CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Joseph Regional Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$21,614
about 1.7× the $12,807 Medicare rate · typically $11,382–$36,377
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,146
Above the fair price
about $11,532 over the fair price · 2.6× Medicare
Medicare pays $12,807 Fair price $21,614 This hospital $33,146 Cash price $49,602

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 $11,413 Priciest $33,146

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

A fair price for a Heart stent placement (inpatient stay) is about $21,614 (about 1.7× the $12,807 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $33,146, or about $49,602 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 $21,614. 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 $14,647 - $33,146 114%
Blue Cross Blue Shieldmajor $14,360 - $35,636 112%
Aetnamajor $14,360 - $24,325 112%
Cignamajor $48,297 377%
CareSource $22,712 177%
GEHA $33,146 259%
Health Net $48,297 - $56,834 377%
HealthPartners $48,297 377%
Meridian $14,653 114%
MVP Health Care $48,297 377%
Priority Health $48,297 377%
+ 20 smaller / regional plans $14,653 - $48,297
Government programs also on file: Medicare.

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