CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Saint Joseph Regional Medical Center

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $34 Medicare rate · typically $31–$57
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $6 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $38 This hospital $32 Cash price $69 Hospital's list price $69

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 $26 Priciest $32

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

A fair price for a Extended office visit (prolonged) is about $38 (about 1.1× the $34 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $32, or about $69 in cash — below the fair price — a good deal. 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 $30 - $50 88%
Blue Cross Blue Shieldmajor $30 - $37 88%
Aetnamajor $30 - $32 88%
Cignamajor $30 - $47 88%
Humanamajor $30 - $32 88%
Kaiser Permanentemajor $37 109%
Ambetter (Centene) $30 88%
CareSource $42 123%
Clover Health $32 94%
GEHA $50 147%
Health Net $30 - $69 88%
HealthPartners $30 88%
Meridian $30 - $32 88%
Molina $30 88%
Paramount $30 88%
Presbyterian $30 - $32 88%
Tufts Health Plan $30 88%
WellMed $32 94%
WellSense $30 88%
+ 347 smaller / regional plans $30 - $69
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 10 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