CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Saint Joseph Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $122
  • Cash Discount Price: $315
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Saint Joseph Regional Medical Center is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$315

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $315 (295%)
Insurance Median: $122 (114%)
Cash: $315 (295% of Medicare)
Ins. Median: $122 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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

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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 $32 - $381 30%
UnitedHealthcare $33 - $878 31%
Aetna $47 - $1,946 44%
Albany County Correctional Facility $47 - $123 44%
Align Senior Care $47 - $122 44%
Ally Align Care Adv $47 - $122 44%
Ambetter / Centene $47 - $123 44%
American Health Advantage Of Idaho $47 - $122 44%
American Health Plan $47 - $122 44%
Amish Mennonite $47 - $123 44%
Ascension St. Vincent Public Safety Medical $47 - $123 44%
Aurora Special Needs $47 - $122 44%
Bcccp-Michigan $47 - $123 44%
Bccp $47 - $123 44%
Blue Care Network Advantage $47 - $122 44%
Blue Cross Blue Shield $47 - $391 44%
Blue Shield - De (Highmark) Medciare Advantage $47 - $122 44%
Bmc Healthnet $47 - $123 44%
Breast Grant-Connecticut $47 - $123 44%
Broward County Dept Of Health $47 - $123 44%
California Health And Wellness $47 - $123 44%
Cardinal Innovations Lme $47 - $123 44%
Care Connections Of Northern Iowa $47 - $123 44%
Care Dimensions $47 - $122 44%
Care Improvement Plus $47 - $122 44%
Care Oregon Ohp $47 - $123 44%
Care Resources Pace $47 - $122 44%
Careplus Health Plans $47 - $122 44%
Cca - Zing Health $47 - $122 44%
Cca Senior Care Options $47 - $122 44%
Cencal Health Plan $47 - $123 44%
Cenpatico $47 - $123 44%
Central Valley Medical Services Corp Pace $47 - $122 44%
Champion Health Plan Mcr Advantage $47 - $122 44%
Champva $47 - $123 44%
Chhuny $47 - $123 44%
Childrens Comm Health Plan $47 - $123 44%
Childrens Medical Services Title 19 $47 - $123 44%
Cigna $47 - $1,916 44%
City Of Philadelphia $47 - $123 44%
Clear Spring Health $47 - $122 44%
Clover Health $47 - $122 44%
Cmh Allegan County $47 - $123 44%
Cmh Ausable Valley $47 - $123 44%
Cmh Barry County $47 - $123 44%
Cmh Bay-Arenac County $47 - $123 44%
Cmh Berrien County $47 - $123 44%
Cmh Cass County $47 - $123 44%
Cmh Central Mi County $47 - $123 44%
Cmh Clinton-Eaton-Ingham County $47 - $123 44%
Cmh Detroit Wayne Integrated Health Network $47 - $123 44%
Cmh Genesee County $47 - $123 44%
Cmh Ionia County $47 - $123 44%
Cmh Jackson County/Lifeways $47 - $123 44%
Cmh Kalamazoo $47 - $123 44%
Cmh Kent County $47 - $123 44%
Cmh Lenawee County $47 - $123 44%
Cmh Livingston County $47 - $123 44%
Cmh Macomb $47 - $123 44%
Cmh Misc $47 - $123 44%
Cmh Monroe County $47 - $123 44%
Cmh Montcalm County $47 - $123 44%
Cmh Muskegon County $47 - $123 44%
Cmh Newaygo County $47 - $123 44%
Cmh North Country $47 - $123 44%
Cmh Northern Lakes County $47 - $123 44%
Cmh Oakland County $47 - $123 44%
Cmh Ottawa County $47 - $123 44%
Cmh Van Buren County $47 - $123 44%
Cmh Washtenaw County $47 - $123 44%
Cmh Wayne County/Carelink $47 - $123 44%
