CMS Price Transparency Data

Blood test, hemoglobin

Facility: Northwest Health-La Porte

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Northwest Health-La Porte is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $14 (591%)
Insurance Median: $4 (169%)
Cash: $14 (591% of Medicare)
Ins. Median: $4 (169% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 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
Aetna $1 - $163 42%
Alpha Baking $1 - $89 42%
Blue Cross Blue Shield $1 - $4 42%
Chandler Group $1 - $178 42%
Community Health Alliance $1 - $172 42%
Encore $1 - $178 42%
Hfn Workers Compensation $1 - $178 42%
Humana $1 - $2 42%
Ihn $1 - $158 42%
Indiana Dept Of Correction $1 - $2 42%
Lutheran Network $1 - $174 42%
Lutheran Preferred Medpartners $1 - $82 42%
Managed Health Services $1 - $5 42%
Medicare (plans) $1 - $2 42%
Multiplan $1 - $178 42%
Node Champva $1 - $2 42%
Node Devoted Health Mcr Adv $1 - $2 42%
Node Hospice Non Par Agree $1 - $2 42%
Node Pphp Mcr Adv $1 - $2 42%
Node Va $1 - $2 42%
Phcs $1 - $178 42%
Php $1 - $82 42%
Sagamore Health Network $1 - $174 42%
Self Pay $1 - $107 42%
Tricare $1 - $2 42%
UnitedHealthcare $1 - $139 42%
Va Choice Program $1 - $2 42%
Caresource $2 84%
Cigna $2 - $147 84%
County Of Laporte $2 - $138 84%
Lutheran $2 - $53 84%
Medicaid / KanCare $2 84%
Mhs $2 84%
Php Freedom Network $2 - $119 84%
Prime Health In Work Comp $2 - $4 84%
Prime Health Services $2 - $148 84%
Prime Health Services Auto $2 - $148 84%
Us Department Of Labor $2 - $3 84%
Encore Kba Epo $3 - $6 127%
In Wc $3 - $5 127%
Magnacare Ma $3 - $6 127%
Encore Kba Ppo $4 - $7 169%

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