CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Saint Joseph Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $78
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Saint Joseph Regional Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $245 (229%)
Insurance Median: $78 (73%)
Cash: $245 (229% of Medicare)
Ins. Median: $78 (73% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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 $18 - $380 17%
UnitedHealthcare $18 - $730 17%
Aetna $26 - $745 24%
Albany County Correctional Facility $26 - $78 24%
Align Senior Care $26 - $79 24%
Ally Align Care Adv $26 - $79 24%
Ambetter / Centene $26 - $78 24%
American Health Advantage Of Idaho $26 - $79 24%
American Health Plan $26 - $79 24%
Amish Mennonite $26 - $78 24%
Andrie Inc $26 - $81 24%
Ascension St. Vincent Public Safety Medical $26 - $78 24%
Aurora Special Needs $26 - $79 24%
Bcccp-Michigan $26 - $78 24%
Bccp $26 - $78 24%
Blue Care Network Advantage $26 - $79 24%
Blue Cross Blue Shield $26 - $391 24%
Blue Shield - De (Highmark) Medciare Advantage $26 - $79 24%
Bmc Healthnet $26 - $78 24%
Breast Grant-Connecticut $26 - $78 24%
Broward County Dept Of Health $26 - $78 24%
California Health And Wellness $26 - $78 24%
Cardinal Innovations Lme $26 - $78 24%
Care Connections Of Northern Iowa $26 - $78 24%
Care Dimensions $26 - $79 24%
Care Improvement Plus $26 - $79 24%
Care Oregon Ohp $26 - $78 24%
Care Resources Pace $26 - $79 24%
Careplus Health Plans $26 - $79 24%
Cca - Zing Health $26 - $79 24%
Cca Senior Care Options $26 - $79 24%
Cencal Health Plan $26 - $78 24%
Cenpatico $26 - $78 24%
Central Valley Medical Services Corp Pace $26 - $79 24%
Champion Health Plan Mcr Advantage $26 - $79 24%
Champva $26 - $78 24%
Chhuny $26 - $78 24%
Childrens Comm Health Plan $26 - $78 24%
Childrens Medical Services Title 19 $26 - $78 24%
Cigna $26 - $733 24%
City Of Philadelphia $26 - $78 24%
Clear Spring Health $26 - $79 24%
Clover Health $26 - $79 24%
Cmh Allegan County $26 - $78 24%
Cmh Ausable Valley $26 - $78 24%
Cmh Barry County $26 - $78 24%
Cmh Bay-Arenac County $26 - $78 24%
Cmh Berrien County $26 - $78 24%
Cmh Cass County $26 - $78 24%
Cmh Central Mi County $26 - $78 24%
Cmh Clinton-Eaton-Ingham County $26 - $78 24%
Cmh Detroit Wayne Integrated Health Network $26 - $78 24%
Cmh Genesee County $26 - $78 24%
Cmh Ionia County $26 - $78 24%
Cmh Jackson County/Lifeways $26 - $78 24%
Cmh Kalamazoo $26 - $78 24%
Cmh Kent County $26 - $78 24%
Cmh Lenawee County $26 - $78 24%
Cmh Livingston County $26 - $78 24%
Cmh Macomb $26 - $78 24%
Cmh Misc $26 - $78 24%
Cmh Monroe County $26 - $78 24%
Cmh Montcalm County $26 - $78 24%
Cmh Muskegon County $26 - $78 24%
Cmh Newaygo County $26 - $78 24%
Cmh North Country $26 - $78 24%
Cmh Northern Lakes County $26 - $78 24%
Cmh Oakland County $26 - $78 24%
Cmh Ottawa County $26 - $78 24%
Cmh Van Buren County $26 - $78 24%
Cmh Washtenaw County $26 - $78 24%
Cmh Wayne County/Carelink $26 - $78 24%
Cmh Wayne Cty/Com Liv Svcs $26 - $78 24%
Cmh West Mi County $26 - $78 24%
Commonwealth Care Alliance $26 - $79 24%
