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Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Saint Joseph Regional Medical Center

5215 HOLY CROSS PKWY, Mishawaka, IN 46545

CMS Overall Rating ★★☆☆☆
Factual Overview

Saint Joseph Regional Medical Center is a Acute Care Hospitals (Voluntary non-profit - Private) operating in Mishawaka, IN. Mapped commercial insurance prices across 100 procedures average 3.82x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 67%.

Facility Overview

Setting: rural Bed Count: 253 Beds Teaching Status: Teaching Hospital Annual Discharges: 11,774

Patient Experience

Recommendation Rate: 67% High Patient Rating: 65% ER Wait Time (Med): 188 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 100 codes Avg Markup vs Medicare: 3.82x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $13,383 Calc
Total hip replacement
CPT Code: 27130
 $40,606 Calc
Total knee replacement
CPT Code: 27447
 $40,740 Calc
Bunion correction surgery
CPT Code: 28296
 $20,113 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $18,163 Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $49,602 Calc
Blood transfusion
CPT Code: 36430
 $3,393 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $16,156 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $445 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 $58,091 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $6,286 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $6,788 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $48,297 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $30,772 Calc
Inguinal hernia repair
CPT Code: 49505
 $1,189 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $5,504 Calc
C-section delivery (full package)
CPT Code: 59510
 $3,455 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $9,667 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,480 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,026 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,534 Calc
CT scan, sinuses
CPT Code: 70486
 $1,773 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,678 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,763 Calc
X-ray, chest (single view)
CPT Code: 71045
 $15,779 Calc
X-ray, chest (two views)
CPT Code: 71046
 $317 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $315 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $354 Calc
X-ray, lower back
CPT Code: 72110
 $556 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,077 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,060 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,026 Calc
X-ray, pelvis
CPT Code: 72170
 $284 Calc
CT scan, pelvis
CPT Code: 72192
 $1,949 Calc
X-ray, shoulder
CPT Code: 73030
 $452 Calc
X-ray, hand
CPT Code: 73130
 $410 Calc
X-ray, hip
CPT Code: 73502
 $495 Calc
X-ray, ankle
CPT Code: 73610
 $488 Calc
X-ray, foot
CPT Code: 73630
 $405 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $4,455 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $483 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,243 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $658 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,016 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $245 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,152 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $492 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $278 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $1,319 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $156 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $226 Calc
Blood test, liver function panel
CPT Code: 80076
 $283 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $552 Calc
Blood test, amylase
CPT Code: 82150
 $115 Calc
Blood test, vitamin D
CPT Code: 82306
 $214 Calc
Blood test, calcium
CPT Code: 82310
 $60 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $70 Calc
Blood test, vitamin B12
CPT Code: 82607
 $196 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $151 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $49 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $113 Calc
Blood test, lipase
CPT Code: 83690
 $103 Calc
Blood test, magnesium
CPT Code: 83735
 $98 Calc
Blood test, potassium
CPT Code: 84132
 $10,726 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $161 Calc
Blood test, sodium
CPT Code: 84295
 $23 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $234 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $49 Calc
Blood test, hemoglobin
CPT Code: 85018
 $18,482 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $113 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $66 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $640 Calc
Hepatitis C antibody test
CPT Code: 86803
 $138 Calc
Blood antibody screen
CPT Code: 86850
 $163 Calc
Culture, blood
CPT Code: 87040
 $294 Calc
Culture, bacterial
CPT Code: 87070
 $226 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $31,451 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $364 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $227 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $336 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $385 Calc
Speech therapy (group session)
CPT Code: 92508
 $31 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $34 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $573 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $163 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $81 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $57 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,805 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $76 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $563 Calc
Physical therapy (gait training)
CPT Code: 97116
 $113 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $141 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $1,298 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $107 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $103 Calc
Orthotic fitting and training
CPT Code: 97760
 $137 Calc
Prosthetic fitting and training
CPT Code: 97761
 $113 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $242 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $194 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $274 Calc