Cmh Wayne Cty/Com Liv Svcs $47 - $123 44%
Cmh West Mi County $47 - $123 44%
Commonwealth Care Alliance $47 - $122 44%
Community Benefit Health $47 - $123 44%
Community Care Behavorial Health $47 - $123 44%
Community Care Partners $47 - $123 44%
Community Health Choice $47 - $123 44%
Community Pace At Home $47 - $122 44%
Connections Csp $47 - $123 44%
County Coroner $47 - $123 44%
County Funding Generic $47 - $123 44%
Covid19 Hrsa Uninsured Testing And Treatment Fund $47 - $123 44%
Dean Wi Badgercare $47 - $123 44%
Delaware County Department Of Health $47 - $123 44%
Delaware First Health $47 - $123 44%
Delta Dental Nj $47 - $123 44%
Dph Tb Program $47 - $123 44%
Dscc $47 - $123 44%
Eastpointe Lme $47 - $123 44%
Eddy Senior Care-Pace $47 - $122 44%
Eddy Seniorcare Pace $47 - $122 44%
Elementcare $47 - $122 44%
Evercare $47 - $122 44%
Everence $47 - $122 44%
Family Health Network $47 - $123 44%
Freedom First Healthcare $47 - $123 44%
Fresno County Ccs $47 - $123 44%
Gateway Health Plan $47 - $122 44%
Genesys Pace Of Genesee County $47 - $122 44%
Georgia Health Advantage $47 - $122 44%
Ghc Scw Wi Badgercare $47 - $123 44%
Gold Advantage $47 - $122 44%
Gpa Croell Redi Mix $47 - $122 44%
Harbor Health $47 - $123 44%
Health America Advantra $47 - $122 44%
Health Safety Net $47 - $123 44%
Healthy Blue Ne $47 - $123 44%
Hennepin Health $47 - $123 44%
Highmark Health Options Dual Plan $47 - $122 44%
Hope Select Pace $47 - $122 44%
Horizon Nj Total Care $47 - $122 44%
Hudson Headwaters Pace $47 - $122 44%
Humana $47 - $123 44%
Huron Valley Pace $47 - $122 44%
Id County Ada $47 - $123 44%
Id County Canyon $47 - $123 44%
Id County Cat Fund $47 - $123 44%
Id County Other $47 - $123 44%
Id County Payette $47 - $123 44%
Idaho Dept Health And Wellfare $47 - $123 44%
Idaho Womens Health Check $47 - $123 44%
Indiana Breast Cervical Cancer $47 - $123 44%
Inland Empire Health Plan $47 - $123 44%
Innovative Integrated Health Community Plans $47 - $122 44%
Intercommunity Health Ohp $47 - $123 44%
Iowa Health Advantage $47 - $122 44%
Iowa Total Care $47 - $123 44%
Jai Medical System $47 - $123 44%
Johns Hopkins Advantage Md $47 - $122 44%
Kern Family Health Plan $47 - $123 44%
Keystone First $47 - $123 44%
Keystone First Chip $47 - $123 44%
La Care Health Plan $47 - $123 44%
Lakeland Care Inc $47 - $123 44%
Lasso Healthcare Msa $47 - $122 44%
Life St Marys Pace $47 - $122 44%
Lifecircles Pace $47 - $122 44%
Longevity Health Plan $47 - $122 44%
Longevity Ipa Of Michigan Llc Health Plan Isnp $47 - $122 44%
Managed Health Services - Indiana $47 - $381 44%
Martins Point Generations Advantage $47 - $122 44%
Maryland Breast & Cervical Program $47 - $123 44%
Maryland Healthy Smiles - Scion Dental $47 - $123 44%
Maryland Physicians Care $47 - $123 44%
Mass General Brigham Mcr Adv $47 - $122 44%
Massachusetts Behavioral Health Partnership $47 - $123 44%
Mdwise $47 - $381 44%
Medi-Cal $47 - $123 44%
Medi-Cal Healthnet $47 - $123 44%
Medicare (plans) $47 - $127 44%
Medipak Advantage $47 - $122 44%
Medstar Dc Healthy Family $47 - $123 44%
Medstar Md Health Choice $47 - $123 44%
Mercy Life $47 - $122 44%
Mercyone Cedar Valley $47 - $122 44%
Meridian Complete $47 - $122 44%