Community Benefit Health $26 - $78 24%
Community Care Behavorial Health $26 - $78 24%
Community Care Partners $26 - $78 24%
Community Health Choice $26 - $78 24%
Community Pace At Home $26 - $79 24%
Connections Csp $26 - $78 24%
County Coroner $26 - $115 24%
County Funding Generic $26 - $78 24%
Covid19 Hrsa Uninsured Testing And Treatment Fund $26 - $78 24%
Dean Wi Badgercare $26 - $78 24%
Delaware County Department Of Health $26 - $78 24%
Delaware First Health $26 - $78 24%
Delta Dental Nj $26 - $78 24%
Dph Tb Program $26 - $78 24%
Dscc $26 - $78 24%
East Greenbush Central School District $26 - $81 24%
Eastpointe Lme $26 - $78 24%
Eddy Senior Care-Pace $26 - $79 24%
Eddy Seniorcare Pace $26 - $79 24%
Elementcare $26 - $79 24%
Evercare $26 - $79 24%
Everence $26 - $79 24%
Family Health Network $26 - $78 24%
Freedom First Healthcare $26 - $78 24%
Fresno County Ccs $26 - $78 24%
Gateway Health Plan $26 - $79 24%
Genesys Pace Of Genesee County $26 - $79 24%
Genex Wc $26 - $81 24%
Georgia Health Advantage $26 - $79 24%
Ghc Scw Wi Badgercare $26 - $78 24%
Gold Advantage $26 - $79 24%
Gpa Croell Redi Mix $26 - $79 24%
Harbor Health $26 - $78 24%
Health America Advantra $26 - $79 24%
Health Safety Net $26 - $78 24%
Healthsmart Workers Comp $26 - $81 24%
Healthy Blue Ne $26 - $78 24%
Hennepin Health $26 - $78 24%
Highmark Health Options Dual Plan $26 - $79 24%
Hope Select Pace $26 - $79 24%
Horizon Nj Total Care $26 - $79 24%
Hudson Headwaters Pace $26 - $79 24%
Humana $26 - $79 24%
Huron Valley Pace $26 - $79 24%
Id County Ada $26 - $78 24%
Id County Canyon $26 - $78 24%
Id County Cat Fund $26 - $78 24%
Id County Other $26 - $78 24%
Id County Payette $26 - $78 24%
Idaho Dept Health And Wellfare $26 - $78 24%
Idaho Womens Health Check $26 - $78 24%
Indiana Breast Cervical Cancer $26 - $78 24%
Inland Empire Health Plan $26 - $78 24%
Innovative Integrated Health Community Plans $26 - $79 24%
Intercommunity Health Ohp $26 - $78 24%
Iowa Health Advantage $26 - $79 24%
Iowa Total Care $26 - $78 24%
Jag Source $26 - $81 24%
Jai Medical System $26 - $78 24%
Johns Hopkins Advantage Md $26 - $79 24%
Kern Family Health Plan $26 - $78 24%
Keystone First $26 - $78 24%
Keystone First Chip $26 - $78 24%
La Care Health Plan $26 - $78 24%
Lakeland Care Inc $26 - $78 24%
Lasso Healthcare Msa $26 - $79 24%
Life St Marys Pace $26 - $79 24%
Lifecircles Pace $26 - $79 24%
Longevity Health Plan $26 - $79 24%
Longevity Ipa Of Michigan Llc Health Plan Isnp $26 - $79 24%
Managed Health Services - Indiana $26 - $380 24%
Martins Point Generations Advantage $26 - $79 24%
Maryland Breast & Cervical Program $26 - $78 24%
Maryland Healthy Smiles - Scion Dental $26 - $78 24%
Maryland Physicians Care $26 - $78 24%
Mass General Brigham Mcr Adv $26 - $79 24%
Massachusetts Behavioral Health Partnership $26 - $78 24%
Mdwise $26 - $380 24%
Medi-Cal $26 - $78 24%
Medi-Cal Healthnet $26 - $78 24%
Medicare (plans) $26 - $113 24%
Medipak Advantage $26 - $79 24%
Medstar Dc Healthy Family $26 - $78 24%
Medstar Md Health Choice $26 - $78 24%
Mercy Life $26 - $79 24%
