Saint Joseph Regional Medical Center

Mishawaka, Indiana · Acute Care · Voluntary non-profit - Private · CCN 150012

138%
median commercial rate vs. Medicare here
86th
highest of 96 Indiana hospitals, by median rate vs. Medicare
84
procedures with published commercial rates
25¢
of every charged dollar is cost, on this hospital’s own federal cost report
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Acute myocardial infarction, discharged alive, with MCCMS-DRG 280$16,302$10,964149%—12
Bariatric (obesity) surgery, no CC/MCCMS-DRG 621$15,241$8,272184%—12
Basic metabolic panelCPT 80048$12$8137%~$11214
COPD with MCCMS-DRG 190$11,298$8,001141%—12
CT abdomen and pelvis with contrastCPT 74177$512$369139%~$1,87416
CT head without contrastCPT 70450$173$111156%~$1,05717
CT pelvis with contrastCPT 72193$277$186149%~$85816
Cardiac arrhythmia, no CC/MCCMS-DRG 310$5,909$3,269181%—12
Cardiac stress testCPT 93017$276$228121%$72411
Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216$97,904———12
Cataract surgery with IOL insertionCPT 66984$3,322$2,442136%$2,14213
Cellulitis, no MCCMS-DRG 603$8,888$5,325167%—12
Cervical spinal fusion, no CC/MCCMS-DRG 473$24,432$16,343149%—12
Cesarean section, no CC/MCCMS-DRG 788$9,730———12
Cesarean section, with CCMS-DRG 787$11,284———12
Chest painMS-DRG 313$7,418———12
Colonoscopy with biopsyCPT 45380$1,627$1,266129%$1,62512
Colonoscopy with polyp removalCPT 45385$1,627$1,266129%$2,26012
Colonoscopy, diagnosticCPT 45378$1,264$984129%$1,10712
Complete blood count with differentialCPT 85025$11$8140%~$6715
Complete blood count, automatedCPT 85027$9$6139%~$3413
Comprehensive metabolic panelCPT 80053$15$11142%~$17216
Coronary bypass without cardiac cath, no MCCMS-DRG 236$41,920$29,950140%—12
Diagnostic mammography, both breastsCPT 77066$154——~$22113
Diagnostic mammography, one breastCPT 77065$113——~$19112
ED visit, level 3CPT 99283$400$289139%$45516
ED visit, level 4CPT 99284$601$441136%$86215
ED visit, level 5CPT 99285$857$630136%$1,27215
Echocardiogram, completeCPT 93306$699$578121%$1,12913
Epidural injection, lumbar/sacral, no imagingCPT 62322$1,203$936129%$33212
Esophagitis/GI disorders, no MCCMS-DRG 392$7,995$4,898163%—12
Excision of breast lesionCPT 19120$4,802$4,143116%$2,13413
Family psychotherapy, with patientCPT 90847$227$188121%$9113
Family psychotherapy, without patientCPT 90846$241$188128%$7812
Group psychotherapyCPT 90853$168$107156%$5319
Heart failure and shock, with CCMS-DRG 292$8,689$5,927147%—12
Heart failure with MCCMS-DRG 291$13,111$8,825149%—12
Hip and femur procedures except major joint, with CCMS-DRG 481$20,990$13,259158%—12
Hysterectomy, no CC/MCCMS-DRG 743$12,536$10,098124%—12
Inguinal hernia repair, age 5+CPT 49505$4,566$3,788121%$2,93212
Kidney and urinary tract infections, no MCCMS-DRG 690$8,285$5,365154%—12
Kidney function panelCPT 80069$12$9135%~$5813
Knee arthroscopy with meniscectomyCPT 29881$4,630$3,462134%$4,08414
Laparoscopic cholecystectomyCPT 47562$7,575$6,396118%$5,03612
Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419$13,800$8,977154%—12
Laparoscopic radical prostatectomyCPT 55866$13,319$11,246118%$11,04212
Left heart catheterization, diagnosticCPT 93452$4,754$3,430139%$3,53014
Lipid panelCPT 80061$18$13137%~$14814
Liver function panelCPT 80076$11$8135%~$4913
Lumbar epidural steroid injectionCPT 62323$960$747129%$52212
MRI brain with and without contrastCPT 70553$512$369139%~$2,34316
MRI lower extremity joint (knee)CPT 73721$375$252149%~$1,05716
MRI lumbar spine without contrastCPT 72148$375$252149%~$1,18516
Major joint replacement (hip/knee), no MCCMS-DRG 470$19,368$13,166147%—12
Major joint replacement (hip/knee), with MCCMS-DRG 469$30,648$22,346137%—12
Major small and large bowel procedures, with CCMS-DRG 330$23,991$15,881151%—12
Medical back problems, no MCCMS-DRG 552$9,754$6,785144%—12
OB ultrasound, 14+ weeksCPT 76805$153$111139%~$46112
Obstetric blood test panelCPT 80055$67$48140%~$5813
PSA (prostate specific antigen), totalCPT 84153$25$18135%~$11713
Partial thromboplastin timeCPT 85730$8$6135%~$2613
Physical therapy, therapeutic exerciseCPT 97110$41——$7614
Prostate biopsyCPT 55700$2,491——$1,12911
Prothrombin timeCPT 85610$6$4135%~$2813
Renal failure, with CCMS-DRG 683$8,951$5,971150%—12
Screening mammography, bilateralCPT 77067$127——~$18313
Sepsis with MCCMS-DRG 871$19,642$13,471146%—12
Shoulder arthroscopy, subacromial decompressionCPT 29826$1,854——$1,8325
Simple pneumonia and pleurisy, with CCMS-DRG 194$8,283$5,246158%—12
Sleep study (polysomnography)CPT 95810$1,076$909118%$2,71712
Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066$7,074$3,679192%—12
Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065$10,268$6,709153%—12
Thyroid stimulating hormone (TSH)CPT 84443$23$17135%~$14313
Tonsillectomy and adenoidectomy, under age 12CPT 42820$7,417$6,263118%$2,41812
Transforaminal epidural, lumbar/sacralCPT 64483$1,236$936132%$1,10413
Ultrasound, abdomen, completeCPT 76700$146$111132%~$82712
Ultrasound, transvaginalCPT 76830$151$111136%~$39113
Upper GI endoscopy with biopsyCPT 43239$1,233$960129%$2,06412
Upper GI endoscopy, diagnosticCPT 43235$1,233$960129%$1,08912
Urinalysis, automated, with microscopyCPT 81001$4$3138%~$5514
Urinalysis, automated, without microscopyCPT 81003$3$2135%~$4213
Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807$6,975———12
Vaginal delivery, no sterilization, with CCMS-DRG 806$7,747———12
X-ray, lower back, 4+ viewsCPT 72110$150$111136%~$34013

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 15–16, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →