CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Northwest Health-La Porte

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Northwest Health-La Porte is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $8 (82%)
Insurance Median: $10 (103%)
Cash: $8 (82% of Medicare)
Ins. Median: $10 (103% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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.

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
Lutheran $1 - $39 10%
Alpha Baking $2 - $65 21%
Lutheran Preferred Medpartners $2 - $60 21%
Php $2 - $59 21%
Self Pay $2 - $77 21%
Php Freedom Network $3 - $86 31%
Aetna $4 - $119 41%
Cigna $4 - $107 41%
County Of Laporte $4 - $100 41%
Encore $4 - $129 41%
Ihn $4 - $115 41%
Prime Health Services $4 - $108 41%
Prime Health Services Auto $4 - $108 41%
Tricare $4 - $9 41%
UnitedHealthcare $4 - $101 41%
Blue Cross Blue Shield $5 - $16 51%
Chandler Group $5 - $129 51%
Community Health Alliance $5 - $125 51%
Hfn Workers Compensation $5 - $129 51%
Humana $5 - $10 51%
Lutheran Network $5 - $126 51%
Medicare (plans) $5 - $10 51%
Multiplan $5 - $129 51%
Node Champva $5 - $9 51%
Node Devoted Health Mcr Adv $5 - $10 51%
Node Hospice Non Par Agree $5 - $10 51%
Node Va $5 - $10 51%
Phcs $5 - $129 51%
Sagamore Health Network $5 - $126 51%
Va Choice Program $5 - $10 51%
Indiana Dept Of Correction $6 - $10 62%
Managed Health Services $6 - $19 62%
Node Pphp Mcr Adv $6 - $10 62%
Us Department Of Labor $7 - $12 72%
Caresource $9 - $10 93%
Medicaid / KanCare $10 103%
Mhs $10 103%
Prime Health In Work Comp $10 - $17 103%
In Wc $11 - $19 113%
Encore Kba Epo $13 - $23 134%
Magnacare Ma $13 - $24 134%
Encore Kba Ppo $16 - $29 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Lincolnway, La Porte, IN 46350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals