CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Northwest Health-La Porte

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $15
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Northwest Health-La Porte is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)
Cash / Self-Pay: $22 (164%)
Insurance Median: $15 (112%)
Cash: $22 (164% of Medicare)
Ins. Median: $15 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 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 $2 - $113 15%
Self Pay $2 - $226 15%
Alpha Baking $3 - $189 22%
Lutheran Preferred Medpartners $3 - $175 22%
Php $3 - $173 22%
Php Freedom Network $4 - $252 30%
County Of Laporte $5 - $294 37%
Encore $5 - $377 37%
UnitedHealthcare $5 - $295 37%
Aetna $6 - $347 45%
Blue Cross Blue Shield $6 - $21 45%
Cigna $6 - $312 45%
Community Health Alliance $6 - $365 45%
Ihn $6 - $336 45%
Prime Health Services $6 - $315 45%
Prime Health Services Auto $6 - $315 45%
Tricare $6 - $12 45%
Chandler Group $7 - $377 52%
Hfn Workers Compensation $7 - $377 52%
Humana $7 - $13 52%
Lutheran Network $7 - $369 52%
Medicare (plans) $7 - $13 52%
Multiplan $7 - $377 52%
Node Champva $7 - $13 52%
Node Devoted Health Mcr Adv $7 - $13 52%
Node Hospice Non Par Agree $7 - $13 52%
Node Va $7 - $13 52%
Phcs $7 - $377 52%
Sagamore Health Network $7 - $369 52%
Va Choice Program $7 - $13 52%
Indiana Dept Of Correction $8 - $14 60%
Managed Health Services $8 - $27 60%
Node Pphp Mcr Adv $8 - $14 60%
Us Department Of Labor $9 - $17 67%
Caresource $13 97%
Medicaid / KanCare $13 97%
Mhs $13 97%
Prime Health In Work Comp $13 - $24 97%
In Wc $15 - $27 112%
Encore Kba Epo $18 - $32 134%
Magnacare Ma $18 - $33 134%
Encore Kba Ppo $22 - $40 164%

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