Mercyone Cedar Valley $26 - $79 24%
Meridian Complete $26 - $111 24%
Michigan Complete Health $26 - $79 24%
Mo Home State Health Plan $26 - $78 24%
Molina Centennial Care $26 - $78 24%
Nascentia Health Options $26 - $78 24%
Nascentia Health Plus $26 - $79 24%
Nebraska Total Care $26 - $78 24%
New Centry Health Careplus $26 - $79 24%
New York Cancer Services Program $26 - $78 24%
New York State Insurance Fund $26 - $81 24%
Nextlevel Health $26 - $78 24%
Njm Insurance Group $26 - $81 24%
Oregon Screenwise $26 - $78 24%
Osu Prime Care Advantage $26 - $79 24%
Pace Cny $26 - $79 24%
Pace Iowa Immanuel Pathways $26 - $79 24%
Pace Of Southwest Michigan $26 - $79 24%
Pace Southeast $26 - $79 24%
Pace-Trinity Health $26 - $111 24%
Paramount Advantage $26 - $78 24%
Parkland Community Health Plan $26 - $78 24%
Partners Behavioral Lme $26 - $78 24%
Peach State Healthplan $26 - $78 24%
Peak Pace Solutions $26 - $79 24%
Perennial Advantage $26 - $79 24%
Philadelphia County Funding $26 - $78 24%
Preferred Care Partners $26 - $79 24%
Presbyterian Centennial Care $26 - $78 24%
Presbyterian Senior Plan $26 - $79 24%
Prestige Health Choice $26 - $78 24%
Priority Partners $26 - $78 24%
Provider Partners Health Plan Of Illinois $26 - $79 24%
Pruitthealth Premier $26 - $79 24%
Reliance Community Care Partners Care Resources Pace $26 - $79 24%
Robert F Sing Program $26 - $78 24%
Rx 340B Pass Along $26 - $78 24%
Rx Allwin $26 - $79 24%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $26 - $78 24%
Rx Grane Grnmedd $26 - $79 24%
Rx Heatlhcomp $26 - $81 24%
Rx Medi-Cal $26 - $78 24%
Rx Meridian Rx $26 - $78 24%
Rx Restat $26 - $81 24%
Rx Retiree Rx Care $26 - $79 24%
Rx Saif Opdp Wc $26 - $81 24%
Rx Worker'S Comp $26 - $81 24%
Ryan White Florida Mssrp $26 - $78 24%
Sandhills Center Lme $26 - $78 24%
Scan Health Plan Mcr Ipa Meritage Oon $26 - $79 24%
Screening For Life $26 - $78 24%
Secure Horizons Ma Pffs $26 - $79 24%
Serenity Pace $26 - $79 24%
Siouxland Pace $26 - $79 24%
Solis Health Plans $26 - $79 24%
St Joseph County Hlth Dpt $26 - $166 24%
Stephenson Cty Health $26 - $78 24%
Sunnyview-Pace Finance Dept $26 - $79 24%
Sunshine State Health Plan $26 - $78 24%
Superior Health $26 - $78 24%
Tenncare $26 - $78 24%
Texan Plus $26 - $79 24%
Texas Children'S Health Plan $26 - $78 24%
The Health Plan $26 - $79 24%
Thome Pace $26 - $79 24%
Todays Options $26 - $79 24%
Tribute Health Plans $26 - $79 24%
Tricare $26 - $78 24%
Trillium Community Ohp $26 - $78 24%
Triwest Health Alliance $26 - $78 24%
Tufts Health Public Plans $26 - $78 24%
Um Health Advantage $26 - $79 24%
Union Health Service $26 - $79 24%
Us Family Health Plan $26 - $78 24%
Vaya Health Lme $26 - $78 24%
Veterans Administration $26 - $81 24%
Veterans Eval Services $26 - $78 24%
Washtenaw Health Plan $26 - $78 24%
Wc Accident Fund $26 - $81 24%
Wc Ace $26 - $81 24%
Wc Acs Federal Employees $26 - $81 24%
Wc Acuity $26 - $81 24%
Wc Advantage $26 - $81 24%
Wc Aegis $26 - $81 24%
Wc Aig $26 - $81 24%
Wc Aims $26 - $81 24%
Wc Alaska National Ins $26 - $81 24%
Wc Align Network $26 - $1,146 24%
