CMS Price Transparency Data

Hospital observation (per hour)

Facility: Saint Joseph Regional Medical Center

Billing Code: G0378 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$129
modeled fair price · typically $31–$263
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
Above the fair price
about $25 over the fair price
Fair price $129 This hospital $154 Cash price $171 Hospital's list price $263

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 $61 Priciest $154

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

A fair price for a Hospital observation (per hour) is about $129. Saint Joseph Regional Medical Center charges insurers about $154, or about $171 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 $129. 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 $42 - $758 —
Blue Cross Blue Shieldmajor $758 —
Aetnamajor $85 - $271 —
Cignamajor $84 - $267 —
GEHA $83 - $266 —
Health Net $84 - $309 —
HealthPartners $84 - $267 —
Medical Mutual $85 - $271 —
MVP Health Care $84 - $267 —
Priority Health $84 - $267 —
+ 35 smaller / regional plans $34 - $758
Government programs also on file: 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