CMS Price Transparency Data

X-ray, chest (two views)

Facility: Saint Joseph Regional Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $242
  • Cash Discount Price: $317
  • vs. Medicare Baseline: 2.72x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Saint Joseph Regional Medical Center is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.72x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$317

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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: $317 (357%)
Insurance Median: $242 (272%)
Cash: $317 (357% of Medicare)
Ins. Median: $242 (272% 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 272% of the Medicare baseline (a markup of 172%). 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 - $317 54%
Blue Cross Blue Shield $48 - $325 54%
Medicaid / KanCare $48 - $242 54%
UnitedHealthcare $48 - $310 54%
Medicare (plans) $92 - $94 103%
Meridian Complete $92 103%
Pace-Trinity Health $92 103%
County Coroner $96 108%
Provider Partners Health Plan Of Indiana $101 114%
Hospice Of Marshall County $127 143%
Hospice Of St Joseph County $127 143%
Plain Church Group $131 147%
Auxiant $138 - $404 155%
Physicians Health Plan Northern Indiana Health Insurance $138 - $278 155%
St Joseph County Hlth Dpt $138 155%
Caresource $143 161%
Siho Insurance Services $147 165%
Key Benefit Administrator $166 - $303 187%
Allied Benefit Systems $175 - $317 197%
Custom Design Benefits $198 223%
Managed Health Services - Indiana $242 272%
Mdwise $242 272%
Notre Dame Athletic Association $268 301%
Wc Notre Dame $268 301%
Luminare Health (Detroit) $278 - $292 313%
Encore Health $289 - $303 325%
Ameriben $292 328%
Indiana Criminal Justice Inst $303 341%
Western & Southern Financial Group $303 341%
Geha $310 349%
Healthscope $310 349%
Student Insurance Cma $310 349%
Cigna $312 351%
Group Administrators $312 351%
Health Partners $312 351%
Mvp $312 351%
Prairie States $312 351%
Priority Health $312 351%
Professional Benefit Administrators $312 351%
Sagamore Health Network $312 - $360 351%
Sisco Benefits $312 351%
Unified Group Services $312 351%
Asr Health Benefits $317 357%
Christian Brother Services $317 357%
Employee Benefit Management $317 357%
Medical Mutual $317 357%
Meritain $317 357%
Preferred One $317 357%
Rural Carrier Health Benefit Plan $317 357%
Webtpa $317 357%
Blue Benefit Administrators Of Massachusetts $325 366%
Blue Care Network $325 366%
Blue Distinction Transplant $325 366%
Blue Shield - Ca $325 366%
Blue Shield - Id (Regence) $325 366%
Blue Shield - Ny Highmark Northeastern $325 366%
Blue Shield - Ny Highmark Western $325 366%
Blue Shield - Pa (Highmark) $325 366%
Blue Shield - Wa (Regence) $325 366%
Goshen Preferred Network $375 - $419 422%
Christian Brothers Holy Cross $390 439%
Signature Care $390 439%
Bankers Life Casualty $487 548%
Bureau Of Disability $487 548%
Wc Align Network $487 548%

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