CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Northwest Health-La Porte

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $9
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Northwest Health-La Porte is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $12 (154%)
Insurance Median: $9 (116%)
Cash: $12 (154% of Medicare)
Ins. Median: $9 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 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 - $72 13%
Self Pay $1 - $144 13%
Alpha Baking $2 - $120 26%
Lutheran Preferred Medpartners $2 - $112 26%
Php $2 - $110 26%
Aetna $3 - $221 39%
Cigna $3 - $199 39%
County Of Laporte $3 - $187 39%
Encore $3 - $241 39%
Ihn $3 - $214 39%
Php Freedom Network $3 - $161 39%
Prime Health Services $3 - $201 39%
Prime Health Services Auto $3 - $201 39%
Tricare $3 - $7 39%
UnitedHealthcare $3 - $188 39%
Blue Cross Blue Shield $4 - $12 51%
Chandler Group $4 - $241 51%
Community Health Alliance $4 - $233 51%
Hfn Workers Compensation $4 - $241 51%
Humana $4 - $8 51%
Indiana Dept Of Correction $4 - $8 51%
Lutheran Network $4 - $235 51%
Managed Health Services $4 - $16 51%
Medicare (plans) $4 - $8 51%
Multiplan $4 - $241 51%
Node Champva $4 - $8 51%
Node Devoted Health Mcr Adv $4 - $8 51%
Node Hospice Non Par Agree $4 - $8 51%
Node Va $4 - $8 51%
Phcs $4 - $241 51%
Sagamore Health Network $4 - $235 51%
Va Choice Program $4 - $8 51%
Node Pphp Mcr Adv $5 - $8 64%
Us Department Of Labor $5 - $10 64%
Caresource $8 103%
Medicaid / KanCare $8 103%
Mhs $8 103%
Prime Health In Work Comp $8 - $14 103%
In Wc $9 - $16 116%
Encore Kba Epo $10 - $19 129%
Magnacare Ma $11 - $19 142%
Encore Kba Ppo $13 - $23 167%

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