CMS Price Transparency Data

X-ray, pelvis

Facility: Saint Joseph Regional Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$151

about 1.4× the $107 Medicare rate · typically $43–$178

modeled estimate · not a bill or quote

What this hospital charges insurers

$169

About the fair price

about $18 over the fair price · 1.6× Medicare

Medicare pays $107 Fair price $151 This hospital $169 Cash price $284 Hospital's list price $437

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 $24 Priciest $169

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

A fair price for a X-ray, pelvis is about $151 (about 1.4× the $107 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $169, or about $284 in cash — about the fair price. Located in Mishawaka, IN.

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	$54 - $278	51%
Blue Cross Blue Shieldmajor	$54 - $391	51%
Aetnamajor	$57 - $284	53%
Cignamajor	$280	262%
CareSource	$171	160%
GEHA	$278	260%
Health Net	$280 - $323	262%
HealthPartners	$280	262%
Medical Mutual	$284	266%
Meridian	$111	104%
MVP Health Care	$280	262%
Priority Health	$280	262%
+ 42 smaller / regional plans	$41 - $437

Government programs also on file: Medicare, 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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 284), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Regional Medical Center

Compare: X-ray, pelvis at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.