CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Northwest Health-La Porte

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Northwest Health-La Porte is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $4 (47%)
Insurance Median: $8 (95%)
Cash: $4 (47% of Medicare)
Ins. Median: $8 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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 - $64 12%
Alpha Baking $2 - $106 24%
Lutheran Preferred Medpartners $2 - $99 24%
Php $2 - $97 24%
Self Pay $2 - $127 24%
Blue Cross Blue Shield $3 - $14 35%
Cigna $3 - $175 35%
County Of Laporte $3 - $165 35%
Encore $3 - $212 35%
Php Freedom Network $3 - $142 35%
UnitedHealthcare $3 - $166 35%
Aetna $4 - $195 47%
Chandler Group $4 - $212 47%
Community Health Alliance $4 - $205 47%
Hfn Workers Compensation $4 - $212 47%
Ihn $4 - $189 47%
Lutheran Network $4 - $207 47%
Multiplan $4 - $212 47%
Phcs $4 - $212 47%
Prime Health Services $4 - $177 47%
Prime Health Services Auto $4 - $177 47%
Sagamore Health Network $4 - $207 47%
Tricare $4 - $8 47%
Humana $5 - $8 59%
Indiana Dept Of Correction $5 - $9 59%
Managed Health Services $5 - $17 59%
Medicare (plans) $5 - $8 59%
Node Champva $5 - $8 59%
Node Devoted Health Mcr Adv $5 - $8 59%
Node Hospice Non Par Agree $5 - $8 59%
Node Pphp Mcr Adv $5 - $9 59%
Node Va $5 - $8 59%
Va Choice Program $5 - $8 59%
Us Department Of Labor $6 - $11 71%
Caresource $8 95%
Medicaid / KanCare $8 95%
Mhs $8 95%
Prime Health In Work Comp $8 - $15 95%
In Wc $9 - $17 106%
Encore Kba Epo $11 - $20 130%
Magnacare Ma $12 - $21 142%
Encore Kba Ppo $14 - $25 165%

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