CMS Price Transparency Data

X-ray, chest (single view)

Facility: Saint Joseph Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $325
  • Cash Discount Price: $15,779
  • vs. Medicare Baseline: 3.66x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Saint Joseph Regional Medical Center is $325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,779. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.66x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$15,779

Average discount available for prompt cash payment at this facility.

Insurance Median
$325

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $15,779 (17747%)
Insurance Median: $325 (366%)
Cash: $15,779 (17747% of Medicare)
Ins. Median: $325 (366% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 366% of the Medicare baseline (a markup of 266%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $48 - $11,574 54%
Blue Cross Blue Shield $48 - $26,362 54%
Medicaid / KanCare $48 - $3,865 54%
UnitedHealthcare $48 - $11,808 54%
Medicare (plans) $92 - $7,616 103%
Meridian Complete $92 - $7,467 103%
Pace-Trinity Health $92 - $7,467 103%
County Coroner $96 - $7,766 108%
Indiana Breast Cervical Cancer $97 109%
Provider Partners Health Plan Of Indiana $101 - $8,214 114%
Hospice Of Marshall County $107 120%
Hospice Of St Joseph County $107 120%
Plain Church Group $112 126%
Auxiant $138 - $16,054 155%
Physicians Health Plan Northern Indiana Health Insurance $138 - $22,550 155%
St Joseph County Hlth Dpt $138 - $11,200 155%
Caresource $143 - $11,574 161%
Siho Insurance Services $147 - $11,947 165%
Key Benefit Administrator $166 - $16,054 187%
Allied Benefit Systems $175 - $14,187 197%
Custom Design Benefits $198 - $16,054 223%
Notre Dame Athletic Association $227 255%
Wc Notre Dame $227 255%
Luminare Health (Detroit) $235 - $248 264%
Managed Health Services - Indiana $242 - $1,242 272%
Mdwise $242 - $1,242 272%
Encore Health $245 - $257 276%
Ameriben $248 279%
Indiana Criminal Justice Inst $257 289%
Western & Southern Financial Group $257 289%
Geha $263 296%
Healthscope $263 296%
Student Insurance Cma $263 296%
Cigna $264 297%
Group Administrators $264 297%
Health Partners $264 297%
Mvp $264 297%
Prairie States $264 297%
Priority Health $264 297%
Professional Benefit Administrators $264 297%
Sagamore Health Network $264 - $306 297%
Sisco Benefits $264 297%
Unified Group Services $264 297%
Asr Health Benefits $268 301%
Christian Brother Services $268 301%
Employee Benefit Management $268 301%
Medical Mutual $268 301%
Meritain $268 301%
Preferred One $268 301%
Rural Carrier Health Benefit Plan $268 301%
Webtpa $268 301%
Goshen Preferred Network $318 - $355 358%
Blue Benefit Administrators Of Massachusetts $325 - $26,362 366%
Blue Care Network $325 - $26,362 366%
Blue Distinction Transplant $325 - $26,362 366%
Blue Shield - Ca $325 - $26,362 366%
Blue Shield - Id (Regence) $325 - $26,362 366%
Blue Shield - Ny Highmark Northeastern $325 - $26,362 366%
Blue Shield - Ny Highmark Western $325 - $26,362 366%
Blue Shield - Pa (Highmark) $325 - $26,362 366%
Blue Shield - Wa (Regence) $325 - $26,362 366%
Christian Brothers Holy Cross $330 371%
Signature Care $330 371%
Bankers Life Casualty $413 465%
Bureau Of Disability $413 465%
Wc Align Network $413 465%

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