CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Joseph Regional Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$521
about 1.5× the $356 Medicare rate · typically $273–$632
modeled estimate · not a bill or quote
What this hospital charges insurers
$632
Above the fair price
about $111 over the fair price · 1.8× Medicare
Medicare pays $356 Fair price $521 This hospital $632 Cash price $4,243 Hospital's list price $6,388

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 $105 Priciest $632

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $521 (about 1.5× the $356 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $632, or about $4,243 in cash — above the fair price. Located in Mishawaka, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $521. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $191 - $878 54%
Blue Cross Blue Shieldmajor $191 - $1,303 54%
Aetnamajor $191 - $4,152 54%
Cignamajor $4,088 1147%
CareSource $572 160%
GEHA $878 246%
Health Net $4,088 - $4,727 1147%
HealthPartners $4,088 1147%
Medical Mutual $4,152 1165%
Meridian $369 104%
MVP Health Care $4,088 1147%
Priority Health $4,088 1147%
+ 42 smaller / regional plans $369 - $6,388
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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