CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Saint Joseph Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$24,131
about 1.7× the $14,044 Medicare rate · typically $12,011–$38,248
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,646
Above the fair price
about $12,515 over the fair price · 2.6× Medicare
Medicare pays $14,044 Fair price $24,131 This hospital $36,646 Cash price $48,297

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 $10,414 Priciest $36,646

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

A fair price for a Hip or knee replacement (inpatient stay) is about $24,131 (about 1.7× the $14,044 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $36,646, or about $48,297 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 $24,131. 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 $13,944 - $19,088 99%
Blue Cross Blue Shieldmajor $15,636 - $38,989 111%
Aetnamajor $15,636 - $26,493 111%
Cignamajor $52,842 376%
CareSource $24,730 176%
GEHA $19,088 136%
Health Net $52,842 - $62,182 376%
HealthPartners $52,842 376%
Meridian $15,955 114%
MVP Health Care $52,842 376%
Priority Health $52,842 376%
+ 20 smaller / regional plans $15,955 - $52,842
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