Michigan Complete Health $47 - $122 44%
Mo Home State Health Plan $47 - $123 44%
Molina Centennial Care $47 - $123 44%
Nascentia Health Options $47 - $123 44%
Nascentia Health Plus $47 - $122 44%
Nebraska Total Care $47 - $123 44%
New Centry Health Careplus $47 - $122 44%
New York Cancer Services Program $47 - $123 44%
Nextlevel Health $47 - $123 44%
Oregon Screenwise $47 - $123 44%
Osu Prime Care Advantage $47 - $122 44%
Pace Cny $47 - $122 44%
Pace Iowa Immanuel Pathways $47 - $122 44%
Pace Of Southwest Michigan $47 - $123 44%
Pace Southeast $47 - $122 44%
Pace-Trinity Health $47 - $122 44%
Paramount Advantage $47 - $123 44%
Parkland Community Health Plan $47 - $123 44%
Partners Behavioral Lme $47 - $123 44%
Peach State Healthplan $47 - $123 44%
Peak Pace Solutions $47 - $122 44%
Perennial Advantage $47 - $122 44%
Philadelphia County Funding $47 - $123 44%
Preferred Care Partners $47 - $122 44%
Presbyterian Centennial Care $47 - $123 44%
Presbyterian Senior Plan $47 - $122 44%
Prestige Health Choice $47 - $123 44%
Priority Partners $47 - $123 44%
Provider Partners Health Plan Of Illinois $47 - $122 44%
Pruitthealth Premier $47 - $122 44%
Reliance Community Care Partners Care Resources Pace $47 - $122 44%
Robert F Sing Program $47 - $123 44%
Rx 340B Pass Along $47 - $123 44%
Rx Allwin $47 - $122 44%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $47 - $123 44%
Rx Grane Grnmedd $47 - $122 44%
Rx Medi-Cal $47 - $123 44%
Rx Meridian Rx $47 - $123 44%
Rx Retiree Rx Care $47 - $122 44%
Ryan White Florida Mssrp $47 - $123 44%
Sandhills Center Lme $47 - $123 44%
Scan Health Plan Mcr Ipa Meritage Oon $47 - $122 44%
Screening For Life $47 - $123 44%
Secure Horizons Ma Pffs $47 - $122 44%
Serenity Pace $47 - $122 44%
Siouxland Pace $47 - $122 44%
Solis Health Plans $47 - $122 44%
St Joseph County Hlth Dpt $47 - $166 44%
Stephenson Cty Health $47 - $123 44%
Sunnyview-Pace Finance Dept $47 - $122 44%
Sunshine State Health Plan $47 - $123 44%
Superior Health $47 - $123 44%
Tenncare $47 - $123 44%
Texan Plus $47 - $122 44%
Texas Children'S Health Plan $47 - $123 44%
The Health Plan $47 - $122 44%
Thome Pace $47 - $122 44%
Todays Options $47 - $122 44%
Tribute Health Plans $47 - $122 44%
Tricare $47 - $123 44%
Trillium Community Ohp $47 - $123 44%
Triwest Health Alliance $47 - $123 44%
Tufts Health Public Plans $47 - $123 44%
Um Health Advantage $47 - $122 44%
Union Health Service $47 - $122 44%
Us Family Health Plan $47 - $123 44%
Vaya Health Lme $47 - $123 44%
Veterans Eval Services $47 - $123 44%
Washtenaw Health Plan $47 - $123 44%
Welbe Health $47 - $122 44%
Wellmed $47 - $122 44%
Wellsense Health Plan $47 - $123 44%
Wi Womens Wellness $47 - $123 44%
Andrie Inc $48 - $124 45%
East Greenbush Central School District $48 - $124 45%
Genex Wc $48 - $124 45%
Healthsmart Workers Comp $48 - $124 45%
Jag Source $48 - $124 45%
New York State Insurance Fund $48 - $124 45%
Njm Insurance Group $48 - $124 45%
Rx Heatlhcomp $48 - $124 45%
Rx Restat $48 - $124 45%
Rx Saif Opdp Wc $48 - $124 45%
Rx Worker'S Comp $48 - $124 45%
Veterans Administration $48 - $124 45%
Wc Accident Fund $48 - $124 45%
Wc Ace $48 - $124 45%
Wc Acs Federal Employees $48 - $124 45%
Wc Acuity $48 - $124 45%