Wc Allied $26 - $81 24%
Wc Am Trust N America $26 - $81 24%
Wc American Claims Mgmt $26 - $81 24%
Wc Amerisure $26 - $81 24%
Wc Amtrust $26 - $81 24%
Wc Asu Risk Mgt $26 - $81 24%
Wc Benetech $26 - $81 24%
Wc Berkley Admin $26 - $81 24%
Wc Broadspire $26 - $81 24%
Wc Broward County $26 - $81 24%
Wc Bunch & Associates $26 - $81 24%
Wc California State Comp Ins $26 - $81 24%
Wc California State Ins Fund $26 - $81 24%
Wc Capitol Area Health Consortium $26 - $81 24%
Wc Ccmsi $26 - $81 24%
Wc Chartis $26 - $81 24%
Wc Chubb $26 - $81 24%
Wc Cirma $26 - $81 24%
Wc City Of Albany $26 - $81 24%
Wc City Of Sioux City $26 - $81 24%
Wc Claims Mgmt Inc $26 - $81 24%
Wc Cna $26 - $81 24%
Wc Comp One Admin C/O Manageability $26 - $81 24%
Wc Compone Admin $26 - $81 24%
Wc Corvel $26 - $81 24%
Wc Ct Healthcare Trust $26 - $81 24%
Wc Donegal Insurance Group $26 - $81 24%
Wc Emc Insurance Company $26 - $81 24%
Wc Employee Mutual $26 - $81 24%
Wc Enablecomp $26 - $81 24%
Wc Erie $26 - $81 24%
Wc Esis $26 - $81 24%
Wc Evolutions $26 - $81 24%
Wc Fcci $26 - $81 24%
Wc Fed Ex $26 - $81 24%
Wc Federal Black Lung $26 - $81 24%
Wc Federated $26 - $81 24%
Wc Finley Occupational Health $26 - $81 24%
Wc First Agency/Occunet $26 - $81 24%
Wc Ford Motor $26 - $81 24%
Wc Fresno Unified Emp $26 - $81 24%
Wc Gallagher Bassett $26 - $81 24%
Wc General Motors $26 - $81 24%
Wc Generic $26 - $81 24%
Wc Genex Care For Ohio $26 - $81 24%
Wc Great West Casualty $26 - $81 24%
Wc Guarantee Insurance $26 - $81 24%
Wc Guard Insurance Company $26 - $81 24%
Wc Hab $26 - $81 24%
Wc Hartford $26 - $81 24%
Wc Hastings $26 - $81 24%
Wc Health Management $26 - $81 24%
Wc Heritage Summit $26 - $81 24%
Wc Hireright $26 - $81 24%
Wc Horizon $26 - $81 24%
Wc Icw Group $26 - $81 24%
Wc Idaho State Ins Fund $26 - $81 24%
Wc Intercare Insurance $26 - $81 24%
Wc Intermountain $26 - $81 24%
Wc Johns Eastern $26 - $81 24%
Wc Kemberton $26 - $81 24%
Wc Key Ins & Benefit Solutions $26 - $81 24%
Wc Liberty Mutual $26 - $81 24%
Wc Mac Risk Management $26 - $81 24%
Wc Massachusetts $26 - $81 24%
Wc Mdia $26 - $81 24%
Wc Meadowbrook Claim $26 - $81 24%
Wc Medical Administrators $26 - $81 24%
Wc Meijers $26 - $81 24%
Wc Memic $26 - $81 24%
Wc Mercy Workcare $26 - $81 24%
Wc Michigan $26 - $81 24%
Wc Michigan Millers Mutual $26 - $81 24%
Wc Mitchell Frankenmuth $26 - $81 24%
Wc Mra $26 - $81 24%
Wc Nationwide $26 - $81 24%
Wc Nca Comp $26 - $81 24%
Wc New York $26 - $81 24%
Wc New York Special Funds $26 - $81 24%
Wc North American Rishces $26 - $81 24%
Wc Northeast Health $26 - $81 24%
Wc Notre Dame $26 - $630 24%
Wc Novanet $26 - $81 24%
Wc O'Hara Corp $26 - $81 24%
Wc Occ Health Allen $26 - $81 24%
Wc Ohio Bureau $26 - $81 24%
Wc One Call Medical $26 - $81 24%
Wc Paradigm $26 - $81 24%
Wc Peerless $26 - $81 24%
Wc Pma $26 - $81 24%
Wc Praxis Health Network $26 - $81 24%
Wc Price Chopper $26 - $81 24%
Wc Procura Management $26 - $81 24%
Wc Qualcare $26 - $81 24%
Wc Quiktrip $26 - $81 24%
Wc Reny Company $26 - $81 24%
Wc Rev Claims $26 - $81 24%
Wc Risico $26 - $81 24%
Wc Rural Mutual $26 - $81 24%
