Saint Joseph Regional Medical Center

5215 Holy Cross Pkwy, Mishawaka, IN 46545 · (574) 335-5000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5South Bend, IN-MI metro Part of Trinity Health · 52 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

43,195 price rows for 65 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $290

$290

cash

$5 to $3,388

421 negotiated rates

$446

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,152

$4,152

cash

$191 to $6,388

269 negotiated rates

$6,388

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,480

$1,480

cash

$57 to $2,277

269 negotiated rates

$2,277

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,299

$2,299

cash

$96 to $3,537

157 negotiated rates

$3,537

list

Cataract surgery with lens implant

CPT 66984 · metro median $9,667

$9,667

cash

$1,264 to $8,621

107 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $5,973

$5,973

cash

$1,002 to $6,148

1517 negotiated rates

$5,973

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $16,056

$16,056

cash

$334 to $30,909

110 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 14 lines · metro median $304

$304

cash

$20 to $468

2148 negotiated rates

$468

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $6,286

$6,286

cash

$153 to $3,474

107 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380 · metro median $6,788

$6,788

cash

$32 to $4,470

108 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385 · metro median $5,988

$5,988

cash

$32 to $4,470

108 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $113

$113

cash

$4 to $174

314 negotiated rates

$174

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $156

$156

cash

$6 to $240

314 negotiated rates

$240

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $492

$492

cash

$60 to $757

157 negotiated rates

$757

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $32

$32

cash

$9 to $36

1517 negotiated rates

$32

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $386

$386

cash

$95 to $795

1625 negotiated rates

$386

list

Family psychotherapy without the patient

CPT 90846 · metro median $212

$212

cash

$74 to $212

758 negotiated rates

$212

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $31,380

$31,380

cash

$3,311 to $22,582

107 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 14 lines · metro median $178

$178

cash

$20 to $274

2148 negotiated rates

$274

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $48,297

$48,297

cash

$334 to $62,182

110 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $16,156

$16,156

cash

$334 to $15,758

68 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $27,802

$27,802

cash

$334 to $39,996

110 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines · metro median $1,221

$1,221

cash

$170 to $22,677

1623 negotiated rates

$1,221

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $18,163

$18,163

cash

$1,792 to $12,222

107 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $10,095

$10,095

cash

$1,775 to $15,530

157 negotiated rates

$15,530

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $226

$226

cash

$7 to $348

471 negotiated rates

$348

list

Liver function panel

CPT 80076 · metro median $283

$283

cash

$5 to $435

157 negotiated rates

$435

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $3,763

$3,763

cash

$191 to $5,789

157 negotiated rates

$5,789

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $2,971

$2,971

cash

$128 to $6,854

591 negotiated rates

$4,570

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $3,026

$3,026

cash

$112 to $4,655

157 negotiated rates

$4,655

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $3,026

$3,026

cash

$111 to $4,655

157 negotiated rates

$4,655

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $35,468

$35,468

cash

$334 to $78,700

110 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $1,368

$1,368

cash

$484 to $3,304

471 negotiated rates

$2,104

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $238

$238

cash

$54 to $246

1518 negotiated rates

$238

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $356

$356

cash

$85 to $366

1518 negotiated rates

$356

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $471

$471

cash

$116 to $483

1518 negotiated rates

$471

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $161

$161

cash

$10 to $247

471 negotiated rates

$247

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 7 lines · metro median $87

$87

cash

$3 to $325

1049 negotiated rates

$134

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $34

$34

cash

$14 to $186

471 negotiated rates

$53

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $744

$744

cash

$57 to $1,145

157 negotiated rates

$1,145

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $209

$209

cash

$105 to $209

536 negotiated rates

$209

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $240

$240

cash

$105 to $240

536 negotiated rates

$240

list

Prostate biopsy

CPT 55700 · lowest of 3 lines · metro median $307

$307

cash

$27 to $7,808

1612 negotiated rates

$307

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $3,155

$3,155

cash

$381 to $39,706

1624 negotiated rates

$3,155

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $9

cash

$2 to $636

1808 negotiated rates

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $172

$172

cash

$47 to $172

759 negotiated rates

$172

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $227

$227

cash

$69 to $227

760 negotiated rates

$227

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $336

$336

cash

$103 to $336

759 negotiated rates

$336

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $13,383

$13,383

cash

$1,905 to $14,626

107 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $257

$257

cash

$49 to $460

314 negotiated rates

$396

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $29,834

$29,834

cash

$3,974 to $27,105

107 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,340

$3,340

cash

$470 to $5,138

157 negotiated rates

$5,138

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,370

$1,370

cash

$484 to $3,304

146 negotiated rates

$2,107

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,370

$1,370

cash

$387 to $2,637

157 negotiated rates

$2,107

list

TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $234

$234

cash

$9 to $360

785 negotiated rates

$360

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $698

$698

cash

$95 to $22,113

1624 negotiated rates

$698

list

Transvaginal ultrasound

CPT 76830 · metro median $729

$729

cash

$57 to $1,122

157 negotiated rates

$1,122

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,016

$1,016

cash

$57 to $1,563

157 negotiated rates

$1,563

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $297

$297

cash

$39 to $3,388

1625 negotiated rates

$297

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines · metro median $389

$389

cash

$44 to $3,388

1626 negotiated rates

$389

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $85

$85

cash

$2 to $220

578 negotiated rates

$130

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $5,627

$5,627

cash

$944 to $5,847

1517 negotiated rates

$5,627

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $11,424

$11,424

cash

$334 to $21,734

110 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $5,409

$5,409

cash

$909 to $5,602

1517 negotiated rates

$5,409

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $556

$556

cash

$57 to $856

157 negotiated rates

$856

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://hpt.trinity-health.org/350868157_mishawaka-medical-center_standardcharges.zip
Saint Joseph Regional Medical Center - Mishawaka · parsed · tall v3.0.0 · file dated 2026-03-31 · 138.2 MB · 43195 price rows read · read Nov 2026