Wc Advantage $48 - $124 45%
Wc Aegis $48 - $124 45%
Wc Aig $48 - $124 45%
Wc Aims $48 - $124 45%
Wc Alaska National Ins $48 - $124 45%
Wc Align Network $48 - $2,994 45%
Wc Allied $48 - $124 45%
Wc Am Trust N America $48 - $124 45%
Wc American Claims Mgmt $48 - $124 45%
Wc Amerisure $48 - $124 45%
Wc Amtrust $48 - $124 45%
Wc Asu Risk Mgt $48 - $124 45%
Wc Benetech $48 - $124 45%
Wc Berkley Admin $48 - $124 45%
Wc Broadspire $48 - $124 45%
Wc Broward County $48 - $124 45%
Wc Bunch & Associates $48 - $124 45%
Wc California State Comp Ins $48 - $124 45%
Wc California State Ins Fund $48 - $124 45%
Wc Capitol Area Health Consortium $48 - $124 45%
Wc Ccmsi $48 - $124 45%
Wc Chartis $48 - $124 45%
Wc Chubb $48 - $124 45%
Wc Cirma $48 - $124 45%
Wc City Of Albany $48 - $124 45%
Wc City Of Sioux City $48 - $124 45%
Wc Claims Mgmt Inc $48 - $124 45%
Wc Cna $48 - $124 45%
Wc Comp One Admin C/O Manageability $48 - $124 45%
Wc Compone Admin $48 - $124 45%
Wc Corvel $48 - $124 45%
Wc Ct Healthcare Trust $48 - $124 45%
Wc Donegal Insurance Group $48 - $124 45%
Wc Emc Insurance Company $48 - $124 45%
Wc Employee Mutual $48 - $124 45%
Wc Enablecomp $48 - $124 45%
Wc Erie $48 - $124 45%
Wc Esis $48 - $124 45%
Wc Evolutions $48 - $124 45%
Wc Fcci $48 - $124 45%
Wc Fed Ex $48 - $124 45%
Wc Federal Black Lung $48 - $124 45%
Wc Federated $48 - $124 45%
Wc Finley Occupational Health $48 - $124 45%
Wc First Agency/Occunet $48 - $124 45%
Wc Ford Motor $48 - $124 45%
Wc Fresno Unified Emp $48 - $124 45%
Wc Gallagher Bassett $48 - $124 45%
Wc General Motors $48 - $124 45%
Wc Generic $48 - $124 45%
Wc Genex Care For Ohio $48 - $124 45%
Wc Great West Casualty $48 - $124 45%
Wc Guarantee Insurance $48 - $124 45%
Wc Guard Insurance Company $48 - $124 45%
Wc Hab $48 - $124 45%
Wc Hartford $48 - $124 45%
Wc Hastings $48 - $124 45%
Wc Health Management $48 - $124 45%
Wc Heritage Summit $48 - $124 45%
Wc Hireright $48 - $124 45%
Wc Horizon $48 - $124 45%
Wc Icw Group $48 - $124 45%
Wc Idaho State Ins Fund $48 - $124 45%
Wc Intercare Insurance $48 - $124 45%
Wc Intermountain $48 - $124 45%
Wc Johns Eastern $48 - $124 45%
Wc Kemberton $48 - $124 45%
Wc Key Ins & Benefit Solutions $48 - $124 45%
Wc Liberty Mutual $48 - $124 45%
Wc Mac Risk Management $48 - $124 45%
Wc Massachusetts $48 - $124 45%
Wc Mdia $48 - $124 45%
Wc Meadowbrook Claim $48 - $124 45%
Wc Medical Administrators $48 - $124 45%
Wc Meijers $48 - $124 45%
Wc Memic $48 - $124 45%
Wc Mercy Workcare $48 - $124 45%
Wc Michigan $48 - $124 45%
Wc Michigan Millers Mutual $48 - $124 45%
Wc Mitchell Frankenmuth $48 - $124 45%
Wc Mra $48 - $124 45%
Wc Nationwide $48 - $124 45%
Wc Nca Comp $48 - $124 45%
Wc New York $48 - $124 45%
Wc New York Special Funds $48 - $124 45%
Wc North American Rishces $48 - $124 45%
Wc Northeast Health $48 - $124 45%
Wc Notre Dame $48 - $1,647 45%
Wc Novanet $48 - $124 45%
Wc O'Hara Corp $48 - $124 45%
Wc Occ Health Allen $48 - $124 45%
Wc Ohio Bureau $48 - $124 45%
Wc One Call Medical $48 - $124 45%
Wc Paradigm $48 - $124 45%
Wc Peerless $48 - $124 45%
Wc Pma $48 - $124 45%
Wc Praxis Health Network $48 - $124 45%
Wc Price Chopper $48 - $124 45%
Wc Procura Management $48 - $124 45%
Wc Qualcare $48 - $124 45%
Wc Quiktrip $48 - $124 45%
Wc Reny Company $48 - $124 45%
Wc Rev Claims $48 - $124 45%
Wc Risico $48 - $124 45%
Wc Rural Mutual $48 - $124 45%
Wc Saif Oregon $48 - $124 45%
Wc Secura $48 - $124 45%
Wc Sedgwick $48 - $124 45%
Wc Sentry $48 - $124 45%
Wc Sheakley Unicomp $48 - $124 45%
Wc Smile Lodge $48 - $124 45%
Wc Society $48 - $124 45%
Wc Srs $48 - $124 45%
Wc Taconic (Mro) $48 - $124 45%
Wc Taconic Farms $48 - $124 45%
Wc Travelers $48 - $124 45%
Wc Triad Group $48 - $124 45%
Wc Tristar $48 - $124 45%
Wc Troy Ny $48 - $124 45%
Wc Tyson $48 - $124 45%
Wc Unified Health Services $48 - $124 45%
Wc United Heartland $48 - $124 45%
Wc Us Dept Of Labor $48 - $124 45%
Wc Velocity $48 - $124 45%
Wc Walmart $48 - $124 45%
Wc West Bend $48 - $124 45%
Wc West Bend Mutual/Argent $48 - $124 45%
Wc Winnebago Industries $48 - $124 45%
Wc Yankee Trails $48 - $124 45%
Wc York Risk $48 - $124 45%
Wc Zenith $48 - $124 45%
Wc Zurich $48 - $124 45%
Provider Partners Health Plan Of Indiana $52 - $137 49%
Caresource $62 - $171 58%
Ameriben $71 - $1,796 66%
Christian Brother Services $82 - $1,946 77%
Geha $82 - $878 77%
Meritain $82 - $1,946 77%
Preferred One $82 - $1,946 77%
Bcn Domestic $88 - $284 82%
Blue Benefit Administrators Of Massachusetts $88 - $391 82%
Blue Care Network $88 - $391 82%
Blue Distinction Transplant $88 - $391 82%
Blue Shield - Ca $88 - $391 82%
Blue Shield - Id (Regence) $88 - $391 82%
Blue Shield - Ny Highmark Northeastern $88 - $391 82%
Blue Shield - Ny Highmark Western $88 - $391 82%
Blue Shield - Pa (Highmark) $88 - $391 82%
Blue Shield - Wa (Regence) $88 - $391 82%
Health Choices $88 - $284 82%
Kaiser Domestic $88 - $284 82%
Pre-Employment $88 - $284 82%
Wc Domestic $88 - $284 82%
Community Health Alliance $102 - $276 95%
Allied Benefit Systems $106 - $1,946 99%
Auxiant $106 - $2,485 99%
Benefit Administrative Systems,Llc $106 - $274 99%
Custom Design Benefits $106 - $274 99%
Encore Health $106 - $1,863 99%
Key Benefit Administrator $106 - $1,863 99%
Luminare Health (Detroit) $106 - $1,796 99%
Physicians Health Plan Northern Indiana Health Insurance $106 - $334 99%
Phcs $109 - $338 102%
Sagamore Health Network $112 - $2,216 105%
Signature Care $112 - $2,395 105%
Plain Church Group $121 - $808 113%
Wc Encore Health Network $121 - $376 113%
Siho Insurance Services $177 166%
Hospice Of Marshall County $778 728%
Hospice Of St Joseph County $778 728%
Healthscope $878 822%
Student Insurance Cma $878 822%
Notre Dame Athletic Association $1,647 1542%
Indiana Criminal Justice Inst $1,863 1744%
Western & Southern Financial Group $1,863 1744%
Group Administrators $1,916 1794%
Health Partners $1,916 1794%
Mvp $1,916 1794%
Prairie States $1,916 1794%
Priority Health $1,916 1794%
Professional Benefit Administrators $1,916 1794%
Sisco Benefits $1,916 1794%
Unified Group Services $1,916 1794%
Asr Health Benefits $1,946 1822%
Employee Benefit Management $1,946 1822%
Medical Mutual $1,946 1822%
Rural Carrier Health Benefit Plan $1,946 1822%
Webtpa $1,946 1822%
Goshen Preferred Network $2,305 - $2,575 2158%
Christian Brothers Holy Cross $2,395 2242%
Bankers Life Casualty $2,994 2803%
Bureau Of Disability $2,994 2803%

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