CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Northwest Health-La Porte

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Northwest Health-La Porte is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $10 (195%)
Insurance Median: $6 (117%)
Cash: $10 (195% of Medicare)
Ins. Median: $6 (117% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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
Alpha Baking $1 - $63 20%
Lutheran Preferred Medpartners $1 - $59 20%
Php $1 - $58 20%
Aetna $2 - $116 39%
Blue Cross Blue Shield $2 - $8 39%
Cigna $2 - $104 39%
Community Health Alliance $2 - $122 39%
County Of Laporte $2 - $98 39%
Encore $2 - $126 39%
Ihn $2 - $112 39%
Lutheran $2 - $38 39%
Php Freedom Network $2 - $84 39%
Prime Health Services $2 - $105 39%
Prime Health Services Auto $2 - $105 39%
Self Pay $2 - $76 39%
Tricare $2 - $5 39%
UnitedHealthcare $2 - $99 39%
Chandler Group $3 - $126 59%
Hfn Workers Compensation $3 - $126 59%
Humana $3 - $5 59%
Indiana Dept Of Correction $3 - $5 59%
Lutheran Network $3 - $123 59%
Managed Health Services $3 - $10 59%
Medicare (plans) $3 - $5 59%
Multiplan $3 - $126 59%
Node Champva $3 - $5 59%
Node Devoted Health Mcr Adv $3 - $5 59%
Node Hospice Non Par Agree $3 - $5 59%
Node Pphp Mcr Adv $3 - $5 59%
Node Va $3 - $5 59%
Phcs $3 - $126 59%
Sagamore Health Network $3 - $123 59%
Va Choice Program $3 - $5 59%
Us Department Of Labor $4 - $6 78%
Caresource $5 98%
Medicaid / KanCare $5 98%
Mhs $5 98%
Prime Health In Work Comp $5 - $9 98%
In Wc $6 - $10 117%
Encore Kba Epo $7 - $12 137%
Magnacare Ma $7 - $13 137%
Encore Kba Ppo $9 - $15 176%

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