 74%
Plain Church Group $200 - $1,127 82%
Wc Encore Health Network $200 - $522 82%
Siho Insurance Services $404 166%
Healthscope $878 360%
Student Insurance Cma $878 360%
Hospice Of Marshall County $1,085 445%
Hospice Of St Joseph County $1,085 445%
Notre Dame Athletic Association $2,295 941%
Indiana Criminal Justice Inst $2,596 1065%
Western & Southern Financial Group $2,596 1065%
Group Administrators $2,671 1096%
Health Partners $2,671 1096%
Mvp $2,671 1096%
Prairie States $2,671 1096%
Priority Health $2,671 1096%
Professional Benefit Administrators $2,671 1096%
Sisco Benefits $2,671 1096%
Unified Group Services $2,671 1096%
Asr Health Benefits $2,712 1113%
Employee Benefit Management $2,712 1113%
Medical Mutual $2,712 1113%
Rural Carrier Health Benefit Plan $2,712 1113%
Webtpa $2,712 1113%
Goshen Preferred Network $3,213 - $3,589 1318%
Christian Brothers Holy Cross $3,338 1369%
Bankers Life Casualty $4,173 1712%
Bureau Of Disability $4,173 1712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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