CMS Price Transparency Data

Blood test, lipase

Facility: Northwest Health-La Porte

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Northwest Health-La Porte is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $3 (44%)
Insurance Median: $7 (102%)
Cash: $3 (44% of Medicare)
Ins. Median: $7 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 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 - $38 15%
Self Pay $1 - $77 15%
Alpha Baking $2 - $64 29%
Encore $2 - $128 29%
Lutheran Preferred Medpartners $2 - $59 29%
Php $2 - $59 29%
Php Freedom Network $2 - $85 29%
Aetna $3 - $117 44%
Blue Cross Blue Shield $3 - $11 44%
Chandler Group $3 - $128 44%
Cigna $3 - $105 44%
Community Health Alliance $3 - $123 44%
County Of Laporte $3 - $99 44%
Hfn Workers Compensation $3 - $128 44%
Ihn $3 - $113 44%
Lutheran Network $3 - $125 44%
Multiplan $3 - $128 44%
Phcs $3 - $128 44%
Prime Health Services $3 - $106 44%
Prime Health Services Auto $3 - $106 44%
Sagamore Health Network $3 - $125 44%
Tricare $3 - $6 44%
UnitedHealthcare $3 - $100 44%
Humana $4 - $7 58%
Indiana Dept Of Correction $4 - $7 58%
Managed Health Services $4 - $14 58%
Medicare (plans) $4 - $7 58%
Node Champva $4 - $7 58%
Node Devoted Health Mcr Adv $4 - $7 58%
Node Hospice Non Par Agree $4 - $7 58%
Node Pphp Mcr Adv $4 - $7 58%
Node Va $4 - $7 58%
Va Choice Program $4 - $7 58%
Us Department Of Labor $5 - $9 73%
Caresource $7 102%
Medicaid / KanCare $7 102%
Mhs $7 102%
Prime Health In Work Comp $7 - $12 102%
In Wc $8 - $14 116%
Encore Kba Epo $9 - $17 131%
Magnacare Ma $9 - $17 131%
Encore Kba Ppo $11 - $21 160%

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