Wc Saif Oregon $26 - $81 24%
Wc Secura $26 - $81 24%
Wc Sedgwick $26 - $81 24%
Wc Sentry $26 - $81 24%
Wc Sheakley Unicomp $26 - $81 24%
Wc Smile Lodge $26 - $81 24%
Wc Society $26 - $81 24%
Wc Srs $26 - $81 24%
Wc Taconic (Mro) $26 - $81 24%
Wc Taconic Farms $26 - $81 24%
Wc Travelers $26 - $81 24%
Wc Triad Group $26 - $81 24%
Wc Tristar $26 - $81 24%
Wc Troy Ny $26 - $81 24%
Wc Tyson $26 - $81 24%
Wc Unified Health Services $26 - $81 24%
Wc United Heartland $26 - $81 24%
Wc Us Dept Of Labor $26 - $81 24%
Wc Velocity $26 - $81 24%
Wc Walmart $26 - $81 24%
Wc West Bend $26 - $81 24%
Wc West Bend Mutual/Argent $26 - $81 24%
Wc Winnebago Industries $26 - $81 24%
Wc Yankee Trails $26 - $81 24%
Wc York Risk $26 - $81 24%
Wc Zenith $26 - $81 24%
Wc Zurich $26 - $81 24%
Welbe Health $26 - $79 24%
Wellmed $26 - $79 24%
Wellsense Health Plan $26 - $78 24%
Wi Womens Wellness $26 - $78 24%
Provider Partners Health Plan Of Indiana $29 - $122 27%
Caresource $34 - $171 32%
Ameriben $40 - $688 37%
Geha $42 - $730 39%
Bcn Domestic $45 - $110 42%
Blue Benefit Administrators Of Massachusetts $45 - $391 42%
Blue Care Network $45 - $391 42%
Blue Distinction Transplant $45 - $391 42%
Blue Shield - Ca $45 - $391 42%
Blue Shield - Id (Regence) $45 - $391 42%
Blue Shield - Ny Highmark Northeastern $45 - $391 42%
Blue Shield - Ny Highmark Western $45 - $391 42%
Blue Shield - Pa (Highmark) $45 - $391 42%
Blue Shield - Wa (Regence) $45 - $391 42%
Health Choices $45 - $110 42%
Kaiser Domestic $45 - $110 42%
Pre-Employment $45 - $110 42%
Wc Domestic $45 - $110 42%
Christian Brother Services $46 - $745 43%
Meritain $46 - $745 43%
Preferred One $46 - $745 43%
Community Health Alliance $52 - $159 49%
Allied Benefit Systems $58 - $745 54%
Auxiant $58 - $951 54%
Benefit Administrative Systems,Llc $58 - $175 54%
Custom Design Benefits $58 - $238 54%
Encore Health $58 - $713 54%
Key Benefit Administrator $58 - $713 54%
Luminare Health (Detroit) $58 - $688 54%
Phcs $58 - $220 54%
Physicians Health Plan Northern Indiana Health Insurance $58 - $334 54%
Sagamore Health Network $61 - $848 57%
Signature Care $61 - $917 57%
Plain Church Group $65 - $309 61%
Wc Encore Health Network $65 - $245 61%
Siho Insurance Services $177 166%
Hospice Of Marshall County $298 279%
Hospice Of St Joseph County $298 279%
Notre Dame Athletic Association $630 590%
Indiana Criminal Justice Inst $713 668%
Western & Southern Financial Group $713 668%
Healthscope $730 683%
Student Insurance Cma $730 683%
Group Administrators $733 686%
Health Partners $733 686%
Mvp $733 686%
Prairie States $733 686%
Priority Health $733 686%
Professional Benefit Administrators $733 686%
Sisco Benefits $733 686%
Unified Group Services $733 686%
Asr Health Benefits $745 698%
Employee Benefit Management $745 698%
Medical Mutual $745 698%
Rural Carrier Health Benefit Plan $745 698%
Webtpa $745 698%
Goshen Preferred Network $882 - $986 826%
Christian Brothers Holy Cross $917 859%
Bankers Life Casualty $1,146 1073%
Bureau Of Disability $1,146 1073%

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